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Apploi is seeking an experienced MDS Resource nurse to support facilities across Kansas, including near Kansas City, Overland Park, and Topeka. This remote consultant will visit facilities for in-person support as needed and lead organization-wide...

WellSky is seeking a registered nurse to conduct telephonic patient evaluations for multiple payer programs, working on Pacific Time hours. The role emphasizes remote care coordination, schedule management, and collaborative protocol development.

Everlywell is a digital health company pioneering the next generation of biomarker intelligence-combining AI-powered technology with human insight to deliver personalized, actionable health answers. We transform complex biomarker data into...

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...

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...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors...

The Judge Group seeks a Telehealth Provider to deliver virtual care for Medicare Advantage members. You will conduct wellness visits and remote consultations via phone or video, documenting in the EHR and following CMS telehealth rules.

Registered Nurse (RN) - Utilization Management Make an impact on patient care from wherever you are. We're seeking an experienced Registered Nurse (RN) to join our Utilization Management team. In this role, you'll use your clinical...

Amergis Healthcare Staffing seeks a Clinic Registered Nurse (RN) for a contract-full time role based in Kingfisher, OK. The RN will work across clinic and immunization settings, providing quality care with clinical judgment per facility protocols.

Job ID: 33380 *Description*There's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also enjoying the positive,...

Cambia Health is seeking an Appeals Clinician I to support members and providers through clinical appeals. This remote role can be done from Oregon, Washington, Idaho or Utah, with preference for Idaho and Utah residents. You will apply...

Archimedes is seeking an RN Case Manager for Telehealth to improve member health via tele-pharmacy. You will lead clinical outreach, develop resources, and oversee programs in collaboration with the team. The role supports coordination with...

Nurse Evaluator IV The Department of Health Care Services (DHCS) is the backbone of California's health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members, as well as through collaboration...

Description We are hiring for a part- time School Nurse Consultant, come join our team! This is a non-benefited position that works on an as needed basis. See CESA 6 Values Here See details and apply on our website.

OverviewAs our Educator, RN in Periop, you will serve as a consultant/resource professional by providing staff development expertise as an educator, facilitator, change agent, leader, and researcher, ensuring educational initiatives are...

APremium Healthcare Solution, LLC seeks a Virtual Nurse Consultant to join our Conyers, GA team in a full-time, remote capacity. You will provide virtual nursing consultations, assess patient needs, and coordinate care with physicians and...

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.

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...

Health Care Service Corporation seeks a Quality of Care (QOC) Nurse to review and investigate potential quality of care issues in a timely manner. This role supports QA activities in line with CMS and NCQA requirements, under the supervision of...

ICU Medical Inc is seeking a Customer Success Nurse Consultant to drive post-implementation success for infusion devices through clinical expertise and data-driven consulting. You will partner with healthcare organizations to optimize medication...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Clinical Grievances RN - Remote in CA (2381848) Clinical Grievances RN - Remote in CA - 2381848 At UnitedHealthcare, we're simplifying the...

Payrate: $41.00 - $43.00/hr Summary: The main function of the nurse is to provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and...

Serving as the strategic quality advisor for a portfolio of Value-Based Care organizations, the full-time Lead VBC Quality Consultant will analyze performance, develop quality improvement strategies, and partner with provider organizations to...

Clinical Appeals Specialist The Clinical Appeals Specialist completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Specialist utilizes...