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Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make...

Job Summary and Responsibilities As our RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient...

Requisition number: 2387213 Job category: Nursing Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team...

Job Tittle: Healthcare - Clinical Appeals Nurse (RN) Location: Location: Remote - Must reside in **AZ, FL, GA, ID, IA, KY, MI, MS, NE, NM, NY (outside Greater NYC), OH, SC, TX, UT, WA (outside Greater...

LVN Locations: Los Angeles, California Job Category: Nursing Support Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the future of...

AlliedTech1 is seeking a RN Clinical Documentation Integrity Specialist to work remotely in the United States. The role focuses on ensuring that clinical documentation meets quality and regulatory standards and supports accurate coding and...

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.

Valkyrie Clinical Trials (VCT), a Flourish Research Company, is a leading Oncology multi-site clinical research network with expertise in Oncology research. VCT approaches clinical research with a deep sense of humanity, compassion,...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

Overview Position requires 6 months of in-office training prior to being remote. The office is located in Champaign, IL The Patient Advisory team is the first point of contact for our immediate and extended communities, PAN RN's are the key to...

Explore a World of Opportunity with the State of Georgia! We are the force that drives Georgia! Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of...

Utilization Management Nurse – Physical Health Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health...

Centene Corporation is seeking a remote healthcare professional in Missouri to coordinate care management for members, develop personalized care plans, and educate families on benefits and services. The role supports children with elevated blood...

Clinical Support Nurse The Clinical Support Nurse will provide essential clinical and administrative support to a remote healthcare team during weekends, holidays, and periods of increased patient volume. You will help ensure laboratory...

Alliance Liaison If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where...

JOB DESCRIPTION Opportunity in Southern California for an experienced Managed Care Leader to join our health plan in California. Candidates must have a minimum of 7 years of healthcare experience, 3 of those should be with a Managed Care...

Registered Nurse (RN) – Remote Care Management & Coordination Location: remote Job type: Contract Job Summary: The Registered Nurse (RN) plays a critical role in delivering remote patient support, care management, and care...

Public Health Nurse The County of Los Angeles Department of Public Health is seeking qualified candidates to fill emergency Public Health Nurse vacancies related to the homelessness crisis. Under the emergency order, applicants who...

A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities...

About This Role The Case Management Utilization RN works collaboratively with physicians to coordinate patient admissions and continued stays, ensuring appropriate levels of care. This role is ideal for experienced nurses who excel in a fast-paced...

Job Title: Registered Nurse (Vaccination Support) Location: Multiple Locations across North Carolina Estimated Length of Assignment: 3+ Months (The dates provided are only an estimate and...

Registered Nurse Navigator - Cancer Center Exams - 10 Hour Days Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally...

Job Description WHAT YOU'LL DO As an admissions nurse at VITAS Healthcare, you will be the first face of hospice for patients and families. Your meeting will likely be the first time they...

AFC Urgent Care Portland/Vancouver is seeking a part-time Family Nurse Practitioner (FNP) for telehealth urgent care in a remote-capable role. The position offers monthly bonuses, remote work after on-site training, malpractice insurance, and...

Greenlife Healthcare Staffing is seeking a Registered Nurse Clinical Reviewer for a remote, full-time role with a nonprofit client in New York. The RN should have 1–3 years in utilization review, appeals, and prior authorization and be...