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Inland Empire Health Plan (IEHP) seeks a Quality Program Nurse to implement and monitor quality management policies under the DHCS framework. Responsibilities include site reviews, medical record surveys, CAP oversight, and HEDIS data abstraction.

RN Clinical Documentation Integrity Specialist Remote Key Responsibilities: Ensuring Clinical Documentation Meets Quality And Regulatory Standards. Working With Medical...

A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience...

UnitedHealth Group is seeking a Manager of Clinical Annotation to lead a team of Registered Nurse Clinical Annotators responsible for labeling and validating medical data used to train AI models for prior authorization automation. The role...

A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must...

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,...

DaMar Staffing is seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. The role covers claims analysis, provider audits, fraud detection, and...

OpenLoop is looking for a full time Telemedicine Registered Nurse (RN) to join our team remotely. In this role, you will be responsible for providing patient education and clinical support, ensuring optimal health outcomes, and working closely...

Welby Health is seeking a licensed RN to serve as Care Manager for our remote physiological monitoring program. You will monitor vitals, develop care plans, and provide education to improve adherence and outcomes. In this remote role, you...

A healthcare organization is looking for passionate and tech-savvy Registered Nurses to work remotely as RN Care Coaches. This part-time role (20-25 hours/week) involves following up with Medicare patients, providing education, coordinating care,...

To ensure the highest quality and integrity of peer review case reports, the full-time Remote RN Clinical QA Coordinator will perform quality assurance reviews, verify compliance with client specifications and regulatory standards, and support the...

Harris Health System in Houston, TX seeks an experienced Nurse Manager to oversee the clinical operations and staffing of one or more clinics or units, ensuring delivery of high-quality patient care.The NM provides leadership for human resources,...

A healthcare solutions provider is looking for a qualified RN to perform medical reviews and coordinate care for members. This role involves assessing service needs, engaging in patient education, and ensuring compliance with healthcare...

A healthcare staffing company is seeking a Clinical Review Nurse for Prior Authorization Review. This remote role demands conducting reviews, collaborating with healthcare teams, and ensuring compliance. Candidates need an active RN license and...

A healthcare technology company is seeking an experienced On-Call Registered Nurse (RN) for a remote, part-time position. This role offers flexibility and the opportunity to support patient care from home. Candidates must possess a current Compact...

UnitedHealth Group is seeking a Registered Nurse Clinical Annotator to support AI-driven prior authorization in healthcare. You will interpret clinical data, apply guideline-based criteria, and ensure accurate annotations for model training. This...

Overview This role is 100% remote. We are looking for experienced telehealth RNs to join our case management team. Who We Are HV Occupational Health and Safety is a double minority-owned company focused on fostering...

A healthcare company is seeking a Clinical Triage Nurse to assist with inbound patient calls, assess symptoms, and provide medical advice. The ideal candidate will have a valid RN license, strong communication skills, and the ability to work...

Travel healthcare offers healthcare professionals new career opportunities that involve travel, growth, and excitement. At Host Healthcare, we are dedicated to providing travel nurses, travel therapists, and travel allied professionals with the...

RN - $70.00hr Oncology Clinic Qualifications: At least 2 years of experience in an oncology clinic or infusion area of hospital (open to candidates with less experience) Experience with starting IVs,...

Why Join Sunrise Senior Living At Sunrise Senior Living, we believe meaningful work starts with purpose. Our team members are passionate about making a positive difference in the lives of residents every day. At Sunrise Senior...

Cityblock Health is seeking an RN Care Manager to oversee a panel of clinically complex members, coordinating with the Cityblock Care Team and external providers. The role focuses on care planning, reassessment, and guiding members through...

Enlyte is seeking a Telephonic Case Manager (RN) to support injured workers and auto accident patients from a remote U.S. location. You will work with treating physicians, employers, and patients to develop and monitor effective treatment plans...

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...

A leading occupational healthcare provider is seeking a full-time Triage Registered Nurse to work from home in Baton Rouge, Louisiana. The role involves administering call intake, providing exceptional patient service, and documenting all...