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Highmark Inc. is seeking a Case Manager to deliver comprehensive case management services to members, coordinating care plans and monitoring progress to improve outcomes while containing costs. You will assess needs, develop individualized...

Palo Verde Community College District is seeking an experienced Clinical Documentation Integrity (CDI) Specialist (RN) for a fully remote role based in the US. The position supports quality outcomes, reimbursement accuracy, and regulatory...

A health services provider is seeking a Care Manager RN for a remote, contract role in Detroit. This position involves leading a multidisciplinary team to deliver holistic care and requires a Nursing Diploma or Associate's degree, with a...

*Lahey Clinic | Beth Israel Lahey Health* Londonderry, NH | Full-Time, Hybrid (3 days in-person / 2 days remote) *About the Role* Join our collaborative team of physicians, APPs, behavioral health specialists, and registered dietitians dedicated...

The Transplant RN Coordinator II at Medical University of South Carolina reports to the Transplant Programs Manager within the Transplant Center. This on-site role develops advanced clinical management, consultation, education, and research to...

Job Description \n WellBe Senior Medical is seeking a Registered Nurse (RN) Home Health for a nursing job in Brecksville, Ohio. Job Description & Requirements\n \n Specialty: Home Health \n Discipline: RN \n Duration: Ongoing \n Employment Type:...

Immediate need for a talented Clinical Documentation Improvement (CDI) Specialist. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job...

Villa Gardens Retirement CommunityPay Range: $25.00 - $27.50Full-Time Benefited: Monday-Tuesday (7am-3pm) (Wednesday-Thursday off)Summary:Under the direction of the Charge Nurse, DSD and/or DON, the CNA is responsible for performing routine...

UnitedHealth Group is seeking an Inpatient Utilization Management Nurse, RN for a fully remote role serving the Sacramento area. The position requires 3+ years in acute care and 1+ year in utilization management, with certification in RN licensure...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

Job Description \n \n Perm Staff Jobs is seeking a Registered Nurse (RN) Infusion for a nursing job in Aurora, Colorado. Job Description & Requirements\n \n Specialty: Infusion \n Discipline: RN \n Duration: Ongoing \n Employment Type: Staff \n \n...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plan is currently hiring a Medical Policy Research Specialist/ Registered Nurse (RN) - Remote in Virginia! ...

Sr. Clinical Coding Nurse ConsultantExplore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

MaziCTools is seeking a Freelance Utilization Management Nurse Consultant to work remotely in the United States. This full-time role requires an active RN licensure and 3+ years of clinical experience. Responsibilities include assessing healthcare...

Licensed Vocational Nurse (LVN) – Homecare Pay: $30 Done running room-to-room? Slow it down and actually care. If your current role feels...

The position is work from home with field visits. JOB PURPOSE This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

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...

Hospice Telephone Triage RN- FT 6:30a-4p Mon-Fri o wknds (REMOTE) Hospice Telephone Triage RN- FT 6:30a-4p Mon-Fri o wknds (REMOTE) 2 weeks ago Be among the first 25 applicants We invite you to join our growing...

HumanGood is always looking for top talent! This advertisement is not for an actual position but an opportunity for you to join our talent community. By applying to this posting, you are giving HumanGood permission to contact you when a future...

Gainwell Technologies is seeking a Medical Reviewer (Registered Nurse) to support California healthcare programs. You will use clinical judgment to review medical records, healthcare services, claims, and authorization requests. You will...

Description Location: UCHealth Anschutz Inpatient Pavilion - Aurora Department: Labor & Delivery Metro Denver Women and Infants (W&I) Float Pool RNs will support patients and teams at Highlands Ranch Hospital, Longs Peak Hospital, and University...

Overview Provide clinical nursing expertise to support the training and evaluation of healthcare-focused AI systems. Review, annotate, and evaluate clinical data, including patient records and care scenarios. Translate real-world nursing...

Southern California Hospitals in Los Angeles is seeking a Certified Nursing Assistant to support nursing staff by performing vital signs, hygiene assistance, and patient safety tasks in a busy hospital unit.The role requires CA CNA certification,...

Guidehealth is a fully remote organization seeking a Care Manager to guide patients and families through complex health journeys from a Louisiana base. You will combine clinical expertise with holistic care, coordinating medical, behavioral, and...