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Responsibilities SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

Integra Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA-compliant UM program for DMEPOS. The role collaborates with our Medical Director to assess benefit and medical...

Registered Nurse Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Part-Time Shift: Evenings Job Description Join a team that's shaping the...

Seasoned Recruitment is seeking a Board-Certified PMHNP-BC contractor to reclaim clinical autonomy through our telehealth network. As a 1099 contractor, you control when and where you work while we handle credentialing, billing, and insurance...

Contract – W2 Behavioral Health Registered Nurse (RN) Job Location: Asheville, North Carolina Start Date: August 24, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1477.75 – $1572.75 Duration: 13 weeks Specialty:...

Actalent is seeking an LVN Nurse Consultant for a fully remote telephonic nursing position. You will contact patients or caregivers to ensure adherence to prescribed therapies and address issues they may encounter, including nursing home...

Cleveland Clinic Home Care Services seeks an LPN to provide nurse-led care in patients' homes across West-Cuyahoga and Lorain County. You will visit approximately six patients daily, administer medications, and coordinate with RNs to ensure safe...

Psych Health Associates seeks a Remote Behavioral Health Coordinator (BHC) for its Post-Acute Care program. This full-time, fully remote role requires MA, LPN, or RN licensure, and entails census monitoring, enrollment and consent management, and...

Manage CMS and State Administering Agency audits for PACE compliance.Ensure audit readiness and serve as point with audit teams.Champion compliance culture across the organization.Key Responsibilities:Monitor audit universe data and review...

Position SummaryThe Case Manager is a Registered Nurse who provides case management, education and outreach services telephonically to Medicare members in the Chronic Case Management Program. This position requires licensure as a Registered Nurse...

Description: FAMILY NURSE PRACTITIONER JOB SUMMARY Provides continuous and comprehensive services necessary for the promotion of optimal health, prevention and treatment, in an underserved community clinic. To perform a variety of advanced clinical...

The Columbus Organization is hiring a Clinical Intake Specialist-LPN to act as the primary contact for individuals with complex care needs. You will conduct initial visits, perform needs assessments, and coordinate care with the Case Manager to...

Job DescriptionRegistered Nurse (RN) Care Management Specialist Location: Remote- Onsite for Training (Must reside within 2 hours of Columbia, SC) Pay Rate: $30/hour ScheduleMonday through...

A dedicated medical practice is seeking an experienced Remote LPN/LVN to support patients in Chronic Care Management and Remote Patient Monitoring programs. The role includes conducting phone consultations, documenting findings, and ensuring...

Family Practice Center PC is seeking a Home Team Nurse (LPN) for a full or part-time, home-based nursing position. Candidate must live in Central Pennsylvania and hold a PA license. Clinic experience is preferred. The role involves TOC nursing,...

Crawford & Company is seeking an experienced RN Telephonic Case Manager to work remotely providing case management services for patients and employees. You will navigate their healthcare journeys, align with URAC standards, CMSA Standards of...

Registered Nurse – Care Management (Remote) (Day Schedule) United States Job Title: Registered Nurse – Care Management (Day Schedule) Location: 100% Remote - United States Employment...

Care Management Coordinator/RNLocation: 100% Remote Duration: 3+ Months (FT conversion)This is a Utilization Management RN part time position - working every other weekend (2 days a week in a 2 week cycle). Must be available M-F 8:30-4:30pm for...

Greenlife Healthcare Staffing, Inc. seeks a Behavioral Health Subject Matter Expert (BH SME) for a 1099 contract in Jericho, NY. This part-time role (20 hours/week) offers remote work with occasional on-site visits and a competitive...

Come lead with us at Houston Methodist Specialty Physician GroupAt 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,...

Remote — work from anywhere. This is a part-time telehealth role; an active California Nurse Practitioner license is required. About Nolia Health Founded in Seattle, Washington, Nolia is a healthcare company dedicated to providing personalized,...

U.S. Army Perioperative Nurses ensure the proper care and safety of our nation's heroes throughout the surgical journey. If your goal is to be part of a fine-tuned surgical team, the U.S. Army can offer you a fulfilling career as a Perioperative...

Job Description Job Description Nurse Practitioner (FNP-C) — Midwest Healthcare & Wellness Location: 625 E Russell Ave, Suite D, Warrensburg, MO 64093 Job Type: Full-Time or Part-Time — Weekend Availability Required (Remote, Per-Visit...

AmTrust Financial Services Inc. is seeking a Telephonic Medical Case Manager, RN, to deliver comprehensive remote case management in Texas. You will drive medically appropriate return-to-work through collaboration with injured employees, providers...

Remote Registered Nurse – Clinical Review Fully Remote | $48–$65/hr | Monday–Friday, 9:00 AM–6:00 PM ET Medix is supporting a healthcare technology organization that is adding...