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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...

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...

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...

Cambia Health seeks an Appeals Clinician I to evaluate member and provider appeals using nursing expertise and clinical judgment. This remote role supports multiple states and emphasizes medical policy, reimbursement guidelines, and compliance.

Community Health Center of Southeast Kansas is seeking a RN-licensed nurse to join the clinical team as a Remote Nursing Care Coordinator. The role focuses on managing electronic health record tasks, triage, and coordinating care for patients...

WellSky is seeking a registered nurse to conduct telephonic patient evaluations for multiple payer programs, working on Pacific Time hours. The role emphasizes remote care coordination, schedule management, and collaborative protocol development.

Comagine Health is seeking an experienced Registered Nurse for a remote Clinical Reviewer role supporting a Washington L&I contract. The position emphasizes evaluating medical necessity, quality, and appropriateness of care using established...

Position: Remote Nurse Consultant Company Overview: Absolute Elder Care is a leading provider of in-home care services for seniors. Our mission is to provide compassionate, personalized care to help seniors maintain their...

Georgia Department of Community Health (DCH) is seeking a Compliance Nurse 2 for the Long-Term Care Unit to perform on-site surveys and document review. The role requires extensive travel (up to 90%), and prior RN experience with supervisory...

CorVel Corporation seeks a Care Advocate Nurse for a remote role focused on assessing injury severity, reviewing medical data, and supporting the Claims Management department as a nurse consultant. The position requires clinical nursing...

OUR MISSION We exist to create a more connected, compassionate, and confident experience for people with cancer and those who care for them. We make it easier to get answers, access high-quality care quickly, and feel...

MES Solutions is seeking a Clinical Quality Assurance Coordinator (RN/LPN) to review peer reports and ensure accuracy, compliance with client agreements, and regulatory standards. This 100% remote role aligns clinical expertise with quality...

, remote Position: Remote Registered Nurse Company: Lehrer Family Chiropractic Location: Melville, New York, United States Contract Details: Part-time, remote Lehrer Family Chiropractic is seeking a highly...

Utilization Management Nurse Consultant (Work From Home)### Utilization Management Nurse Consultant (Work From Home)Apply: Remote: FL - Work from home: Work At Home-Idaho: Work At Home-Arkansas: Work At Home-Texas: Work At Home-Georgia: Full time:...

All Age Continuing Care The All Age Continuing Care leads with the assessment, case management and oversight of the NHS National Framework for Continuing Healthcare (CHC) and Funded Nursing Care (FNC) across Kent and Medway. Assessing,...

Cattail Nurse Consulting is seeking an MDS Consultant/Nurse Consultant to provide MDS coordination, interim remote coverage, and training for skilled nursing facilities and senior living clients. This full-time RN role emphasizes education, mock...

Lehigh Valley Health Network, Inc. seeks an experienced RN for remote triage and healthcare navigation in Pennsylvania. The role provides telephonic triage to identify appropriate care levels, coordinates care across settings, and supports...

Clinical Appeals Intake & Review Coordinator The Phia Group, LLC is a thriving, service-oriented company headquartered in Canton, Massachusetts. As consultants, we represent health plans nationwide, providing our clients with innovative...

Relocation to Southern New Mexico is required. The Nurse Consultant/ Regional Director of Clinical Operations position is comprised of two essential objectives; to partner with facilities as the primary clinical resource in...

Guardian Life is seeking an RN Clinical Consultant to evaluate disability claims, analyze medical information, and provide clinical guidance for claim decisions. You will collaborate with providers, claimants, and vocational specialists to support...

Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for...

Nurse Consultant/ Regional Director Of Clinical Operations Relocation to Southern New Mexico is required. The Nurse Consultant/ Regional Director of Clinical Operations position is comprised of two essential objectives; to partner...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

A healthcare company seeks a Remote Utility Management Nurse to optimize insurance coding practices and enhance revenue management. This part-time role offers flexible hours and compensation ranging from $45 to $75 per hour, depending on...

Utilization Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are you an experienced RN with a background in acute care and utilization management? Join our team...