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Pay Range: $34.21 - $51.31 A successful candidate's actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education. Hospital Sisters Health System (HSHS) is...

Now Hiring: Certified Nursing Assistants(CNA)Leisure Vale Assisted LivingLeisure Vale Assisted Living is a pillar in assisted living in Glendale, CA. We approach every day with one goal: To improve the lives we touch through high-quality...

Responsibilities SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

The Columbus Organization is hiring a Clinical Intake Specialist-LPN to act as the primary contact for individuals with complex care needs. You will conduct initial visits, perform needs assessments, and coordinate care with the Case Manager to...

Centene is seeking a Clinical Review Nurse to perform concurrent reviews to assess members' health, determine medical necessity, and contribute to discharge planning according to care policies. This role suits nurses with acute care experience and...

Parenteral Services Clinical RN Specialist The Parenteral Services Clinical RN Specialist provides clinical support to the Parenteral Services team through advanced nursing expertise, education, care coordination, and operational...

Nurse Practitioner Delaware | Remote | Full-Time This is a remote position. Join our client's innovative healthcare team to deliver virtual, physician-led care for medically complex Medicaid and Dual Eligible patients in Delaware. This...

Via Care Community Health Center seeks a Quality LVN to drive quality performance across IPAs. You will monitor HEDIS measures, track preventive care, and coordinate with clinic managers and outreach teams to close care gaps in the EHR. The...

School Registered Nurse (RN) in Long Beach, CA Location Long Beach, CA Discipline RN Nurse Date Posted October 08, 2026 Bring your expertise as a School Registered Nurse to a rewarding contract opportunity supporting students in a...

IQVIA LLC is seeking a Flex Nurse Educator to support patient education remotely with in-field coverage as needed. The role emphasizes non-clinical, educational interactions and adherence improvement, while maintaining privacy and high educational...

Cambia Health Solutions is seeking an Utilization Management Nurse to work remotely within Oregon, Washington, Idaho, or Utah. The role focuses on prospective, concurrent, and retrospective reviews to ensure medical necessity and cost-effective...

Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical...

Direct Hire! Exceptional Benefits! Growth potential! Guaranteed interview with client! Benefits Offered: Medical, Vision, Life, Dental, 12...

As a Clinical Documentation Review Specialist (RN), you will help medical staff clarify patient records to ensure appropriate reimbursement and reflect care complexity. You will perform concurrent reviews and engage with physicians...

Oak Street Health is hiring a Care Coordinator for Utilization Management to oversee UM operations, optimize workflows, and ensure efficient patient care delivery. The role involves collaborating with UM physicians, payers, and vendors in a remote...

Telephonic Nurse Case Manager (Remote) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States...

Position Summary: Reporting to the Clinical Nurse Director, this position is responsible for planning, directing, coordinating and providing high quality, individualized patient care using the components of the nursing...

Perioperative Clinical Educator Essential Job Functions and Core Responsibilities: Accountable to Executive Director of Perioperative Services for overall work performance. Resource in identification of hospital staff with...

Optum is seeking a remote IRR Clinical Claim Review Nurse to perform clinical review of claims against medical records and guidelines. The role requires an active RN license, 2+ years of acute care clinical experience, and 1+ year in claim review...

Job Type Part-time Description TwelveStone Infusion Support manages the Infusion needs of patient's and maintains the continuum of care, from intake, assessment, and treatment through the completion of their visit. Our...

Min USD $27.88/Hr. Max USD $27.88/Hr. Position Overview Schedule: Full- Time (7am-3pm) Location: Queens and Brookyln The LPN will coordinate...

ED Case Manager Utilization RN, 12/hr Shift Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for...

Position Title: HEDIS Data Reviewer Location: Remote (work in eastern time) Duration: 3 Months Schedule: 8:30 AM - 5:00 PM EST Pay Range: $40.00/hour - $44.59/hour The HEDIS...

Newport Hospice, is looking for dedicated health care professionals to join our ever-growing team!!!Help our team provide compassionate care to the patients in our community offering the best care programs available in Orange, Los Angeles,...

JOB DESCRIPTION - REGISTERED NURSE (A) Job Summary: The Registered Nurse provides patient care on a supplemental basis to our client facilities. With the delivery of safe, quality patient care as...