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NaphCare, Inc. is seeking an RN Phone Triage Nurse to join our Corporate Headquarters in Birmingham, AL, supporting the Federal Bureau of Prisons Residential Reentry Centers. This role is remote with occasional in-office visits for local...

WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant patient care. The role emphasizes adherence to HIPAA, state and federal regulations, and a...

Company Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage of life.

Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts...

Cabell Huntington Hospital is seeking a casual, as needed Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and...

Physicians East seeks a QEC Pre Procedure Screening Nurse for a part-time remote role based in Greenville, NC. The nurse will review patient charts, screen for procedural eligibility, and coordinate with physicians to ensure proper evaluation and...

Nascentia Health is seeking a Care Manager for a remote role Monday–Friday, 8:00 AM–4:30 PM, offering a $15,000 sign-on. You will develop Person-Centered Service Plans, coordinate services, and document care across health plans, working with a...

Research Nurse (Per Diem) - Greater Portland, OR areaIllingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile research...

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...

HealthEdge is seeking a USRN Utilization Management Associate III to perform prospective, concurrent, and retrospective reviews across inpatient and outpatient services, ensuring medical necessity and appropriate care. The role requires a current...

Cambia Health is hiring a Payment Integrity Nurse I to work remotely from Oregon, Washington, Idaho, Utah, or North Dakota. You will apply nursing expertise to ensure accurate reimbursement and maintain compliance with medical policies. The...

RN - Quality & Safety Improvement Consultant V, Patient SafetyOnsiteDowney, CATravel: Yes, 10 % of the TimePatient Safety Officer RN in acute care hospital setting. You will attend national safety goal monitoring committees, sit on nursing...

ExamWorks is seeking a self-driven RN or LPN to join our team as a Clinical Quality Assurance Coordinator. This 100% remote role supports peer review reports, ensuring high quality, evidence-based rationales, and compliance with client...

MaziCTools is seeking a Freelance Utilization Management Nurse Consultant to work remotely in the United States. This full-time role requires an active RN licensure and 3+ years of clinical experience. Responsibilities include assessing healthcare...

About This Role The Case Manager Extended Care Coordinator RN is responsible for overseeing and managing skilled patients in rehabilitation at contracted Skilled Nursing facilities. This role is ideal for those who excel in coordinating...

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 will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...

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,...

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...

IQVIA seeks a Flex Nurse Educator to support patient care remotely and in-field, ensuring continuity during staff absences and territory vacancies. The role emphasizes non-clinical, educational interaction to empower patients in disease management...

Army Public Health Nurse Job Overview As an Army Public Health Nurse, you'll assess health risks and implement programs to monitor the spread of disease. You'll promote wellness for Soldiers and their families while also informing policy and...

JOB DESCRIPTION AND POSITION REQUIREMENTSShape the next generation of forensic nursing, one exam at a time. SAFE-T System, within Penn State's Ross and Carol Nese College of Nursing, is seeking highly-skilled Sexual Assault Nurse...

Admissions RN Bristol Hospice Greater LA, CA - Lakewood, CA 90712 Overview Salary Range $55.00 - $58.00 Hourly Position Type FT Hourly Job Shift Any Description Do you enjoy being at the beginning of the...

Atrius Health, part of the Optum family, seeks a Registered Nurse to deliver effective care within a specialty, adhering to nursing standards. The role emphasizes education, care coordination, and EMR documentation, with remote work flexibility...

Clinical Nurse Professional Development Educator Advanced How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At...

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 of care. Join us to start Caring. Connecting. Growing...