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LPN About the Position Specialty: Licensed Practical Nurse (LPN) Experience: Minimum 1 year of recent experience required License: Active LPN license in the state of practice Certifications: BLS – AHA required; all...

CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely,...

*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

Humana Inc. is seeking a Part C Grievance & Appeals (G&A) Nurse to support the coordination, documentation and determination of Medicare and Medicaid appeals. The role involves case preparation, applying guidelines, and outreach to...

BrightSpring Health Services seeks a part-time Tele-Triage Licensed Practical Nurse (LPN) to provide remote triage and care planning for populations in the assigned locations. Must hold an LPN compact license and have experience in home health or...

A healthcare organization in Connecticut is seeking an HCC Documentation Lead (RN) to coordinate and oversee documentation specialists. The ideal candidate must have a valid RN license, relevant coding credentials, and a minimum of three years'...

Overview Position Type: Full time Job Title: Care Review Clinician I Location: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH,...

Solace is looking for an LPN/LVN Healthcare Advocate to assist Medicare patients on their healthcare journey. You will guide patients through complex health concerns while addressing social determinants of health. This is a 1099 contract...

UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient criteria, preauthorizations, and ensuring medical necessity while applying evidence-based...

Cadence is a clinical AI company transforming chronic disease care and is hiring a Licensed Practical/Vocational Nurse (LPN/LVN) to monitor remotely enrolled patients and move those in need into care the same day. You will review vitals and...

Rochester Regional Health is seeking a Registered Nurse for the Communications Center (Central Triage). The role combines in-person duties at the Riedman Center with a remote option after completing an in-depth training program. Expect 40...

Description: FAMILY NURSE PRACTITIONER JOB SUMMARY Provides continuous and comprehensive services necessary for the promotion of optimal health, prevention and treatment, in an underserved community clinic. To perform a variety of advanced clinical...

A health care organization is seeking a Clinical Documentation Improvement Specialist (RN) to enhance the accuracy and quality of patient documentation. The ideal candidate will have experience in clinical nursing and a strong ability to work with...

Santa Barbara Cottage Hospital is seeking an experienced Utilization Management Nurse Consultant for a remote role with the Spine Team. You will review spine-related authorizations, apply criteria, and collaborate with providers and Medical...

To support client care authorization processes, the full-time Clinical Letter Writer will gather and review medical records, draft letters of medical necessity, and communicate with team members regarding client authorizations and recertifications...

Evergreen Nephrology is seeking a licensed practical nurse to conduct monthly CCM touchpoints, address clinical concerns, reinforce CKD care plans, and ensure accurate documentation across EHR and CCM systems. This remote role supports patients...

JOB DESCRIPTION This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful transition from inpatient...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

KangarooHealth is seeking a Licensed Vocational Nurse (LVN) to join our remote clinical team in the United States. Ideal candidates will provide patient support for chronic conditions through our digital platform, conducting daily outreach and...

RN opportunity with out the bedside burnout + sign on bonus. This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $80,000 -...

Providence Home Services Oregon is seeking a Clinical Documentation Specialist, Registered Nurse (RN) for a full-time, day-shift remote role open to multiple states. You will review OASIS admission documents and Plans of Care to ensure CMS...

A leading health company is seeking a remote RN Case Manager responsible for assessing and coordinating case management activities for members. Candidates must possess an active RN license and have at least 3 years of acute care experience. Strong...

Join to apply for the Nurse Advocate - Remote- Kansas role at Synergy Healthcare USA, LLC We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and their employees.

A-Line Staffing is now hiring an LPN – Primary Care Clinic. Part Time. Hours Part-time: 20 hours per week Business hours: Monday–Friday: 8:30 AM–7:30 PM Saturday: 9:00 AM–5:30 PM Sunday: 9:00 AM–4:30 PM Assignments are expected to last...

EMD Serono is seeking an experienced RN to join the Patient Support Hub as a remote RN, West Coast-focused. You will provide individualized clinical education, product training, and ongoing support to patients and caregivers, leveraging AI-enabled...