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To maximize client savings, the full-time Illinois Licensed Nurse Auditor will remotely review medical bills, ensuring appropriate billing, coding, and treatment while maintaining compliance with fee schedules and identifying erroneous charges.Key...

Referral Authorization Specialist is a full-time position responsible for processing and documenting referral or prior authorization requests, providing customer support for clinical areas and patients.Key ResponsibilitiesOversee data entry and...

New York Licensed Practical Nurse Coordinator is a full-time remote position responsible for managing patient care coordination, communication with healthcare providers, and ensuring high-quality care services.Key ResponsibilitiesComplete...

To support the growth of a mobile IV therapy team, a part-time to full-time Registered Nurse Recruiter will source and recruit qualified nurses, manage talent pipelines, and ensure a positive candidate experience in a remote work environment.Key...

To support clinical research initiatives, the full-time Ohio Licensed Research Nurse will provide patient care, conduct assessments, ensure compliance with regulatory standards, and guide research procedures, with opportunities for flexible...

A company is looking for an RN-to-BSN Academic Advisor.Key ResponsibilitiesServe as the primary advisor for nursing students from onboarding through graduationBuild strong relationships with students to enhance engagement, retention, and program...

RN Clinical Consultant, a full-time remote position, provides clinical expertise in reviewing disability claims, assessing medical conditions, and collaborating with healthcare providers to enhance treatment outcomes.Key ResponsibilitiesReview and...

RN Utilization Review Manager, responsible for overseeing the daily operations of Utilization Management staff in a full-time, salaried position, including team management, performance monitoring, and compliance with regulatory standards.Key...

Providing advanced clinical appeal services, the full-time Remote Clinical Financial Case Manager RN will manage complex patient account denials, conduct clinical reviews, and assist in developing denial prevention strategies while supporting the...

Leading the RN-led Complex Care Management program, the contract-to-hire RN Case Management Director will oversee strategy, clinical workflows, and operational performance in a remote setting, ensuring adherence to NCQA standards and driving...

Managing project-related activities, the full-time Operations Manager - Medical will oversee medical and non-medical appeals decisions, develop standardized project information sharing methods, and facilitate team meetings while working remotely...

Providing clinical review support on an as-needed basis, the part-time PRN Clinical Review Specialist will review medical records for medical necessity, level of care, and authorization compliance while ensuring timely appeal submissions and...

Evaluating and managing catastrophic episodes of illness, the full-time remote South Carolina Licensed Stop Loss RN will facilitate cost estimates for underwriting, consult on claims, and provide case management oversight.Key...

Collaborating closely with the Chief Nursing Officer, the full-time remote Associate Chief Nursing Officer will lead nursing operations, manage a team of nurses, and assist in AI product development to ensure high-quality patient interactions and...

Kansas Licensed PMHNP, this position offers a fully remote, contract role focused on tele-psychiatry with flexible scheduling and minimal administrative duties.Key ResponsibilitiesProvide tele-psychiatry services to patientsManage patient intake...

Providing one-on-one education on chronic conditions and wellness, the fully remote Licensed Health Coach LVN will establish health improvement plans and personalized goals for clients while supporting behavior changes to enhance their health...

Providing remote patient monitoring and support, the full-time Telehealth Nurse (LPN/LVN) will conduct regular phone visits to educate members on managing chronic conditions such as hypertension and diabetes while ensuring accurate documentation...

Supporting patient care remotely, the full-time Arizona Licensed RN Call Center will conduct assessments, provide emotional support, and connect patients with community resources while ensuring compliance with healthcare regulations.Key...

Bilingual Nurse Patient Access Specialist (RN), a full-time remote position responsible for facilitating patient access to therapy by conducting benefit investigations, verifying insurance eligibility, and providing ongoing patient support and...

Leading a team of Utilization Management Nurses, the full-time California Licensed Utilization Management Nurse Lead will review inpatient and prior authorization requests, ensuring timely processing and high-quality medical outcomes while working...

Providing advanced clinical appeal services, the full-time Ohio RN Clinical Case Manager will manage complex patient account denials, perform clinical reviews, and assist in the development of denial prevention strategies while working...

Seeking a part-time Licensed Peer Reviewer to work remotely in the United States, who will review medical records for standard of care determinations and provide quality improvement recommendations based on clinical expertise in an outpatient...

To support a growing healthcare service, the full-time LPN Care Coordinator (Spanish) will manage inbound clinical phone calls from patients, assist in triaging clinical issues, and engage with patients through various communication channels in a...

To support nursing staff in a remote capacity, the full-time Pennsylvania Licensed Assistant Nursing Manager will provide on-call support, oversee performance management, and ensure continuity of care while working from home during scheduled hours...

Seeking a remote California RN/LVN Utilization Management professional, the full-time nurse will review prior authorization requests for medical necessity across inpatient and outpatient services, applying CMS guidelines and Milliman Care...