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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...

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...

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...

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.

hackajob is collaborating with Oracle to connect them with exceptional professionals for this role. About the team Responsible for driving the client through the design of clinical and business processes, solution and technology workflow, and...

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...

A-Line Staffing Solutions is seeking a Clinical Review Nurse for a concurrent review role in a remote-capable setting. The RN will assess member eligibility through chart review and coordinate with providers to gather necessary information.

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...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Clinical Reviewer RN - Alabama Alabama, US 30+ days ago Requisition...

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...

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...

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...

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...

VIVA HEALTH in Birmingham, AL seeks a Connect for Quality Nurse. This is a remote position with occasional on-site work within the service area. The role focuses on improving quality of care, increasing member and provider satisfaction, and...

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...

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...

A healthcare consulting firm is seeking licensed Nurse Practitioners (NPs) in New York for part-time telemedicine consultations. The role requires at least 9 hours per week and offers $25 per completed consultation with weekly payments. Ideal...

Talantir is expanding its telehealth workforce with licensed Nurse Practitioners to conduct scheduled acute care visits and on‑demand consults. We offer remote work, flexible scheduling, and a growing patient base to providers who can manage...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

Pomelo Care is a leading virtual medical practice for women and children, delivering 24/7 perinatal and maternal health services nationwide. This role supports initial intake and crisis consultation, reporting to the Behavioral Health Lead, and is...

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...

Our patients have often reached a point where they feel they have run out of options. Many have spent years living with anxiety, depression, PTSD, ADHD or other complex mental health conditions, trying multiple medications and therapies with...

Exceptional care starts with exceptional people. For us, this is more than a job- it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you to...

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...

Clinical Registered Nurse (RN) – Remote Full-Time | Remote | $100,000 + Comprehensive Benefits Package We are recruiting RNs for a growing, technology-enabled healthcare organization, expanding its remote clinical...