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Munson Healthcare is seeking a remote Front Desk Clerk to greet patients and families and manage registrations. Responsibilities include collecting insurance information, scheduling appointments, and coordinating with care teams. Remote...

Registered Nurse (RN) – Remote Care Management & Coordination Location: remote Job type: Contract Job Summary: The Registered Nurse (RN) plays a critical role in delivering remote patient support, care management, and care...

Arkansas Blue Cross Blue Shield is seeking an experienced Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, and various inpatient/outpatient cases. This role ensures medical necessity aligns with...

Clinical Operations Nurse Coordinator RN II The Clinical Operations Nurse Coordinator RN II reports to the Manager of Clinical Operations. The Clinical Operations Nurse Coordinator RN II will work independently and collaboratively with...

SCAN is seeking a Medical Management Specialist-RN in California to promote quality and cost-effectiveness of care under regulatory guidelines. You will support utilization management, conduct reviews, and coordinate with the Medical Director for...

Job Description: Platte Valley Hospital | Brighton, Colorado If you're an experienced Labor & Delivery nurse looking for greater autonomy, stronger teamwork, and meaningful patient connections, Platte Valley Hospital offers a unique opportunity to...

****Voted one of the best companies to work for by Modern Healthcare Magazine: ** Valley Vista Nursing and Transitional Center **** is an award winning family company providing healthcare...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

Centene Corporation seeks an experienced RN to analyze prior authorization requests from a remote location within the United States. The role evaluates medical necessity and appropriate level of care in line with national standards and contract...

Healthcare Management Solutions, LLC is seeking experienced CHSD Audit reviewers to conduct independent medical record reviews for the STS CHSD program. This remote, part-time role focuses on data accuracy, source verification, and adherence to...

Telligen is seeking a Senior Review Coordinator RN to conduct utilization review and medical management for all services, including mentoring teammates and performing preliminary research. This is a home-based, part-time role with Saturday and...

Licensed Vocational NurseThe Department of Family Medicine of the Keck School of Medicine of USC provides care for every member of the family, across generations and over lifetimes. We aim to enhance the quality of life for underserved and...

At Premier Home Health Providers Inc., our compassionate and experienced clinicians are certified and expertly trained to help you manage your condition, prevent rehospitalizations, and improve your health and quality of life in the comfort and...

Details Client Name Adventist Health White Memorial Job Type Travel Offering Nursing Profession Registered Nurse (RN)...

Sentara Health is hiring a part-time Registered Nurse for a physician practice/ambulatory clinic. The role supports chronic disease management, patient education, and care coordination, with duties including triage, documenting in the EHR, and...

At Twin Health, we empower people to improve and prevent chronic metabolic diseases, like type 2 diabetes and obesity, with a new standard of care. Twin Health is the only company applying AI Digital Twin technology exclusively toward metabolic...

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.

Job Summary: Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge and issuing...

RPM Healthcare is seeking an RPM 365 Care Coach to engage patients and manage their health data remotely. As a key contact on the RPM365 platform, you will assist with device setups, monitor adherence to care plans, and ensure patient education...

Job Description: To show our commitment to you and to assist with your transition into our organization, we will also offer a $15,000 sign-on bonus for experienced RNs The Registered Nurse (RN) is a professional caregiver who assumes...

Case Management Nurse II Under supportive supervision, the Case Management Nurse II position supports the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of...

Benefits: Competitive salary Flexible schedule Paid time off Licensed Vocational Nurse (LVN) – Home Health (Field Nurse) (Fontana area, CA) Our agency's mission is to provide professional and paraprofessional...

Join a Company That Puts People First! Licensed Vocational Nurse – LVN We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we're proud to...

Centene is seeking a RN/UM Supervisor to oversee Prior Authorization, Concurrent Review, and Retrospective Review teams, ensuring compliant and quality care for members. The role collaborates with the UM team and senior management to improve...

Nurse Case Mgr II (RN) role at Elevance Health offers virtual, full-time care management for members with complex needs. The position emphasizes risk stratification, planning, implementation, and transition of care to optimize outcomes and access...