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A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities...

A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity...

Community Health Network is seeking an Ambulatory Triage Registered Nurse to join the Family Medicine Care team. The RN will perform phone triage, patient education, scheduling, prior authorizations, prescription refills, referrals and care...

UVA Health seeks a Clinical Documentation Specialist with nursing experience to ensure the clinical story is accurate and complete across the health system. This fully remote opportunity requires at least three years in CDI or a similar...

A Quality Improvement Consulting Company is seeking a RN Health Care Facility Surveyor to work remotely with up to 75% travel. The Surveyor will conduct on-site surveys of Medicare-Medicaid certified health care facilities and assess compliance...

Guidehealth is seeking a dedicated Registered Nurse (RN) to join as a Telehealth Medicare Annual Wellness Visit Specialist - PRN. In this remote role, you will conduct AWVs via telehealth under physician supervision, focusing on preventive care,...

A home healthcare agency is seeking a compassionate RN to support quality patient care in a remote capacity. Responsibilities include managing patient inquiries, collaborating with healthcare providers, and maintaining a supportive work...

UBC is seeking a Telephonic LPN for their call center in a remote US setting. The role delivers telephonic nursing support, patient education, and resource referrals for client-funded programs. Requirements include an associate degree in...

IntelliResume seeks an RN Clinical Manager to oversee service coordination staff for STAR+PLUS in El Paso. The role leads training, performance standards, and audits to ensure compliant, timely delivery of care. Requires 7+ years in...

A national healthcare recruiting firm is seeking remote workers fluent in Spanish for a role supporting HEDIS project management. Responsibilities include coordinating the collection and abstraction of medical records, participating in vendor...

Building Location: Building B - St Marys Medical Center Department: 2003900 SMMC 9-CRITICAL CARE - SMMC HOSP Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning,...

WPS Health Solutions in Columbus, OH, is seeking an Appeals Nurse to review medical records and Medicare claims for first-level appeals to determine medical necessity and coverage alignment. The role collaborates with Appeals Examiners to...

University of Kentucky's Human Development Institute (HDI) is hiring a Nurse Coordinator to support the Supports Community Living waiver. This remote, home-based role serves Kentucky residents and requires travel across the state. The RN...

Job Description: The RN Program Coordinator is a hospital or care site level leader who provides specialized clinical expertise, consultation, education, and research within their designated area or specialty focus that may impact many or most...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for...

Enlyte is seeking a Telephonic Case Manager (RN) to support injured workers. This full-time, remote role requires an active RN license (compact) and NY RN license, working with physicians, employers, and patients to develop treatment plans and...

A leading healthcare consultancy is seeking a Senior LTSS Service Care Manager (RN) for a remote position based in Edinburg, TX. This role requires qualifications including RN licensure, nursing experience, and skills in case management.

firsthand Health in Albuquerque, NM, seeks a remote Triage Nurse to provide telephone and electronic triage support. The role requires strong triage skills, 3+ years of ER experience, and a BSN or ASN. Benefit offerings include health coverage, a...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

Great Lakes Management Company is seeking a Remote Triage RN to cover after-hours triage calls from various sites. This PRN/on-call role requires an RN licensed in MN, WI, or CO, with 5+ years in home health, assisted living, or long-term care...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and to identify solutions that help members live healthier lives. The role involves reviewing inpatient cases, coordinating...

A leading healthcare provider in Columbia, Illinois is seeking an RN Supervisor for the Patient Access Center, focusing on evening shifts. The role demands strong clinical judgment and communication skills to optimize patient admissions and...

SCP Health is hiring for a remote RN role in the United States. You will provide clinical assessment and nursing triage across the health continuum, directing patients to appropriate care levels and offering telephonic health information.

Description RN - Quality Assurance located at Providence Willamette Falls Medical Center (primary location) and Providence Milwaukie Hospital (secondary location), with rare travel to Providence Newberg Medical Center. The position does not...

Upper Peninsula Health Plan (UPHP) seeks a Remote Community Based Clinical Coordinator - Care Manager to support Western UP members. This full-time remote role requires frequent visits to homes and nursing facilities, plus periodic travel to...