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Private Health Management is seeking a Nurse Advisor to guide clients through complex healthcare journeys, educating and advocating for high‑quality care. You'll coordinate care, support families, and collaborate with clinical and operations...

A healthcare quality organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims. The ideal candidate will have a BSN and an active RN license, along with experience in medical record review.

A leading Health Insurance company is seeking a talented RN Care Management Coordinator for a remote contract position. The role involves applying critical thinking and medical knowledge to determine case appropriateness and collaborating with...

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...

CVS Health is seeking a Case Management Coordinator to enhance patient care by collaborating with members, providers, and community organizations. This is a remote role requiring a dedicated workspace and travel up to 75%. Candidates must have 3-5...

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...

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 further to help people uncover...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone...

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...

A leading healthcare staffing firm is seeking a Clinical Liaison to evaluate clinicians and ensure compliance with staffing needs. This remote role requires an Associate's Degree in Nursing and at least 3 years of nursing experience. Strong...

aitrainer is seeking a Remote Registered Nurse (RN) to conduct health screenings for a health study. This role involves remote assessments, eligibility determination, and scheduling onsite sessions, all while ensuring HIPAA compliance.

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...

Optum is seeking an Inpatient Care Management Nurse to assess and interpret member needs, guiding utilization of health services to improve outcomes. You will collaborate with clinicians, perform case reviews, and support discharge planning from...

Amicus Nursing Services Inc is looking for a dedicated Infusion Registered Nurse to join as an Independent Contractor. This remote role allows skilled RNs to provide life-enhancing therapies to patients in their homes. Candidates must have an...

Job Title Requirements: At least two years recent experience in field, current BLS certification, and a current nursing license per the state of assignment. For additional and specialty-specific requirement, please contact us ...

Sagility in the United States is seeking a Training Manager (RN) to oversee the end-to-end delivery of clinical training programs and ensure learners achieve readiness and performance outcomes. You will align training with client experience,...

Kindred Hospital South Bay, a long-term acute care hospital offers the same in-depth care you would receive in a traditional hospital, but for an extended recovery period. We partner with your physician and offer 24-hour clinical care seven days a...

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...

Winning Assistants is seeking a Medical Virtual Assistant - Registered Nurse to provide support for a healthcare practice. The role entails submitting prior authorizations, managing referrals, and maintaining patient communications while ensuring...

Registered Nurse (RN) General Purpose The primary responsibility of your job position is to supervise the day-to-day nursing activities of the facility during your tour of duty. Such supervision must be...

Clinical Documentation Specialist RN Location: Beaverton, OR (Remote, Must Be in Pacific Time Zone (PST)) Overview: Start Date: ASAP Contract Length: 13 Weeks Schedule: Mon-Fri, 8a - 5p (Full Time through...

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...

EMD Serono is seeking an RN, Patient Support Specialist to join the Patient Support Hub, providing individualized clinical education, product training, and ongoing support to patients and caregivers throughout the treatment journey for prescribed...

A leading recruitment agency is looking for an RN Health Care Facility Surveyor. This remote position involves significant travel and responsibilities such as conducting surveys to ensure compliance with healthcare regulations. Candidates must be...

UnitedHealthcare is seeking a Care Manager (RN) to coordinate care for members in the local community, with field visits and remote work options for NC residents. You will advocate for members, coordinate services, and collaborate with a dynamic...