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Utilization Management Nurse Consultant 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...

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...

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...

Boost Home Healthcare is seeking a Field Registered Nurse to administer skilled nursing care to patients in their homes, following physician orders and the plan of care under supervision. The role emphasizes promoting independence and quality of...

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...

$15K Sign-On Bonus | Compensation: $120/hr (1099) | W-2 Employment Opportunities AvailableOnly PMHNPs with 2 years of consult-liaison clinical telehealth experience post PMHNP-BC will be considered for this opportunity.Are you a Psychiatric Nurse...

Clinical Trial Nurse/Nurse Navigator Classification: Temporary Contract January 2027 – September 2027 - Start Date: January 2027 Location: Remote, South Atlantic region, DMV, South Carolina preferred - Salary: $86.50/hr 13/hrs...

Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for...

Humana Inc. is seeking a Telephonic Nurse Care Manager to assess and coordinate care for members remotely in South Carolina. This role emphasizes telephonic assessments, care planning, education, and resource coordination to support optimal...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Part Time Southborough, MA, US Salary Range: $38.00 To $40.00...

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

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.

PurposeMed Inc. is seeking a compassionate Registered Nurse to deliver high-quality, virtual sexual health care across the United States. This independent contractor role focuses on PrEP and HIV prevention, with a mix of live consultations and...

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...

RN Case Manager Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. Partners with medical staff, utilizes scientific evidence...

PURPOSE: Provide nursing care to patients/families by utilizing the nursing process via the telephone for all patients. $5,000 Sign on Bonus! ESSENTIAL DUTIES AND RESPONSIBILITIES: Delivers care to patients...

Job Title Real Job *Works with any department, if a patient complaint arises* *Experience in Critical Care or ED is a plus* *Weekends will not typically be required unless survey is on site* *2 years experience required, hard stop* *First...

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We...

Summit provides independent insurance agents and their clients with market-leading workers' comp insurance and elite customer service. We're growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South,...

Sanford Health Careers Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility:...

Point32Health is seeking an Outpatient Clinician RN Reviewer to manage a clinically complex caseload, determine medical necessity and benefit coverage for members. You can work independently and with a team in a remote MA setting, with a focus on...

Optum is seeking a Clinical Consultant RN, Medical Policy Writer for a remote role within the United States. You will lead clinical oversight of product medical policies, develop utilization guidelines, and support COE network criteria. The...

Job Brief 1 Opening Pay Range: CLINICAL RN- $51.31 to $78.76 Your Work Here Matters. Your Career Here Thrives. Imagine coming to work every day knowing that what you do genuinely...

Clinical Care ManagerAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build...

JOB DESCRIPTION This RN will act as a Care Manager supporting our Michigan Medicaid members, identified with complex medical needs. The Medicaid Care Manager will support them to ensure a successful health outcomes. The position includes...