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Apploi is seeking an experienced MDS Resource nurse to support facilities across Kansas, including near Kansas City, Overland Park, and Topeka. This remote consultant will visit facilities for in-person support as needed and lead organization-wide...

JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state. Three of the positions are open to RNs with at least two years of experience in in Behavioral Health or Substance...

Customer Success Nurse Consultant The Customer Success Nurse Consultant (CSNC) is responsible for driving post-implementation success for ICU Medical's infusion technologies through clinical expertise, data-driven consulting, and...

ChartSpan seeks a motivated LPN/LVN to join as an inbound personal care coordinator in a fully remote, full-time role. You will handle clinical calls, triage needs, and support patient engagement from home, with equipment provided. This...

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...

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...

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...

Job Description Job Summary Provides support for clinical facility site reviews. Under the supervision of leadership, uses clinical judgement within appropriate scope to independently conduct reviews...

Infection Preventionist Nurse - Acute Care is an exciting opportunity to lead infection prevention initiatives at a respected Southern California medical center. The Infection Preventionist Nurse - Acute Care will advance patient...

Health Care Service Corporation seeks a Quality of Care (QOC) Nurse to review and investigate potential quality of care issues in a timely manner. This role supports QA activities in line with CMS and NCQA requirements, under the supervision of...

Guardian Life is seeking an RN Clinical Consultant to evaluate disability claims, analyze medical information, and provide clinical guidance for claim decisions. You will collaborate with providers, claimants, and vocational specialists to support...

The Lupus Foundation of America is seeking a Clinical Trial Nurse/Nurse Navigator to support lupus trials as a contractor. This role links patient education, screening, enrollment, and ongoing support with academic centers, focusing on...

Humana is seeking a dedicated Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations. You will work remotely, interfacing with providers and members to ensure appropriate care. A...

Jobgether SRL is seeking a part-time remote clinical support professional to assist a Canada-wide healthcare team. You will provide essential clinical and administrative support across Canada, coordinating with laboratories, pharmacies, referrals,...

Registered Nurse The registered nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community...

Elevate Healthcare seeks a Director of Nursing Practice & Workforce Solutions to lead Clinical Educators supporting Elevate Learning Institute and drive clinical credibility, customer engagement, and growth. Reporting to the Chief Nursing Officer,...

Regional Nurse Consultant (RN) - Assisted Living Americare Senior Living is seeking an experienced Regional Nurse Consultant (RN) to support our Assisted Living communities...

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...

OverviewAs our Educator, RN in Periop, you will serve as a consultant/resource professional by providing staff development expertise as an educator, facilitator, change agent, leader, and researcher, ensuring educational initiatives are...

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...

The Judge Group seeks a Telehealth Provider to deliver virtual care for Medicare Advantage members. You will conduct wellness visits and remote consultations via phone or video, documenting in the EHR and following CMS telehealth rules.

Case Manager Extended Care Coordinator RN-Per DiemPrimary Location Downey, California Schedule Per Diem Shift Day Salary $77.69 - $95.08 / hour Job Number 1435991 Date Posted 07/22/2026Job Summary: Responsible for the oversight and management of...

Concept Rehab & Engage Consulting is seeking an experienced MDS Nurse (RN) Coordinator for a full-time remote role. You will manage MDS assessments, ensure accurate documentation, and support reimbursement workflows for skilled nursing facilities.

AvonRisk Utilization Review Nurse AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation, liability, managed care, and risk management across 32...

Remote Care Manager (RN) - MUST LIVE IN TEXAS TX, United States Trending Job Description JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state.