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About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors...

Vail Health is seeking a Triage Nurse (Remote) to perform care coordination and triage nursing functions. You will assess patient health concerns using protocols and support triage via calls and patient portal messages. Responsibilities...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Tennova Healthcare- Turkey Creek Medical Center is seeking a PRN Remote Clinical Utilization Review Specialist to evaluate the necessity and efficiency of hospital services and to support payer requirements. You will review admissions and...

Are you an experienced MDS nurse who enjoys solving problems, supporting teams, and making an impact across different skilled nursing environments? Health Dimensions Group (HDG)—a nationally respected leader in senior care consulting and...

We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over the phone wit professionalism and empathy. You will help...

*Job Summary and Responsibilities* As our surgical services nurse at Glendale Memorial Medical Center you will prepare patients for surgical procedures and assist in the operating room to ensure they receive excellent nursing when they are at...

Are you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional nurses & offering...

SCAN Health Plan in Long Beach, CA is seeking a HEDIS Nurse for a temporary, remote role. You will review medical records for NCQA-guided quality initiatives and perform member outreach. The position requires RN or LVN license, an associate degree...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

Everlywell is a digital health company pioneering the next generation of biomarker intelligence-combining AI-powered technology with human insight to deliver personalized, actionable health answers. We transform complex biomarker data into...

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...

Asure Wound Solutions is seeking a Clinical Specialist, Wound Care Supplies to join our team in a remote role based in the Brooklyn area. The position requires experience in nursing homes or long-term care facilities and a strong wound care...

Department: Claims Administration & Adjusting Location: Home United States Description Our Story Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North...

Description Location: UCHealth Pain Management Centerra - Loveland, CO Department: Pain Management Work Schedule: Full Time, 64.00 hours per pay period (2 weeks) Shift: Days Pay: $33.61 - $52.10 / hour. Pay is dependent on applicant's relevant...

Clinical Claim Review Nurse 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...

Our Story Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier...

NorthLakes Community Clinic is seeking a Remote RN, Triage, to provide phone-based triage and health advice using evidence-based protocols. You will process prescription refills and coordinate care to reduce unnecessary ER visits. The role...

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.

Sentara Health is seeking a part-time Registered Nurse for a physician practice/ambulatory clinic, with remote work options. The RN will assess patients, assist with procedures, administer meds and vaccines, and coordinate care across the care...

Munson Healthcare seeks a Behavioral Health Care Manager/Nurse Navigator for the South Region AMB Clinics. The role is primarily remote with some travel to clinic sites and meetings, Monday–Friday, 8 AM–5 PM, 40 hours per week. The BHCM...

Capitol Bridge LLC is seeking a Claims Review Nurse to support the Florida Statewide Health Plan CDR program and other state IRO programs. The role involves assessing documentation, coordinating with clinical reviewers, and drafting determinations...

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

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.

A healthcare solutions company is seeking a remote Case Management Nurse to lead a multidisciplinary team providing holistic care. The role requires a compact RN license and offers a pay range of $37.00/hr - $39.00/hr. Candidates should have 3...