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Clinical Claims Review At UnitedHealthcare, we are 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.

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

A healthcare provider in West Valley City, UT, is seeking a Registered Nurse to provide clinical support through a work-from-home model. The ideal candidate should have 2 years of nursing experience, a valid RN license, and strong communication...

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 system...

A leading health solutions company based in Trenton, NJ is looking for a Clinical Care Manager who will conduct assessments and coordinate care for dual eligible members. This position requires a minimum of 3 years of clinical practice experience...

A leading healthcare provider is seeking a Nurse Case Manager for a hybrid role to support injured workers and facilitate their return to work. The ideal candidate must hold a Georgia RN license and have two or more years of clinical experience,...

Overview Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the...

Employer Industry: Healthcare Why consider this job opportunity: Opportunity for career advancement and growth within the organization Work remotely from anywhere within New England Supportive and...

A nationwide home infusion company is seeking a Quality Assurance Chart Review Nurse. This role involves reviewing clinical records for compliance and accuracy. Candidates should have a nursing degree, an active license, and experience in home...

CVS Health Remote Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading...

A public health organization seeks a qualified individual to triage calls, assessing needs and providing appropriate medical advice. This role requires a Bachelors degree in nursing, RN licensure, and entails applying clinical knowledge to assist...

Company Overview: Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

Join a forward-thinking healthcare technology firm as a Nurse Consultant, where your clinical expertise will drive improvements in patient care and cost efficiency. You'll play a vital role in analyzing patient data, fostering relationships with...

Inizio Engage Specialist Inizio Engage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses. A frontline specialist responsible for delivering...

A leading claims administration company is seeking a part-time RN for clinical consultation in a flexible remote work setting. This role involves triaging calls to assess care needs and recommending appropriate medical interventions. Candidates...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Remote Registered Nurse Position Are you a compassionate, self-motivated registered nurse with top-notch critical thinking and clinical skills? Seeking a challenging yet remote registered nurse position that keeps your abilities sharp?

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Offering a competitive sign on bonus to the hired candidate. Please discuss with the hiring manager or recruiter for more details. The RN is responsible for providing clinical support to providers and patients in Clinical Practice Group (CPG)...

A leading home health care provider is seeking a Compliance RN Home Health Clinical Partner in Nashville, TN. This full-time position involves conducting clinical audits, performing HIPAA checks, and providing compliance education. Ideal...

A leading healthcare company is seeking a Tele-Health Nurse to provide support to patients and caregivers through telephonic interactions. This remote position requires a Registered Nurse licensure and is ideal for those with a passion for...

Lighthouse Behavioral Health Solutions (LBHS) provides individual, outpatient, intensive outpatient, partial hospitalization, residential, psychiatric services, and medication assisted treatment for mental health and substance abuse treatment needs.

A compassionate healthcare organization is seeking a Registered Nurse Case Manager to provide hospice care. This role involves planning and directing patient care, completing assessments, and developing care plans in collaboration with patients...

A leading healthcare provider in Atlanta is looking for a compassionate registered nurse (RN) to provide vital after-hours support for hospice patients and their families. This remote position requires effective patient triage over the phone,...

A leading healthcare company seeks a Remote Tele-Health Nurse to provide telephonic support to patients and caregivers. This role involves coordinating clinical data, ensuring compliance, and applying behavior modification techniques to enhance...