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A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...

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...

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...

Guardian Life is seeking an RN Clinical Consultant to support disability claim evaluations, assessing medical data and functional capacity. You will collaborate with providers and claims teams to influence outcomes and return-to-work decisions.

WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant patient care. The role emphasizes adherence to HIPAA, state and federal regulations, and a...

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...

Concurrent Review Nurse (RN) 100% Remote | Monday–Friday, 8:00 AM–5:00 PM CST Occasional Weekend & Holiday On-Call Coverage Are you an experienced inpatient Registered Nurse looking to transition into a remote role where...

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...

Centene Corporation is seeking a licensed practical nurse (LPN) to analyze prior authorization requests for medical necessity and the appropriate level of care. You will collaborate with providers and the authorization team to ensure timely...

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.

Title: QIC Part A Nurse Consultant Location: Remote Duration: 6 months Shift time: Hours; 8:30 am - 5:00 pm EST (Monday - Friday) Pay rate: 30.00/hr Job Description Essential Duties and...

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...

hackajob is collaborating with Oracle to connect them with exceptional professionals for this role. About the team We're expanding our team to support a U.S. Federal healthcare client and are seeking experienced Registered Nurses with clinical...

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...

*This role will require the successful candidate to work the shift of Monday to Friday, 1pm to 10pm Central (2pm to 11pm Eastern). The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This...

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...

Highpoint Health Sumner is seeking a Registered Nurse (RN) Clinical Documentation Specialist to join as a remote FT (days). You'll contribute by applying plan-of-care interventions and driving patient-care innovations with advanced technology.

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...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance...

Utilization Management Nurse Consultant (RN) - Remote Must Reside in Oklahoma. Join a collaborative team dedicated to helping members receive the right care, at the right time, in the right setting. As a Utilization Management...

This position offers an opportunity for a registered nursing professional to contribute to patient care within a healthcare environment focused on quality, collaboration, and innovation.The role involves coordinating telehealth services and...

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...

Position: Remote Registered Nurse Company: Lehrer Family Chiropractic Location: Melville, New York, United States Contract Details: Part-time, remote Lehrer Family Chiropractic is seeking a highly motivated and...

Nurse Consultant/ Regional Director Of Clinical Operations Relocation to Southern New Mexico is required. The Nurse Consultant/ Regional Director of Clinical Operations position is comprised of two essential objectives; to partner...