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Description As a RN Clinician the position provides direct nursing services and case management related to infusion therapy for patients in the home, hospital, clinic or an alternate living site. This is accomplished through collaboration with the...

A healthcare service provider is seeking a Registered Nurse - Case Review Specialist to provide remote support in reviewing cases for Federal Occupational Health. The ideal candidate will have at least 5 years of Nursing experience, a valid RN...

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...

Care Manager Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is...

Nursing Home Biller We are a dedicated team committed to delivering top-tier support to long-term care facilities across the country. As part of our growing remote operations, we're seeking a proactive, detail-oriented Nursing Home...

A healthcare service provider is looking for a Medical Field Case Manager in Fort Lauderdale, Florida. This full-time role requires URAC Certification and involves regular local travel for patient appointments. You will create treatment plans and...

A leading healthcare service provider is seeking an RN Clinical Compliance Partner. This role involves conducting compliance audits and ensuring adherence to regulations in the hospice environment. The ideal candidate will have an active RN...

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 of...

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.

The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institutes (OSUCCC-James) mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The...

Remote Rn Care Coach This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

RN Health Care Facility Surveyor - Remote Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting...

Clinical Appeals Nurse The Remote Clinical Denials/Appeals Nurse will be directly responsible for securing pre-service approvals, and reviewing pre/post service denials, medical necessity review and completing appeals and/or coordinating...

Care ManagerRegistered Nurse 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...

Job Description: Position Summary: The Registered Nurse (RN) will utilize the nursing process of assessment, planning, implementation, and evaluation to ensure quality nursing care and to maximize the quality of life for the patients. The RN is an...

Perform medical reviews on provider inquiries and member appeals. Works within Department of Labor and State guidelines. Adherence to all confidentiality regulations and agreements. Reviews and interprets Plan language appropriately. Utilizes...

What You'll Do: The Ohio Department of Health / Complex Medical Help program is looking for an experienced nursing leader to oversee statewide public health nursing programs, guide policy development and ensure consistent,...

A healthcare services provider is seeking a remote provider relations specialist in Columbia, SC. This role requires effective communication with providers about Medicare coverage and documentation. The ideal candidate must have relevant nursing...

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in...

A leading non-profit healthcare organization in Minneapolis is seeking an RN Care Coordinator for the Masonic Cancer Clinic. This role involves coordinating patient care within a specialized healthcare setting, facilitating communications, and...

A leading health services provider is seeking an Integrated Nurse Case Manager for a remote position in Virginia Beach, VA. The role includes performing clinical assessments and managing care for members with chronic illnesses. Candidates must...

Join a global community of talented professionals to shape the future of AI. Earn up to $15 USD/hr and additional rewards based on quality of submission.Outlier is committed to improving the intelligence & safety of AI models.Owned and operated by...

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 healthcare service provider is seeking a full-time Bilingual Telephonic Triage Nurse for their remote call center. This role involves managing a high volume of calls and accurately documenting triage information while providing excellent...

A leading healthcare organization is seeking a qualified RN for a role that involves auditing medical records and communicating clinical findings. The position requires an undergraduate degree or equivalent nursing experience, along with a current...