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A national risk management provider is seeking a remote Utilization Review Case Manager. This role involves gathering clinical information, certifying medical necessity, and managing stakeholder communications. Ideal candidates will have a nursing...

A large health service provider is seeking a Clinical Care Coordinator to ensure optimal continuity of care for patients in home health services. The role demands an Associate's degree, RN license, and at least 3 years of post-acute experience.

A leading healthcare provider is seeking a Clinical Documentation Integrity Specialist responsible for ensuring accurate healthcare documentation. The role requires a Registered Nurse with at least one year of clinical acute care experience.

Remote Registered Nurse (RN) Case Manager Join to apply for the Remote Registered Nurse (RN) Case Manager role at PharmaCord. Important Notice Due to an increase in hiring scams, please be aware that if you...

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,...

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,...

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...

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...

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...

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...

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...

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 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.

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...

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...

A leading healthcare organization seeks an experienced individual to manage utilization review processes remotely. This role requires a Registered Nurse with leadership experience to oversee operations and collaborate with medical teams to ensure...

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 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...

What You Should Know About the RN Admission Care Liaison Role: This is a part time DRIVING position serving the Central Ohio Region (Newark, Columbus, Marysville, Lancaster, etc.)The hours are 11a-7p...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: The Virtual Mental Health Intake RN is a Registered Nurse who provides competent and...

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...

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...

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 company is seeking a Telephonic Nurse Case Manager II responsible for managing care for members with chronic needs. The position requires a BA/BS in a health-related field, a current RN license, and five years of clinical...

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...