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MES Solutions is seeking a Registered Nurse (RN) to join our Clinical Quality Assurance team as a Clinical Quality Assurance Coordinator. This 100% remote role focuses on reviewing peer review reports, ensuring evidence-based rationales, and...

CareTalk Health is seeking experienced Registered Nurses to join our fully remote virtual care team. The RN Care Manager will oversee care plans, AWV chart prep, and care coordination across CCM, RPM, RTM, and APCM programs, supporting providers...

Employment Type: Part time Shift: Description: Hours/Schedule: Every Saturday & Sunday 2:00 p.m. 12:30 a.m. EST Home Care & Hospice Virtual Care Center Coordinator Registered Nurse...

Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a...

A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...

Kingman Healthcare Incorporated (KHI)Staff Position Description Position Title: Utilization Review Nurse Position Code: RN-6027 Department: Case Management Safety Sensitive: Yes...

ADP, Inc. is seeking an Outpatient Case Manager to provide intake and case management for members with chronic conditions and related comorbidities. You will develop individualized care plans with the member, caregiver, and PCP, and coordinate...

JOB DESCRIPTION Job Summary Work Location: California - Ability to work remote, but selected candidate must reside in the state of California. This position requires California RN Licensure. Candidates must...

Job Opportunity We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other...

EMD Serono is seeking a RN, Patient Support Specialist - West Coast. You will provide clinical education, product training, and ongoing support to patients and caregivers. The role blends nursing expertise with AI-enabled insights to enhance...

Nurse Case Manager Position Type: Full-Time Contract Role Location: Work from home Work Type: Remote Est. Pay Range: $35.00/hour – $38.46/Hour on W2 (USD) (all inclusive) Schedule: Mon-Fri 8am-5pm EST...

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...

Clinical Appeals Specialist The Clinical Appeals Specialist completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Specialist utilizes...

Job Description Are you ready to bring your clinical competencies to a world-class Medical Group known for the very highest clinical standards? Do you have...

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...

About This Role The Case Management Specialist RN - Oncology works collaboratively with a panel of physicians to manage patients' specialized needs, focusing on assessment and development of care management plans. This role is ideal for...

Join Cedars-Sinai's Inflammatory Bowel Disease Team Make 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...

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

Iris Telehealth is hiring PMHNPs for 100% remote consult-liaison telepsychiatry in Texas. Earn $120/hr with a sign-on bonus, working 13–16 overnight shifts per month, including weekends. Roles require Texas PMHNP licensure, 2 years...

Comagine Health seeks a Consultant to support our Health System Improvement team, with a focus on Long Term Care Facilities. This on-call role provides expert guidance across clinical, operational, public health, and quality improvement domains to...

Job Requirements Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...

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...

Diabetic Specialist Nurse – (Nationwide) Location: London, UK Contract Type: Freelance / Ad Hoc Salary: Competitive hourly rates Are you a passionate and experienced Diabetic Specialist Nurse looking for flexible and rewarding...

Public Health Nurse We are pursuing qualified candidates to fill Public Health Nurse positions within the Department of Public Health. This position provides public health nursing services in a facility or in the field, at the individual,...