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Type: Full-time, salaried, FLSA exempt Pay: $80,000 - $85,000 annually, plus bonus potential Location: US, remote; some evening hours, weekend hours, and travel are required...

A healthcare staffing agency is seeking a Clinical Review Nurse for remote work to perform prior authorization reviews for Texas Marketplace members. The ideal candidate is required to hold RN licensure and have 2-4 years of nursing experience.

Clinical Documentation Quality Improvement Specialist Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the...

HonorVet Technologies is seeking a travel nurse RN Utilization Review for a travel nursing job in Costa Mesa, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 02/23/2026 Duration: 13 weeks 40...

A leading healthcare company is seeking a Telephonic Case Manager RN in Atlanta to support a diverse member population. You will assess health statuses, identify treatment gaps, and coordinate care. The role requires an active RN license in...

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

FLSA STATUS Exempt QUALIFICATIONS EDUCATION Medical School graduate where Western Medicine is practiced EXPERIENCE One year of clinical experience preferred ...

Job Description: Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply...

Who We Are At Entyre Care, our mission is to support caregivers by offering families both emotional and financial support throughout their caregiving journey. We ensure our caregivers have access to the right resources and...

Care Manager Sharecare is the leading digital health company that helps people unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers,...

Telehealth Nurse Practitioner Opportunity We're looking for a talented, high-performing, and passionate Board-Certified Nurse Practitioner to join the growing network of telehealth providers through You Health Medical Groups. In this 1099...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

Job Description Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and...

A healthcare organization is seeking a remote Case Manager I to coordinate case management services for members with complex healthcare needs. The successful candidate will be responsible for advocating on behalf of members, working with...

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: This role is open to applicants that reside in SSM Health's 4 state footprint -...

Company Overview At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

Telephonic Case Manager Rn Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

A leading health organization is seeking a RN Coordinator for Utilization Management in Wisconsin. This full-time position involves reviewing authorization requests for medical necessity and collaborating with various departments. Applicants...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

A healthcare services provider in Texas seeks a compassionate registered nurse (RN) for a remote position. This role involves triaging hospice patients and ensuring timely interventions and coordinated care. Applicants should possess an active...

Registered Nurse Utilization Management (UM) Reviewer Join PeaceHealth in advancing compassionate, mission-driven care from wherever you are. PeaceHealth is looking for a skilled and motivated Registered Nurse Utilization Management (UM)...

A healthcare provider is seeking a full-time Clinical Informatics System Analyst, RN, to improve clinical information systems. This role involves optimizing EMR applications, providing user support, and collaborating with clinical staff.

Nurse Practitioner | Family Practice Location: Alaska Employer: Opportunity Healthcare Pay: Competitive weekly pay (inquire for details) Start Date: ASAP About the Position Family Nurse Practitioner job in Nome Census Area, AK — offering up to...

Agency Dept of Health and Human Services Division Health Service Regulation Job Classification Title Nurse Consultant I (NS) Position Number 60054263 Grade MH16...