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Hines & Associates, Inc. seeks a Registered Nurse reviewer to assess patient conditions and certify treatments according to URAC and applicable regulations. The role emphasizes clinical judgment, documentation, and collaboration with case managers...

Care Manager (RN) Remote (WA Pref) Must Have Compact Licensure WA, United States and 1 more Job Description Molina Healthcare is hiring a remote RN Care Manager. Preference for candidates in Washington State. This role...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

Elevance Health is seeking a HEDIS Medical Record Review Project Nurse to support HEDIS data collection and quality review. This is a virtual, full-time role with required in-person training sessions; candidates must reside in Florida and be able...

Full-time Company Description WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare...

Explore job opportunities at Howard Head Sports Medicine. Clinic Scheduler- PRN | Remote New Schedule Schedule PRN / Pool Shift Days Details Company Colorado Mountain Medical Location Remote Category...

Western Reserve Area Agency on Aging in North Olmsted, OH is seeking an LPN Community Resource Consultant to assess consumer needs and determine eligibility for WRAAA programs. The role involves educating clients and coordinating with caregivers...

River Valley Child Development Services Inc seeks a Child Care Nurse Health Consultant to provide technical assistance and develop trainings on health, safety, and nutrition for childcare providers in WV. This exempt, full-time role offers remote...

UCLA Health Quality Improvement RoleTake on a key role within an award-winning health system. Help improve patient experiences as part of a world-class healthcare team. Take your career in an exciting new direction. You can do all this and more at...

CorVel Corporation seeks a Nurse Trainer to develop and revise training materials for nursing staff in a clinical setting. You will organize curricula, assess effectiveness, and ensure new hires complete training and QA reviews. The role is...

New York Spine and Wellness is seeking a Registered Nurse for remote phone triage. You will provide nursing care to patients by applying the nursing process over the phone, supporting providers and families. Ideal candidates hold an RN...

Optum Home & Community Care, part of the UnitedHealth Group 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...

Pomelo Care is a leading virtual medical practice for women and children, delivering 24/7 perinatal and maternal health services nationwide. This role supports initial intake and crisis consultation, reporting to the Behavioral Health Lead, and is...

Review claims files to detect potentially fraudulent billing practices.Use medical terminology and coding to assess payment appropriateness.Write investigative summary reports and provide expert testimony.Requirements:Active RN license and 2+...

Job Reference: W33VWXWW Prestige Workforce Solutions is partnering with a fast-growing healthcare technology company to identify experienced Telehealth Nurse Practitioners for a fully remote opportunity. This role is ideal for clinicians who...

Compensation: $85,000 – $92,000 Hourly Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (typically 1st shift) CLIENT NOTES / EXPECTATIONS Candidates must meet required AND...

hackajob is collaborating with Oracle to connect them with exceptional professionals for this role. About the team Responsible for driving the client through the design of clinical and business processes, solution and technology workflow, and...

POSITION SUMMARY Under the supervision of the Vice President of Patient Care Services/ACNO, the lead wound care nurse will serve as a clinical resource to MLKCH staff on issues pertaining to patients with wounds, pressure...

Prolific is recruiting Registered Nurses to train and evaluate AI models. You may be invited to join as a Domain Expert participant and get paid for AI tasks. You'll complete a quick test to assess your skills and suitability, with flexible,...

Archimedes is seeking an RN Case Manager for Telehealth to improve member health via tele-pharmacy. You will lead clinical outreach, develop resources, and oversee programs in collaboration with the team. The role supports coordination with...

Job ID:26-134888 Job Title: Licensed Vocational Nurse Position Type: Full-Time Contract Role Location:Fully Remote Work Type: Work from Home Est. Pay Range: $25.00/Hour to $28.00/Hour on W2 (USD) Schedule: 8-hour shift Monday to Friday anywhere...

Nurse Practitioner PRNAt Houston Methodist, the Nurse Practitioner PRN position is responsible for functioning as a licensed registered nurse and care provider to provide all aspects of patient care, including diagnosis, treatment and consultation...

Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make...

Central California Alliance for Health is seeking a Prior Authorizations Nurse (RN) for a temporary, full-time role. This remote-in-California position reports to the Utilization Management Supervisor and involves ensuring PA requests comply with...

Harborview Medical Center is seeking a Tele Forensic Nurse Examiner (TFE) for the FNE/SANE Program. This fully remote role supports forensic examinations across Washington State, with case reviews and QA meetings on a regular cadence. The...