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VitaCare Living in Spooner, WI is seeking an experienced Registered Nurse (RN) Consultant to provide clinical oversight for our assisted living and memory care communities. You will guide practice, ensure regulatory compliance, and support staff...

Remote Nursing OpportunitiesAre you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional...

Full-time Company Description WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare...

Consultant Specialising in Pain Management An opportunity to help patients who have run out of options. For many people living with chronic pain, the journey has been long. They have tried multiple medications, procedures and therapies,...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Director Nursing Practice & Workforce Solutions (Remote) EDUCATION &...

Are you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional nurses & offering...

McLaren Health Care is seeking a Registered Nurse to join the Utilization Management team. The role focuses on determining appropriate patient status, ensuring medical necessity, and documenting care for insurance and government payers within an...

VitaCare Living seeks an experienced Registered Nurse (RN) to support our assisted living and memory care communities in Ladysmith, Wisconsin, as a contracted RN Consultant. You will oversee clinical practice, ensure regulatory compliance, educate...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

PACE Early Childhood Education Program Consultant PACE Early Childhood Education (ECE) Program provides high quality early childhood education and support services for children aged 0-5 years old children for economically disadvantaged...

Our client, a Health Insurance company, is looking for a Registered Nurse-Review Analyst for their Remote location. Responsibilities: Perform prospective, concurrent, and retrospective review of inpatient,...

Serving as the strategic quality advisor for a portfolio of Value-Based Care organizations, the full-time Lead VBC Quality Consultant will analyze performance, develop quality improvement strategies, and partner with provider organizations to...

Sedgwick is hiring a Telephonic Case Manager for a US-based, remote role. The position focuses on partnering with injured workers, employers, and medical providers to create case management strategies that facilitate recovery and a successful...

Comagine Health is seeking a Clinical Reviewer (RN) remotely to support Washington state contracts. The role evaluates medical necessity and quality of care, collaborating with physician consultants and internal teams to ensure compliant,...

Guardian Life Insurance Company seeks an experienced RN Clinical Consultant to evaluate short- and long-term disability claims, analyze medical information, assess functional capacity, and support claim decisions. You will collaborate with...

Guardian Life Insurance is seeking an RN Clinical Consultant to serve as a clinical expert supporting short-term and long-term disability claim evaluations. You will analyze medical information, assess functional capacity, and provide guidance to...

Baptist Health is seeking a Clinical Documentation Specialist to evaluate physician documentation and ensure the severity of illness is accurately portrayed in the medical record to support precise coding. This remote role requires residency in KY...

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...

Medica, a nonprofit health plan, seeks a Clinical Quality Review III (RN and Certified Coder) to conduct medical record reviews, data collection, and clinical audits across its network. You will assess documentation accuracy, adherence to clinical...

APremium Healthcare Solution, LLC is seeking a Virtual Nurse Consultant to provide remote nursing guidance and care coordination from a flexible, virtual setting in Conyers, GA. The role emphasizes high-quality patient outcomes and HIPAA-compliant...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...

AccentCare, Inc. is seeking a Hospice Triage Registered Nurse for a remote, full-time position with nights and weekends coverage. Compensation ranges from $34.00 to $37.00 per hour based on experience, with eligible benefits for employees working...

Job Responsibilities and Requirements KEY RESPONSIBILITIES *other duties as assigned* Job Summary: Reviews all medical (and other) documentation in claim files to answer the specific...

University Health is seeking a Utilization Management Nurse RN for UH Truman Medical Center in Missouri. The role manages resource use, supports care transitions, and advises care teams on documentation and discharge planning to improve patient...