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Managed Medical Review Organization is seeking a licensed RN to join our team for remote, home-office work. This role emphasizes telephonic customer service, accurate documentation, and clinical review of medical records with no face-to-face...

Knowtion Health seeks an Appeals Nurse to review medical records and support denials appeals for Medicare, Medicaid, and other payers. You will craft detailed analyses and letters, aligning criteria with payer policies to secure appropriate...

Redesigning heart health via virtual cardiac rehab for older adults.Mission-driven team of clinicians and engineers.Responsibilities:Review EMRs to determine eligibility and create orders.Conduct video intake assessments and treatment...

Engage Consulting seeks an experienced MDS Nurse / MDS Coordinator for a full-time remote role supporting skilled nursing facilities with MDS assessments and reimbursement processes. The ideal candidate holds an active RN license with...

JOB DESCRIPTION AND POSITION REQUIREMENTS If you reside in one of the states listed in the above Notice to Out of State Applicants, please complete our SAFE‑T TeleSANE interest form. We accept qualified applicants from all states. Shape the next...

Comagine Health is seeking a Clinical Reviewer (RN) remotely to support Washington state contracts. The role evaluates medical necessity and quality of care, collaborating with physician consultants and internal teams to ensure compliant,...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for patient care with the desire...

Summit Consulting seeks a skilled Registered Nurse with strong case management and managed care experience to review and optimize workers' compensation claims. The role involves auditing medical bills, advising on cost-control procedures, and...

The State of Washington's Department of Social and Health Services seeks a Nursing Consultant Institutional in Arlington. You will conduct licensing inspections and investigations, evaluate care quality, and ensure compliance with state...

Cambia Health Solutions is seeking an Appeals Clinician I who will work from home within Oregon, Washington, Idaho or Utah. You will leverage clinical expertise to complete the clinical component of all appeal types to resolve member/provider...

Work From Home Nurse Practitioner (Remote Acute Visits, $210/hr)Join to apply for the Work From Home Nurse Practitioner (Remote Acute Visits, $210/hr) role at NPHireThis range is provided by NPHire. Your actual pay will be based on your skills 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...

Baptist Health is seeking a remote Clinical Documentation Specialist to evaluate physician documentation and ensure accurate illness severity portrayal for coding precision. The role requires an active Kentucky license and involves guiding...

Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health...

Effizotech is looking for a dedicated Patient Care Coordinator to join their team. This role involves coordinating patient appointments for infusion services while ensuring timely communication with patients. The opportunity offers the flexibility...

Centene Corporation in the United States is seeking a Nursing professional to analyze prior authorization requests and determine medical necessity and level of care in line with standards and coverage. You will collaborate with medical teams to...

VHC Health in Arlington, VA is seeking a Virtual Nurse/Nursing Care Partner to provide indirect nursing care to assigned patients across inpatient units via remote technology. The role supports admissions, education and discharge planning with...

Performance Home Health is seeking an experienced Referral Review Nurse to join our growing team. This role reviews incoming home health referrals, ensures complete documentation, identifies missing information, and coordinates with multiple...

Ssbv Clinical Claims Review RnOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the...

Advanced Health Institute is seeking a skilled MDS nurse to join our consulting team. The role can be Part Time with potential to become Full Time and offers a mix of Remote and On-site engagement with clients in the Minneapolis area. You...

Archimedes is seeking an RN Case Manager for Telehealth to improve member health via tele-pharmacy. You will lead clinical outreach, develop resources, and oversee programs in collaboration with the team. The role supports coordination with...

Registered Nurse Navigator - Cancer Center Exams - 10 Hour Days Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally...

HBiz seeks a Clinical Appeals Nurse (RN) to remotely support revenue cycle operations. You will review denied claims for clinical accuracy, develop evidence-based appeal strategies, and draft payer-ready documentation to overturn denials and...

ComForCare is looking for a compassionate Registered Nurse (RN) to join our team in Bergenfield, New Jersey. The role requires performing comprehensive client assessments and developing individualized care plans. As part of a certified Great Place...

Santa Barbara Cottage Hospital is seeking a Telephonic Nurse Case Manager to assess and coordinate care for injured workers. Responsibilities include planning and implementing medical case management, ensuring timely communication with all...