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Prolific is seeking Registered Nurses to join its Expert Network to train and evaluate AI models. In this role, you will review clinical scenarios, rate accuracy and safety, and provide feedback to improve model performance. This is a flexible,...

Yoh is seeking a Utilization Management Nurse Coordinator (RN or LVN) for a 6+ month remote contract with a managed care client based in Northern California. Training occurs onsite in Fairfield or Redding for three weeks, then transitions to fully...

Job ID: 33380 *Description*There's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also enjoying the positive,...

Sedgwick is recruiting for a US Telecommuter RN Telephonic Case Manager. The role focuses on coordinating medical services, advocating for injured employees, and facilitating recovery and return to work through telephonic case management.

Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...

Clinical Nurse Consultant At Bristol Myers Squibb, our employees often ask, "Who are you working for?"—a question that fuels collaboration, accountability, and urgency in our work. Our purpose-driven culture inspires us to discover,...

A leading healthcare provider in Columbia, Illinois is seeking an RN Supervisor for the Patient Access Center, focusing on evening shifts. The role demands strong clinical judgment and communication skills to optimize patient admissions and...

Inland Empire Health Plan in California seeks an LVN-validated Claims Review Nurse to audit medical necessity across inpatient and outpatient claims and support the UM/Claims interface. You will analyze records, determine authorization needs, and...

Continuing Care Coordinator RN Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit...

WebTPA, a GuideWell Company, seeks an experienced RN Case Manager to create, implement, and monitor treatment plans for members. You will coordinate care with health professionals, assess needs, and ensure evidence-based, cost-conscious plans.

A healthcare quality organization is seeking a Nurse Reviewer to support Medical Review Services. The role involves conducting detailed medical necessity reviews for Medicaid claims in a remote work setting. Candidates should have a BSN with...

Humana Inc. in CenterWell Home Health is seeking a Telephonic RN Care Manager to support patients transitioning across post-acute services. This remote role reports to the Manager, Care Management and requires strong clinical judgment and...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

Behavioral Health RN Case Manager Blue Ridge Health is currently seeking a Behavioral Health RN Case Manager to be part of our Assertive Community Treatment Team (ACTT). What We Offer You: A competitive benefits plan,...

Thriveworks is currently seeking Psychiatric Mental Health Nurse Practitioners in Louisiana. Clinicians need to be licensed and living in the state in which they will be practicing. Compensation: This is a Fee for Service (W2) position, the range for...

Interventional Radiology RN This position is for an Interventional Radiology Registered Nurse. The role requires experience in an acute care setting. The ideal candidate must be able to work both day shifts and provide on-call coverage.

Optumcare Medical Behavioral Integration Nurse Case Manager (MBI NCM) For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum...

Avardis Health Management is seeking a PRN RN Case Manager to lead patient care journeys from a home-based setting, with the flexibility of remote work. You will collaborate with a high-energy team to improve outcomes, access to care, and cost...

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...

Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical,...

Description Current staff, faculty/adjunct at Herzing University: log into UKGand navigate to Menu > Myself>My Company > View Opportunities to apply using the internal application process. To participate in a remote work...

Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental...

Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...

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...

Humana is seeking a Utilization Management Nurse to support coordination, documentation, and communication of medical services and benefit determinations. This role suits experienced nurses who can work independently and make critical patient-care...