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Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC Location: Remote (Must reside in NY, NJ, or CT) Schedule: Monday – Friday, 9:00 AM – 5:00...

Advocate Medical Group (AMG) seeks a Registered Nurse to serve as the clinical navigator for patients evaluating or receiving anti‑amyloid therapies for Alzheimer's disease, starting at referral and guiding through treatment and monitoring.

Machinify is seeking a Medical Review Nurse II - Commercial DME to perform retrospective/prepayment audits on government and commercial payer claims. This remote role requires handling desk audits, documentation of findings, and supporting appeals...

Munson Healthcare seeks a Behavioral Health Care Manager/Nurse Navigator for the South Region AMB Clinics. The role is primarily remote with some travel to clinic sites and meetings, Monday–Friday, 8 AM–5 PM, 40 hours per week. The BHCM...

Nurse Next Door is seeking a part-time Registered Nurse for New Mexico. You will deliver in-home nursing care, develop individualized care plans, and coordinate with a Care Designer to ensure a premium client experience while supporting families.

Description Registered Nurse (Breast Health Navigator) - Full-Time Hybrid-Remote Opportunity MedStar Radiology Network - Southern Maryland Description Breast Health Navigator...

Bristol Myers Squibb is seeking a Clinical Nurse Consultant (CNC) to educate HCPs in hematology and oncology, advancing patient care. The role emphasizes end-to-end clinical education, data-driven activities, and collaboration with medical and...

Not specified is seeking a registered nurse to support patient care within a healthcare network that prioritizes quality, collaboration, and innovation. The role focuses on coordinating telehealth services and ensuring effective remote care...

UCHealth Anschutz Inpt Pavilion in Aurora, CO seeks a licensed behavioral health clinician to assess psychiatric patients in collaboration with emergency department staff and to recommend dispositions. This PRN role requires a Master's degree and...

Review claims files to detect potentially fraudulent billing practices.Use medical terminology and coding to assess payment appropriateness.Write investigative summary reports and provide expert testimony.Requirements:Active RN license and 2+...

Staff Education RN Job Summary: Collaborates with Education Consultants, Managers, CNS staff and Physicians to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on...

OpenLoop Health is seeking a compassionate Nurse Practitioner for a 1099 remote role focused on sexual health and HIV care. You will provide virtual consultations and asynchronous care for preventive services including PrEP, DoxyPEP, and HIV...

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...

About WIN At WIN, we believe everyone deserves expert, compassionate support through every stage of family life. From preconception and fertility to pregnancy, parenting, menopause, caregiving, and beyond, we're transforming how people access care...

Montu UK is seeking Consultant Psychiatrists to join our clinical team to assess and manage patients exploring cannabis-based medicines, providing high-quality care and contributing to an evolving evidence base. You do not need previous...

A national consulting firm seeks a HEDIS Reviewer III to work remotely, primarily in the Michigan area. The ideal candidate will possess a high school diploma and must have at least four seasons of experience in auditing and abstracting medical...

UnitedHealthcare is hiring a Field Based HSS Clinical Coordinator RN in Duval County, TX to assess, plan, and coordinate care while connecting members to resources and providers. This role offers remote work within the assigned territory and...

Compass Healthcare Consulting & Placement is conducting a search for an experienced MLTC Intake RN with UAS-NY experience for a Managed Care Plan servicing New York. Intake Assessments / Enrollments are Field & Remote Assessments working directly...

SCAN Health Insurance in the United States is seeking a Medical Management Specialist-RN to promote quality and cost-effective care under regulatory guidelines. Working under the Clinical Supervisor, the RN supports utilization management and case...

Job ID: 33022 Description Take on a key role within an award-winning health system. Help improve patient experiences as part of a world-class healthcare team. Take your career in an exciting new direction. You can...

This position is offered fully Home based (Remote) As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing healthcare. At UBC we...

Job Description UW Medical Center - Northwest has an outstanding opportunity for a Nurse Care Coordinator to join our Care Management team with the goal of achieving coordinated patient flow through an inpatient stay,...

Emory Healthcare seeks an experienced Telehealth Registered Nurse to deliver high-quality remote patient care via telehealth platforms. The RN will assess, triage, educate, and support patients with expertise in clinical algorithms and EMR...

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...

Clinical Nurse Professional Development Educator Advanced How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At...