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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.

Come lead with us at Houston Methodist Specialty Physician GroupAt Houston Methodist, the Nurse Practitioner PRN position is responsible for functioning as a licensed registered nurse and care provider to provide all aspects of patient care,...

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

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...

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...

Remote — work from anywhere. This is a part-time telehealth role; an active California Nurse Practitioner license is required. About Nolia Health Founded in Seattle, Washington, Nolia is a healthcare company dedicated to providing personalized,...

A dedicated medical practice is seeking an experienced Remote LPN/LVN to support patients in Chronic Care Management and Remote Patient Monitoring programs. The role includes conducting phone consultations, documenting findings, and ensuring...

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...

Molina Healthcare is seeking a Care Manager RN for a 100% remote role in the United States. This position supports care coordination and works with a multidisciplinary team to deliver integrated member care across the continuum. The role...

Cleveland Clinic Home Care Services seeks an LPN to provide nurse-led care in patients' homes across West-Cuyahoga and Lorain County. You will visit approximately six patients daily, administer medications, and coordinate with RNs to ensure safe...

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...

Manage CMS and State Administering Agency audits for PACE compliance.Ensure audit readiness and serve as point with audit teams.Champion compliance culture across the organization.Key Responsibilities:Monitor audit universe data and review...

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...

Actalent is seeking a dedicated LVN Nurse Consultant for a fully remote telephonic nursing role. You will contact patients or caregivers, including those in nursing homes, to ensure adherence to prescribed therapies and resolve issues.

Remote Patient Monitoring (RPM) Nurse – Remote Join Our Growing Clinical Team! We are seeking compassionate, detail-oriented Registered Nurses (RNs) or Licensed Practical Nurses (LPNs) to join our Remote Patient Monitoring...

Nurse Case ManagerPosition Type: Full-Time Contract RoleLocation: Work from homeWork Type: Remote Est. Pay Range: $35.00/hour – $38.46/Hour on W2 (USD) (all inclusive)Schedule: Mon-Fri 8am-5pm ESTRegistered Nurse with active state license in...

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...

Compliance Nurse 2 - LTC Program - SW Region The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for...

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 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...

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 Location: North Hollywood, CA The Registered Nurse – Clinic/Wellness/Immunization...

Job Description Registered Nurse (RN) - Downey,CA Local Pay: $52.65/hour (W2) Join our team and make a meaningful impact by delivering exceptional care...

Position SummaryThe Case Manager is a Registered Nurse who provides case management, education and outreach services telephonically to Medicare members in the Chronic Case Management Program. This position requires licensure as a Registered Nurse...

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...