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Bring clinical insight, nursing expertise, and data-driven precision to a Hybrid/Remote Clinical Documentation Improvement Nurse Specialist career that combines meaningful patient impact, supportive leadership, modern healthcare technology,...

UnitedHealth Group, the parent company of Optum, seeks a registered nurse to lead clinical guideline development, COE network criteria, and expert panels. This remote-friendly role emphasizes literature analysis, policy writing, and collaboration...

Supports the values of service excellence, teamwork, and integrity while managing patient care.Acts as a liaison among patients, caregivers, multidisciplinary teams, and payers.Qualifications:Requires a current RN license, nursing diploma or...

A telehealth service provider is looking for a Telehealth Nurse Practitioner to provide brief virtual consultations for adult patients across the United States. This remote role offers flexible scheduling with pay ranging from $25 to $60 per hour...

PurposeMed Inc. is seeking a compassionate Registered Nurse to deliver high-quality, virtual sexual health care across the United States. This independent contractor role focuses on PrEP and HIV prevention, with a mix of live consultations and...

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...

BJC HealthCare is seeking a registered nurse to join a remote Utilization Review team. The role supports multiple hospital units with no patient communication, and it is designed for local remote work with weekend rotation. Responsibilities...

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...

Too many women spend years being told their pain is normal. They wait a long time for a diagnosis, cycle through treatments that do not work for them, and often end up managing debilitating symptoms on their own. At Montu, we see these patients...

Harborview Medical Center is seeking a Tele Forensic Nurse Examiner (TFE) for the FNE/SANE Program. This fully remote role supports forensic examinations across Washington State, with case reviews and QA meetings on a regular cadence. The...

Oscar Health is seeking a Utilization Review Nurse to join our team. You will review cases, verify medical records, and consult with care providers to assess treatment appropriateness using Oscar Clinical Guidelines, MCG, and InterQual. The...

hackajob is collaborating with Oracle to connect them with exceptional professionals for this role. Description We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and...

Oncology Consultants in Houston, TX is seeking a Nurse Practitioner or Physician Assistant with 5+ years of Oncology experience to join our medical center. You will assess patients, support protocol implementation, and ensure GCP compliance.

CVS Health is seeking a Telework RN with at least an Associate's degree and 3+ years of clinical nursing experience. The role focuses on precertification, reviewing clinical information from providers, and authorizing procedures or referrals.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a...

CVS Health is seeking an experienced Utilization Management Nurse Consultant to apply clinical judgment and guidelines to determine appropriate benefits across the continuum of care. This full-time role supports a 24/7 operation, with scheduled...

Western Reserve Area Agency on Aging in North Olmsted, OH is seeking an LPN Community Resource Consultant to assess consumer needs and determine eligibility for WRAAA programs. The role involves educating clients and coordinating with caregivers...

Job Summary: Works collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify member needs and...

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...

Relocation to Southern New Mexico is required. The Nurse Consultant/ Regional Director of Clinical Operations position is comprised of two essential objectives; to partner with facilities as the primary clinical resource in...

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...

Clinical Appeals Nurse We are seeking an experienced Clinical Appeals Nurse to support the appeal and grievance processes by analyzing and responding to adverse coverage decisions. This role involves clinical judgment, regulatory...

The Veterans Health Administration at the Charleston VA Medical Center seeks a Nurse Manager (RN) to lead and supervise designated units within Community Care. The role emphasizes staff development, evidence-based practice, and collaboration with...

Clinical Practice Specialist The Clinical Practice Specialist directs and elevates evidence based practice across nursing service lines specific to the role. This may span multiple age populations. The Clinical Practice Specialist will...

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