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Qlarant, a nonprofit organization, seeks a Nurse Specialist II to perform medical record and claims review for Medicare, Medicaid, and other data. This remote role in the United States involves ensuring adherence to guidelines while assessing for...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance...

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...

Baptist Health is seeking a remote Clinical Documentation Specialist to evaluate physician documentation and ensure accurate illness severity portrayal for coding precision. The role requires an active Kentucky license and involves guiding...

Trillium Health Resources is seeking a Registered Nurse to join our Utilization Management team in North Carolina. The UM reviews, coordinates care, and supports discharge planning to improve outcomes and ensure appropriate utilization of...

Telephonic Case Manager (RN) Immediate need for a talented Telephonic Case Manager (RN). This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

OptumCare seeks a National On Call advanced practice clinician (APC) for remote telehealth care. You will provide telephonic/telehealth care, coordinate with care teams, and support members 24/7 including holidays. Requires NY NP license, MSN/DNP,...

Job Overview: Pay Range: $46.76hr - $51.76hr Requirement/Must Have: 5+ years Clinical nursing experience. 2+ years Care Management. Bachelor's Degree in Nursing. In...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Part Time Southborough, MA, US Salary Range: $38.00 To $40.00...

To support a growing care navigation program, the Telehealth Nurse Practitioner will conduct remote video visits for follow-up and chronic condition management, serve as a clinical resource for the care team, and assist with care transitions for...

*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal health care professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

Brighton Health Plan Solutions, LLC is seeking an experienced Utilization Management Nurse to perform medical necessity and benefit reviews remotely, with responsibilities across inpatient and outpatient reviews and coordination with providers.

Summary This is an OPEN CONTINUOUS ANNOUNCEMENT & will remain open until 10/29/2026 or until filled. Qualified applicants will be referred to hiring managers at regular intervals. Your application will remain active for 3 months.

At Houston Methodist, the Nurse Practitioner (NP) is responsible for functioning as a licensed registered nurse and care provider to provide all aspects of patient care, including diagnosis, treatment and consultation while maintaining and...

Description LifeHealth, LLC, a federal government contractor, is seeking Registered Nurses to provide telephonic Nurse Advice Line services to Soldiers, Veterans, Wounded Warriors and their families, who are TRICARE members.

JOB DESCRIPTION This RN will act as a Care Manager supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid Care Manager will support them to ensure a successful health outcomes. The position includes...

Case Management Nurse The Case Management Nurse delivers comprehensive, client-centered case management services across the continuum of care, ensuring that each individual receives the most appropriate level and type of health, medical,...

Evening Virtual RN Position This is an evening virtual RN position from 11AM to 11PM. Performs intake functions pertaining to the documentation of patient medical history. Conducts assessment interviews using virtual technology and...

Utilization Management RN (Illinois) Position Type Full-Time Job Shift Day Education Level Bachelor's Degree Category Nursing Professional & Support Centurion is proud to be the provider of comprehensive services to the Illinois...

Remote Oncology Registered Nurse (Telehealth Nurse / Telephonic Triage) - $39/hr Location: Remote (Work From Home) - MUST live in the Greater Houston area and be able to drive to The Woodlands, TX for required onsite training/meetings.

Sedgwick is seeking a Telephonic Case Manager to support injured workers nationwide from a remote environment. You will craft case management strategies, advocate for optimal medical treatment, and coordinate services to facilitate recovery and...

Boulder Care is seeking experienced Nurse Practitioners to join their team. In this fully remote position, you will work directly with patients to provide medication for opioid use disorder. Responsibilities include prescribing buprenorphine and...

A leading healthcare company is seeking a Tele-Health Nurse to provide high-quality service for specialty prescription drugs. This role includes case management and patient coordination. Ideal candidates should possess a Vocational or technical...