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Guardian Life is seeking an RN Clinical Consultant to serve as a clinical expert in evaluating short-term and long-term disability claims. You will analyze medical information, assess functional capacity, and collaborate with healthcare providers...

A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...

Remote - Licensed Practical Nurse (LPN) - MN Licensure - Day Shift Remote - Licensed Practical Nurse (LPN) - MN Licensure - Day Shift Posted 4 days ago Remote Clinical Full time Minnesota, United States...

Care Management Nurse Consultant Competitive Compensation & Benefits Package! Position eligible for: Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan...

Valeris seeks a Patient Support Nurse to coordinate care and educate patients on therapy, dosing, and device use through telephonic and virtual channels. The role focuses on advancing patient access, education, and adherence, while liaising with...

Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...

Central California Alliance for Health is seeking a Prior Authorizations Nurse (RN) for a temporary, full-time role. This remote-in-California position reports to the Utilization Management Supervisor and involves ensuring PA requests comply with...

The Lupus Foundation of America is seeking a Clinical Trial Nurse/Nurse Navigator to support lupus trials as a contractor. This role links patient education, screening, enrollment, and ongoing support with academic centers, focusing on...

CVS Aetna Appeals Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who...

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...

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...

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...

Centene Corp. is seeking a fully remote nurse reviewer to evaluate concurrent care plans and determine appropriate levels of care for members. The role prefers an active NY State RN license and requires availability Monday–Friday, 8:30 AM–5:00...

Get AI-powered advice on this job and more exclusive features. Crossing Hurdles provided pay range This range is provided by Crossing Hurdles. Your actual pay will be based on your skills and experience — talk with your recruiter...

RN Health Care Facility Surveyor - Georgia (#1147) CMS's Long-Term Care Basic Training and SMQT certification are required Airline and hotel points accumulate for...

Humana is seeking a Utilization Management Registered Nurse for a fully remote role supporting post-acute care services. You will interpret clinical information to determine medical necessity, coordinate communications with providers and members,...

Claims Medical Review Nursing Consultant Job No: 544045 Work Type: Full-time Location: REMOTE OPTIONS, VARIOUS-STATEWIDE, PHOENIX Categories: Healthcare/Medical Support Level,...

Absolute Elder Care is seeking a Remote Nurse Consultant to provide expert guidance and support for in-home senior care. This full-time, remote role involves collaborating with families to manage health care needs, conducting comprehensive...

Registered Nurse (RN) - Utilization Management We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate...

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...

Working remotely in a flexible environment, the Wisconsin Licensed RN Consultant will review prior authorization requests for Personal Care Services and Private Duty Nursing within Medicaid programs, ensuring compliance with state policies and...

Are you an experienced MDS nurse who enjoys solving problems, supporting teams, and making an impact across different skilled nursing environments? Health Dimensions Group (HDG)—a nationally respected leader in senior care consulting and...

Eliot Community Human Services, Inc. is seeking a Nurse Manager to join the CBHC Child Team, providing leadership and clinical oversight for medical and psychiatric services. You will supervise nursing staff, coordinate care, and ensure...

CVS Health is seeking an experienced RN Utilization Management Nurse Consultant for Medicare joint procedures. This remote, full-time role follows a Monday–Friday schedule (9:00 am–5:30 pm in your time zone) with occasional evenings/holidays,...

A healthcare technology company seeks an experienced Registered Nurse for a remote role providing clinical technology services. This position is for independent contractors, focusing on chart reviews and clinical data analysis. Candidates should...