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A healthcare technology company is seeking an experienced On-Call Registered Nurse (RN) for a remote, part-time position. This role offers flexibility and the opportunity to support patient care from home. Candidates must possess a current Compact...

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.

RN Triage Nurse - Remote job at Get It - Healthcare Location: Jacksonville, FL Job Description: Are you a Registered Nurse with pediatric and adult care experience looking for an exciting new opportunity? We are...

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...

Florida Telehealth Medical Group is seeking a Remote Registered Nurse to work 100% online, reviewing patient histories and guiding care via telehealth platforms. You will participate in online visits, educate patients, and adhere to established...

Guidehealth is seeking a remote Care Manager who can blend clinical nursing expertise with holistic patient care. You will guide patients and families through complex health journeys, coordinate care across providers, and empower members with...

A prominent healthcare company is seeking a Case Management Nurse to conduct comprehensive assessments and develop care plans for beneficiaries. The ideal candidate will have 5+ years of clinical RN experience and a current RN license.

CareXM is expanding our remote nursing team to include an early morning triage RN (Remote). This role focuses on after-hours telephone triage for hospice and home health partners, delivering calm clinical guidance while working entirely from home.

A leading Health Insurance company is seeking a talented RN Care Management Coordinator for a remote contract position. The role involves applying critical thinking and medical knowledge to determine case appropriateness and collaborating with...

A healthcare consulting company is seeking a RN Health Care Facility Surveyor to conduct compliance surveys nationwide. This full-time role involves significant travel and ensures care quality in various healthcare facilities. Candidates must have...

Gainwell Technologies is seeking a DRG Quality Advisor Nurse for a remote role within the continental United States. The position focuses on QA audits, DRG validation, coding audits, and ensuring compliance with clinical and coding guidelines.

SCP Health is hiring for a remote RN role in the United States. You will provide clinical assessment and nursing triage across the health continuum, directing patients to appropriate care levels and offering telephonic health information.

Upper Peninsula Health Plan (UPHP) seeks a Remote Community Based Clinical Coordinator - Care Manager to support Western UP members. This full-time remote role requires frequent visits to homes and nursing facilities, plus periodic travel to...

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...

UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services by assessing member needs and coordinating care. Based in Phoenix, AZ with a fully remote work style, the role requires 3+...

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...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following duties: Functions as part of the...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

A staffing and recruiting firm is seeking a HEDIS Nurse (RN or LPN) for a remote position which allows for a flexible schedule. This high-impact role involves ensuring accurate HEDIS reporting and quality improvement initiatives. Candidates should...

MES Solutions is seeking a Clinical Quality Assurance Coordinator to ensure exceptional quality in peer review case reports. This remote role involves working Monday to Friday, performing quality assurance reviews, and maintaining regulatory...

Enlyte is seeking a Telephonic Case Manager (RN) to support injured workers. This full-time, remote role requires an active RN license (compact) and NY RN license, working with physicians, employers, and patients to develop treatment plans and...

A leading health service provider in Kentucky is seeking experienced Registered Nurses for the Field Care Manager role. Nurses will conduct non-clinical, in-home assessments and manage their own schedules. The position offers a competitive salary,...

Mist Registered Nurse (Rn) – Position Summary The Multidisciplinary Inbasket Support Team (MIST) Registered Nurse is a highly skilled ambulatory care nurse who provides comprehensive, remote clinical support to primary care patients and...

A health care solutions provider is searching for a Medical Management Specialist who will manage medical programs and coordinate care for clients. Primarily remote with occasional visits in Belleville, you must be a licensed RN, LPC, or LMSW with...