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A healthcare organization is seeking a remote Case Manager I to coordinate case management services for members with complex healthcare needs. The successful candidate will be responsible for advocating on behalf of members, working with...

Compassionate Registered Nurse (Rn) Opportunity We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over...

JOB DESCRIPTION Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically...

Join COMPLETE HEALTHCARE as an Ancillary Nurse and immerse yourself in a dynamic and fulfilling work environment. Here, you will play a vital role in enhancing patient care, bringing your skills to the forefront of innovative healthcare practices.

A leading health organization is seeking a RN Coordinator for Utilization Management in Wisconsin. This full-time position involves reviewing authorization requests for medical necessity and collaborating with various departments. Applicants...

Overview Registered Nurse (RN), Clinical Decision Unit Rockville Centre, NY Explore a career with Mercy Hospital, a 375-bed not-for-profit hospital and member...

A healthcare solutions company is seeking a Clinical Guide Population Health RN to provide care coordination, clinical triage, and education to members. This role involves engaging with high-risk patients, assisting them in navigating the...

Job Description The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families...

Job Title: Registered Nurse (Vaccination Support) Location: Multiple Locations across California Estimated Length of Assignment: 3+ Months (The dates provided are only an estimate and not...

A leading healthcare provider in New Jersey seeks a tech-savvy Registered Nurse (RN) for a Virtual Nurse role in their Hospital at Home program. This remote position emphasizes virtual care delivery, requiring collaboration with in-home clinical...

Description ABOUT RIA HEALTH Ria Health is on a mission to bring effective evidence-based treatment for alcohol use disorder to all Americans. Our team consists of empathetic mission-driven professionals coming together...

Care Manager Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is...

A local medical group is seeking Registered Nurse (RN) candidates to join their Primary Care team for Family Medicine and Internal Medicine. This full-time position offers a competitive pay range and benefits, including medical, dental, vision,...

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: This role is open to applicants that reside in SSM Health's 4 state footprint -...

Registered Nurse, Quality Assurance Reviewer The Registered Nurse, Quality Assurance Reviewer will work in conjunction with the Quality Manager and will be responsible for completing quality reviews for the Clinical Services and Provider...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care...

A prominent healthcare organization is seeking a dedicated RN Rehabilitation Nurse to work at St. Mary Medical Center in Long Beach, CA. This full-time position involves restoring patients health and providing essential education and care to...

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Battelle delivers when others can't. We conduct research and development, manage national laboratories, design and manufacture products and deliver critical services for our clients-whether they are a multi-national corporation, a small start-up...

Telephonic Case Manager Rn Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

Job description: Job Title: Clinical Review Nurse - Prior Authorization Location: Remote - Oregon Duration: 3 months (Contract-to-Hire, Possible Extension) Schedule: Monday-Friday, 8:00 AM - 5:00 PM PST (Occasional...

ChenMed is seeking a Registered Nurse (RN) Educator for a nursing job in Columbus, Ohio. Job Description & Requirements Specialty: EducatorDiscipline: RNDuration:...

ABOUT MACHINIFY: In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched...

Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is...

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing...