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CVS Health is seeking an Oncology Nurse Consultant (RN) for a 100% remote role spanning the contiguous U.S. You will lead clinical care coordination and utilization management within the Oncology Care Model, guiding members through diagnosis,...

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...

Utilization Review Nurse - RN | 100% Remote | Part-Time10-20 Hours Per Week | Flexible Schedule | Evenings & WeekendsLooking for a way to use your nursing experience without returning to a full-time bedside schedule?We're seeking an experienced...

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...

Cunningham Children's Home is seeking a Nurse Case Manager to support youth in emotional, psychological, and physical care within residential settings. The position emphasizes remote on-call consultations to ensure accessibility without mandatory...

PIH Health in Los Angeles provides timely and effective patient care under the supervision of licensed team members. The CNA helps maintain a safe, clean environment to enhance department operations and delivers patient care aligned with...

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...

GeBBS Consulting is seeking experienced Medical Record Retrievers/Clinical Record Reviewers to support HEDIS retrospective projects. You will retrieve, abstract, and perform over-reads of medical records via fax, email, or phone, with some onsite...

Netsmart Technologies, Inc. is seeking a Registered Nurse with utilization management experience to review ED admissions and apply InterQual/MCG criteria for medical necessity. You will discuss documentation with ED physicians and ensure proper...

Description Virtual coordination role to support front line clinical staff in care of patients receiving care in the home setting. Serve as an extension to front line staff in patient care logistics management including admission...

Ferry County Health is seeking a Utilization Review Nurse (PRN) to review medical records and treatment plans, ensuring appropriate, cost-efficient care. This role includes coordinating discharges, reviewing authorizations, and serving as care...

Registered Nurse - Compliance Partner Salary: $110,000 to $120,000 annually, DOE. Location: This is a field-based position that requires regular travel to assigned facilities. Candidates must live within close proximity to a major airport...

Herzing University's Online Division seeks a part-time nursing faculty member to support graduate nursing and nursing education programs. Faculty will teach online didactic and clinical content, with compensation per credit and per clinical...

This position is offered fully Home based (Remote) As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing healthcare. At UBC we...

Details Client Name Norris Healthcare Consultation Center HC3 Job Type Travel Offering Nursing Profession Nursing...

Hospice Care CoordinatorEvaluates patients referred to the Organization; identifies insurance coverage, plans, and coordinates referrals for hospice care services. Provides General Inpatient (GIP) Start of Care and daily visits for Torrance...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

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...

Guardian Life is seeking an RN Clinical Consultant to support disability claim evaluations, assessing medical data and functional capacity. You will collaborate with providers and claims teams to influence outcomes and return-to-work decisions.

Cincinnati Children's is seeking a Registered Nurse for the After Hours Helpline. This remote, full-time role operates when offices are closed from 4:30PM to 9:00AM, with MON-FRI and 24/7 weekend coverage, including holiday rotation. The...

Connect with customers via phone, email, chat, or social media to resolve their questions or concerns.Calmly resolve and de-escalate any issues while escalating interactions when necessary.Track all call-related information for auditing and...

NK Consultancy LLC in California is seeking a Registered Nurse (RN) Field Case Manager for Workers' Compensation. This field-based role coordinates medical care and advocates for injured workers, helping them safely navigate recovery and return to...

A leading health care provider is seeking a Massachusetts Telehealth Nurse to assist patients in accessing care through phone consultations. Candidates must have a valid RN license in Massachusetts and 3+ years of clinical experience. The ideal...

The Ohio State University is seeking a Staff Nurse (RN) for Oncology Continuing Care Triage. This remote phone triage role handles oncology patient calls, performs initial assessments, and uses triage algorithms to guide care. The nurse documents...

Nurse Practitioner The Nurse Practitioner within the Nurse-Led Outreach Team (NLOT) program utilizes advanced practice nursing expertise to provide comprehensive clinical care. This includes advanced assessment, diagnosis, and treatment,...