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A leading healthcare organization is seeking a Utilization Management Registered Nurse 2 to support medical services coordination. This remote position requires a valid RN license, with preference for candidates with 3+ years in skilled nursing...

A prominent healthcare organization located in New York is looking for a Clinical Documentation Specialist to enhance patient documentation accuracy. Candidates should possess an RN license and significant nursing experience. This position allows...

At CVS Health, were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nations leading health solutions company, we reach millions...

Review provider post-service appeals for Medicare and Retirement. Gather clinical information including medical records and coverage criteria as it pertains to Medicare guidelines. Discuss cases with medical directors when applicable. Ability to...

Optum CA is seeking a RN Call Center Nurse to join our team in Torrance, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, youll be an...

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 company, we reach millions of...

A leading health care organization is seeking a Clinical Quality Consultant to enhance Stars ratings and drive quality improvement initiatives. The ideal candidate will be a Registered Nurse with over four years of experience in the health care...

A leading healthcare organization in Alexandria, VA is hiring an Integrated Nurse Case Manager for a full-time role. This work-from-home position involves conducting home visits and providing case management for members with complex conditions.

Liberty Healthcare seeks an experienced Registered Nurse leader for an anticipated Clinical Director opening. This is a newly created remote position which will allow you to work from your home office in Massachusetts (residency in...

RN Triage Nurse - Remote job at Get It - Healthcare. Location: Charlotte, NC Job Description: Are you an experienced RN with pediatric and adult care expertise? Do you thrive in fast-paced environments and enjoy...

A healthcare service provider is seeking a compassionate registered nurse (RN) to provide after-hours triage support for hospice patients in a remote role. Candidates should hold an active multistate RN license and have preferred experience in...

A leading health solutions company is seeking a Case Manager Registered Nurse to provide quality healthcare services. This position involves conducting assessments, developing care plans, and collaborating with healthcare teams, with up to 75%...

A healthcare provider in New Orleans is looking for an experienced nurse to improve clinical documentation integrity and educate providers. The ideal candidate will have a graduate degree in nursing and at least 3 years of clinical experience.

A leading health insurance provider is seeking a Utilization Management Nurse 2 to support coordinated care for members healing at home. The ideal candidate will have an Associate Degree in nursing, a valid RN license, and at least three years of...

Employer Industry: Healthcare Why consider this job opportunity: Opportunity for career advancement and growth within the organization Work remotely from anywhere within New England Supportive and...

A nonprofit health plan is seeking a Quality Outreach Case Manager to improve healthcare outcomes for members through proactive engagement and care coordination. This remote position involves conducting outreach to address member needs, providing...

A leading healthcare organization is seeking a Licensed Registered Nurse to coordinate interdisciplinary patient care from admission to discharge. This remote role, based in Austin, will involve monitoring patient care, advocating for resources,...

Triage RN - Remote Part Time Job We are hiring for a part-time Triage RN! This is a remote position working 26 hours per week. If you are interested in joining our team, we encourage you to apply today! Must reside in the state of MN, WI,...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...

Join to apply for the RN Call Assist Remote in PST role at Optum 1 day ago Be among the first 25 applicants Join to apply for the RN Call Assist Remote in PST role at...

A compassionate healthcare organization is seeking a Registered Nurse Case Manager to provide hospice care. This role involves planning and directing patient care, completing assessments, and developing care plans in collaboration with patients...

A leading health solutions company is seeking a QM Nurse Consultant in Columbus, Ohio. The role involves reviewing clinical documentation and making decisions based on clinical policies. Candidates must have at least 5 years of clinical experience,...

Utilization Review Case Manager The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts...

A regional healthcare organization is seeking a Level I Utilization Management Clinician to perform utilization review for medical or behavioral health requests. This fully remote position involves collaborating with healthcare teams and ensuring...