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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...

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...

Pulse Clinical Alliance is hiring a Behavioral Health- Registered Nurse in Sylmar, CA Job Details: Contract: 13 weeks Pay Rate: $84/hr...

Job Description Job Description We're hiring for Primary Care Chronic Care Managers. EDUCATION/EXPERIENCE REQUIRED: QUALIFICATIONS: Active LPN license (compact) Two (2) years of prior long-term care service coordination, care delivery monitoring...

Medica is seeking a Remote RN Care Coordinator to support Minnesota members with home-based assessments and telephonic care coordination. You will develop individualized care plans, coordinate services, and educate members on Medicare/Medicaid...

CNA (Certified Nursing Assistant)Duration: 13 weeksShift: Day Shift - 8 Hours Shift -(4 Evenings, 4 Nights)Job description:Client/LA County- Los Angeles General Medical Center is currently in need of Certified Nursing Attendants (CNA) with a...

Oscar Health is seeking a Utilization Review Nurse to join our team. You will review cases, verify medical records, and consult with care providers to assess treatment appropriateness using Oscar Clinical Guidelines, MCG, and InterQual. The...

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...

Field Based Nurse Case Manager – RN OHARA, LLC has an opening for a full-time Field Based Nurse Case Manager in the Kansas City, MO area. We are driven to facilitate prompt delivery of quality, cost-effective health care to...

Job Description Job Description Salary: $45 per vst Home Health | Hospice | Caregiving | Pharmacy | Transportation | Remote Patient Monitoring | Primary Care | Podiatry | Mobile Physician At Billet Health, we believe exceptional care starts with...

Centene Corporation seeks an experienced nursing leader to direct long-term care management for members with complex health needs. The role oversees RN managers, drives data-informed care strategies, and ensures NCQA-aligned policies across a...

Humana, in partnership with Inclusa, is seeking a Nurse Care Manager to support Wisconsin Family Care members. This role offers a Monday–Friday schedule, remote work from home with up to 40% travel to member sites, and comprehensive care...

National Care Advisors seeks a Nurse Case Manager based in Portland to oversee case management for special needs and eldercare, coordinating with families, attorneys, financial planners, and trustees to improve quality of life. The role requires...

Baptist Health is seeking a remote Clinical Documentation Specialist to evaluate physician documentation and ensure accurate illness severity portrayal for coding precision. The role requires an active Kentucky license and involves guiding...

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,...

Nursing Support (NS) IV Purpose: Work Remote Position The Nursing Support (NS) colleague (uncertified, certified, unlicensed, or licensed) provides safe, quality health care services & / or assistance to patients under the...

Gabbi, Inc. is seeking a Nurse Practitioner licensed in Indiana to join our all-remote clinical team. You will deliver new patient consults and follow-up visits via secure video, own patient follow-up, and order imaging and genetic testing when...

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...

Oscar Health is hiring a Senior Clinical Quality Nurse to lead clinical performance through quality audits and care review processes. You will mentor peers and implement audit programs aligned with departmental goals and regulatory requirements.

Leading MLTC in the NY area is seeking experienced REMOTE Care Managers CANDIDATES MUST RESIDE IN THE METROPOLITAN NEW YORK ARE Responsibilities Perform assessments of members' medical, psychosocial, physical and spiritual...

*** Modified schedule requests cannot be accommodated *** Required Qualifications: • 1+ years of experience in an outpatient clinic/ambulatory setting • Strong Ortho experience • CA RN License - no temp or pending • BLS (AHA or ARC only)...

Support, Inc. is seeking a Nursing Coordinator/Registered Nurse to oversee medical care for individuals with intellectual and developmental disabilities. You will coordinate with physicians and interdisciplinary teams to promote health...

Job Description Legacy Healing Detox is seeking Staff Nurses. Nurses will be responsible for all nursing related services for each patient. The nurse participates in the Interdisciplinary Team Meetings to inform the clinical...

Details Client Name Providence Health & Services, Southern California Job Type Travel Offering Nursing Profession RN...

Kaplan North America is seeking Master's prepared nurses to join our Southeast Regional travel teaching team. You will travel to multiple locations across the United States to deliver NCLEX preparation sessions and mentor future nurses.