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Spanish Speaking LPN Nurse (REMOTE), Colorado Location: 100% Remote Flexible Hours: Set your own schedule Requirement: Must hold an active Colorado's LPN license Job Summary We are seeking a bilingual...

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

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...

CenterWell Home Health is seeking a Telephonic Nurse (Care Manager) to support patients transitioning into and out of our services. You will liaise with the clinical team to facilitate follow-up and ensure appropriate post-acute care options,...

Utilization Review Nurse Auditor Fully Remote • Mount Laurel, NJ 08054 Salary Range $33.00 - $46.00 Hourly Position Type Full Time Travel Percentage 10% ExamWorks is looking for a Utilization Review Nurse Auditor to join...

CareHarmony is seeking a licensed practical nurse to join as a remote Intake Coordinator in a full‑time role. The position supports value-based care management by coordinating resources for patients and conducting preliminary health assessments...

Clinic Registered Nurse (RN) Setting: Healthcare Facilities Job Type: Contract - Full Time Pay: $55 / Hour Hours: 40.00...

Talkspace is a clinical quality led Telehealth company focused on making mental health accessible and affordable for millions. The Part-Time Psychiatric Nurse Practitioner role lets you work from home with a flexible schedule while delivering...

Belle, LLC is hiring a full-time, remote Telephonic Nurse Case Manager to improve clinical outcomes and care coordination for members. You will review in-home visit documentation, conduct telephonic case management, track referrals to health and...

Utilization Review RN - Remote This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review...

Renown Health is seeking a Utilization Management RN to apply medical necessity criteria for prospective and concurrent reviews. You will work with an interdisciplinary team to ensure medically necessary, cost-effective care at the appropriate...

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...

Firefly Health is seeking a Registered Nurse to join its remote care team supporting patients in Massachusetts. The RN will triage new concerns via the app or phone, coordinate appropriate levels of care with clinicians, and provide...

Job Title Pay Rate: $27.50 per hour Work Mode: Fully Remote Duration: September to February with possible extension Responsibilities: Work telephonically with claimants, physicians, employers, and customers to ensure...

Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other...

Maximus is seeking a Clinical QA Analyst to conduct quality reviews of nurse assessments and clinical documentation for Colorado Home and Community-Based Services. The role supports compliance, analyzes metrics, and uses QA tools to drive...

Job DescriptionMake a Difference Every Single Day at Cedars-Sinai!When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and...

Job Title This position is fully remote, however, you must reside in the State of Texas. The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...

Remote Registered Nurse – Clinical Review Fully Remote | $48–$65/hr | Monday–Friday, 9:00 AM–6:00 PM ET Medix is supporting a healthcare technology organization that is adding...

Greenlife Healthcare Staffing, Inc. seeks a Behavioral Health Subject Matter Expert (BH SME) for a 1099 contract in Jericho, NY. This part-time role (20 hours/week) offers remote work with occasional on-site visits and a competitive...

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...

AmTrust Financial Services Inc. is seeking a Telephonic Medical Case Manager, RN, to deliver comprehensive remote case management in Texas. You will drive medically appropriate return-to-work through collaboration with injured employees, providers...

Crawford & Company is seeking an experienced RN Telephonic Case Manager to work remotely providing case management services for patients and employees. You will navigate their healthcare journeys, align with URAC standards, CMSA Standards of...

Peraton's SafeGuard Services is seeking a Nurse Reviewer to perform medical record reviews and apply clinical judgment to determine claim payment decisions. The role involves researching claims data, identifying issues, and developing cases for...

Job DescriptionRegistered Nurse (RN) Care Management Specialist Location: Remote- Onsite for Training (Must reside within 2 hours of Columbia, SC) Pay Rate: $30/hour ScheduleMonday through...