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Palo Verde Community College District is seeking an experienced Clinical Documentation Integrity (CDI) Specialist (RN) for a fully remote role based in the US. The position supports quality outcomes, reimbursement accuracy, and regulatory...

EMD Serono is seeking a RN Patient Support Specialist – West Coast to join the Patient Support Hub. This remote role delivers individualized clinical education, product training, and ongoing support to patients and caregivers, across multiple...

hireops is seeking a contract role for a discharge care coordination position in Chicago, IL. This role involves responsibilities for episodic case management and counseling, ensuring follow-up for acute conditions. Qualified candidates...

General Purpose The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in...

A national healthcare recruiting firm is seeking an experienced RN Case Manager in Sacramento, CA. In this telephonic role, you will assess and coordinate care for high-risk members. The ideal candidate will have an RN license and at least two...

A healthcare solutions provider is looking for a qualified RN to perform medical reviews and coordinate care for members. This role involves assessing service needs, engaging in patient education, and ensuring compliance with healthcare...

A leading healthcare provider in Columbia, Illinois is seeking an RN Supervisor for the Patient Access Center, focusing on evening shifts. The role demands strong clinical judgment and communication skills to optimize patient admissions and...

Self Fund Health Nurse Navigator Remote · Full time The Nurse Navigator is a remote WI-based RN who acts as the member's single point of contact through the healthcare system — coordinating care, advocating for patients, and steering...

Hospice Telephone Triage RN- FT 6:30a-4p Mon-Fri o wknds (REMOTE) Hospice Telephone Triage RN- FT 6:30a-4p Mon-Fri o wknds (REMOTE) 2 weeks ago Be among the first 25 applicants We invite you to join our growing...

DaMar Staffing is seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. The role covers claims analysis, provider audits, fraud detection, and...

A health care provider organization is seeking a Case Management Nurse to coordinate care for members. This role requires a Nursing Diploma and direct clinical experience, along with the current Michigan RN license. Responsibilities include...

Gainwell Technologies is seeking a Medical Reviewer (Registered Nurse) to support California healthcare programs. You will use clinical judgment to review medical records, healthcare services, claims, and authorization requests. You will...

CareXM is hiring a Remote Registered Nurse (RN) for early morning triage on a part-time schedule. The role focuses on secure, compassionate after-hours triage for hospice and home health partners, conducted entirely from the nurse's home.

Job Description \n \n Perm Staff Jobs is seeking a Registered Nurse (RN) Educator for a nursing job in McAllen, Texas. Job Description & Requirements\n \n Specialty: Educator \n Discipline: RN \n Duration: Ongoing \n Employment Type: Staff \n \n...

Broadway Ventures, a veteran-owned SDVOSB headquartered in Mississippi, seeks an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud referrals. You will apply clinical expertise...

A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The...

Pacific Clinics is seeking Licensed Psychiatric Technicians (LPTs) and Licensed Vocational Nurses (LVNs) to provide direct patient care in psychiatric and mental health settings. You will assess patients, administer medications, and implement...

Accomplish Health is seeking a Registered Nurse to provide telemedicine obesity care. As part of our mission, you will deliver patient-centered, stigma-free care, ensuring high-quality treatment for individuals living with obesity. Your...

A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities...

Amergis Staffing is hiring! We are seeking experienced Licensed Vocational Nurses (LVNs) with tracheostomy and pediatric care experience to provide support to students throughout the 2026-2027 school year. Position...

UBC is seeking a Telephonic LPN for their call center in a remote US setting. The role delivers telephonic nursing support, patient education, and resource referrals for client-funded programs. Requirements include an associate degree in...

Inland Empire Health Plan (IEHP) seeks a Quality Program Nurse to implement and monitor quality management policies under the DHCS framework. Responsibilities include site reviews, medical record surveys, CAP oversight, and HEDIS data abstraction.

Centene Corp. is hiring a Quality Improvement Coordinator II to conduct reviews of delegated entities for quality, service performance and utilization, and to lead clinical quality initiatives across provider sites. The role involves...

Vaya Health seeks a Physical Health Registered Nurse to perform clinical reviews for authorization requests and medical necessity. You will reference standardized criteria and coordinate with physician peers when needed. This role is part of a...

RN Clinical Assessor - (Hybrid Remote - Waldo/Kennebec County, Maine) General information Date Friday, August 21, 2026 City Augusta State ME Country United States Working time...