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Cohere Health seeks an experienced RN Reviewer to perform prospective, concurrent, and retrospective reviews ensuring medical necessity and high-quality care. You will collaborate with Medical Directors, providers, and cross-functional teams to...

Job Title: Clinical Quality Assurance Nurse Pay: see below Registered Nurse - $28.50/hr (Non-negotiable) LPN/LVN- $26.50/hr (non-negotiable) Regular Schedule after...

Ardent Health is seeking a Patient Safety Manager to coordinate safety initiatives across its PSO. The role requires analyzing safety events, leading just culture, and disseminating best practices throughout the organization. The manager...

JOB DESCRIPTION This RN will act as a Care Manager supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid Care Manager will support them to ensure a successful health outcomes. The position includes...

Sentara Health Administration, Inc. is seeking a Remote Integrated Case Manager. The role involves telephonic and face-to-face assessments, developing and monitoring care plans, and coordinating with health care teams to optimize patient care.

Medical Management And Health Education Program Coordinator Fully Remote JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs.

Thriveworks is currently seeking Psychiatric Mental Health Nurse Practitioners in Louisiana. Clinicians need to be licensed and living in the state in which they will be practicing. Compensation: This is a Fee for Service (W2) position, the range for...

Nurse Case ManagerPosition Type: Full-Time Contract RoleLocation: Work from homeWork Type: Remote Est. Pay Range: $35.00/hour – $38.46/Hour on W2 (USD) (all inclusive)Schedule: Mon-Fri 8am-5pm ESTRegistered Nurse with active state license in...

Psychiatric Nurse Practitioner (APRN/PNP/PMHNP) - Westminster, CO job at OptiMindHealth. Remote. Psychiatric Nurse Practitioner (PNP/PMHNP)Position Requirement: Full Time FLSA...

The Wound Company Provider Group, Inc is seeking a Nurse Practitioner with wound care expertise to deliver patient consultations and wound care management via telehealth and virtual care. You will support multiple programs, perform assessments,...

Nascentia Health is hiring a Care Manager to provide comprehensive care management for health plan members remotely, coordinating services and documenting care per plan standards under supervision. This role operates Monday–Friday, 8:00...

Inland Empire Health Plan in California seeks an LVN-validated Claims Review Nurse to audit medical necessity across inpatient and outpatient claims and support the UM/Claims interface. You will analyze records, determine authorization needs, and...

Job Description We are hiring a Full Time RN for our Infectious Disease clinic at our Saint Luke's North location! Monday - Friday, 8am - 430 pm Hybrid opportunity after 90 days - 2 days remote and 3 days in clinic No Nights, No Weekends, No...

Nursing Support (NS) IV Purpose: Work Remote Position The Nursing Support (NS) colleague (uncertified, certified, unlicensed, or licensed) provides safe, quality health care services & / or assistance to patients under the...

Registered Nurse (RN) - IRIS Self-Directed Personal Care (SDPC) Are you seeking a unique nursing position that gives you a great work/life balance and lets you support people to live the lives that they choose? Then you'll want to keep...

Senior Resource Group (SRG) is seeking a Licensed Nurse to deliver nursing services, oversee resident care, and mentor care staff within our senior living communities in the Los Angeles area.You will coordinate with healthcare providers,...

About Protocol Health Club : Protocol Health Club ( ) is a telehealth company focused on hormone optimization, peptide therapy, metabolic health, and longevity medicine. We combine comprehensive bloodwork with expert telemedicine consultations to...

InterceptCare is seeking an experienced RN/LPN to advocate for employees and their families, guiding them through complex health plans and care options. You will partner with employers, providers, and PBMs to remove barriers and ensure members...

Humana Inc. in CenterWell Home Health is seeking a Telephonic RN Care Manager to support patients transitioning across post-acute services. This remote role reports to the Manager, Care Management and requires strong clinical judgment and...

Connect with customers via phone, email, chat, or social media to resolve their questions or concerns.Calmly resolve and de-escalate any issues while escalating interactions when necessary.Track all call-related information for auditing and...

Site: Martha's Vineyard Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not‑for‑profit,...

JOB DESCRIPTION - REGISTERED NURSE (A) Job Summary: The Registered Nurse provides patient care on a supplemental basis to our client facilities. With the delivery of safe, quality patient care as...

UnitedHealth Group is seeking a Field Based HSS Clinical Coordinator RN to assess, plan, and implement individualized care strategies for members in Hidalgo County, TX. The role blends remote work with field visits and requires an active Texas RN...

Job Title Pay Rate: $27.50 per hour Work Mode: Fully Remote Duration: September to February with possible extension Responsibilities: Work telephonically with claimants, physicians, employers, and customers to ensure...

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...