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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...

Appeals Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care...

PIH Health in Los Angeles provides timely and effective patient care under the supervision of licensed team members. The CNA helps maintain a safe, clean environment to enhance department operations and delivers patient care aligned with...

Sedgwick is hiring for a Clinical Consultation Triage Nurse in a remote, full-time role. You will triage calls, assess needs, and provide care guidance to determine the appropriate level of care, while supporting return-to-work goals. The...

Job Summary and ResponsibilitiesAs our Educator in Critical Care Emergency, In accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position is established to serve as a consultant/resource...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

SCAN Health Plan seeks a HEDIS Nurse to review medical records and support NCQA-driven quality initiatives. This remote role coordinates with members and providers to collect complete data, focusing on medication adherence and preventive...

1st TIME OK/ 2 YR EXP required for Utilization Review RN every other weekend required or more depending on unit needs no call or floating required MUST HAVE experience with Milliman Care Guidelines and Acute Hospital Experience!! The Emergency...

Clinical Grievances Nurse At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the...

Utilization Review Nurse - RN | 100% Remote | Part-Time10-20 Hours Per Week | Flexible Schedule | Evenings & WeekendsLooking for a way to use your nursing experience without returning to a full-time bedside schedule?We're seeking an experienced...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

$15K Sign-On Bonus | Compensation: $120/hr (1099) | W-2 Employment Opportunities Available Only PMHNPs with 2 years of consult-liaison clinical telehealth experience post PMHNP-BC will be considered for this opportunity.

$15K Sign-On Bonus | Compensation: $120/hr (1099) | W-2 Employment Opportunities Available Only PMHNPs with 2 years of consult-liaison clinical telehealth experience post PMHNP-BC will be considered for this opportunity.

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...

Nurse Appeals Location: Nashville Tennessee (This role is open only to residents of Tennessee). Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum...

Optum is seeking a Clinical Consultant RN, Medical Policy Writer for a remote role within the United States. You will lead clinical oversight of product medical policies, develop utilization guidelines, and support COE network criteria. The...

Comagine Health seeks a Consultant to support our Health System Improvement team, with a focus on Long Term Care Facilities. This on-call role provides expert guidance across clinical, operational, public health, and quality improvement domains to...

Yale New Haven Health is seeking a Pre-Admission Testing (PAT) Nurse to support perioperative care and patient readiness. The RN will assess patients, review records, and coordinate pre-op testing across labs and EKGs to ensure safe anesthesia...

GeBBS Consulting is seeking experienced Medical Record Retrievers/Clinical Record Reviewers to support HEDIS retrospective projects. You will retrieve, abstract, and perform over-reads of medical records via fax, email, or phone, with some onsite...

Description Virtual coordination role to support front line clinical staff in care of patients receiving care in the home setting. Serve as an extension to front line staff in patient care logistics management including admission...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Medical Review Nurse III Fully Remote • Windsor Mill, MD Overview Salary Range $80,000.00 - $95,000.00 Salary Position Type Full Time Education Level 4 Year Degree Description At RELI Group, our work is...

A leading health care provider is seeking a Massachusetts Telehealth Nurse to assist patients in accessing care through phone consultations. Candidates must have a valid RN license in Massachusetts and 3+ years of clinical experience. The ideal...

Remote Care Manager (RN) - MUST LIVE IN TEXAS TX, United States Trending Job Description JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state.