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WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant patient care. The role emphasizes adherence to HIPAA, state and federal regulations, and a...

Nurse Care Manager - Telephonic (Local Remote) Tandigm Health, a transformational leader in population health management, is looking for a Nurse Care Manager - Telephonic in the greater Philadelphia area. We offer a competitive...

At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system. We believe the pristine beauty...

Nurse Practitioner Opportunity We're seeking board certified Nurse Practitioners that are multi licensed with broad clinical expertise and a passion for improving healthcare access and quality. In this role, you'll deliver virtual...

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

Nurse Practitioners Integrated Health 21 (IH21) is a leading provider of worksite wellness programs, including biometric screenings and vaccination clinics across the continental United States. Headquartered in Pittsburgh, PA with offices...

Remote RN Utilization Review Join a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all units/staff (commercial, behavioral health,...

Agency Dept of Health and Human Services Division Health Service Regulation Job Classification Title Nurse Consultant I (NS) Position Number 60054107 Grade MH16...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

Job Description Registered Nurse (RN) - Downey,CA Local Pay: $52.65/hour (W2) Join our team and make a meaningful impact by delivering exceptional care...

MultiCare Health System, Inc. is seeking a Clinical Documentation Specialist RN (Full-time, remote) to enhance documentation quality and ensure proper reimbursement across the patient care continuum. The role requires coordinating with...

Awarded 'Great Place to Work' ™ Certification Once Again! Behind every award is a story, and ours is written every day by more than 900 dedicated employees and hundreds of compassionate volunteers who walk alongside...

(Only QUALIFIED Healthcare Professionals accepted) Nurse Practitioner Telemedicine - Nurse Practitioner New Haven CT (Remote) 100% Telehealth |$160K to ~$200K | Flexible Schedule | Work from Home Are you a Nurse Practitioner looking for a...

Job Title: Nurse, Clinical Medical Review Location: Columbia, MD (Primarily remote, but hybrid) Duration: 6 Months Contract PURPOSE: We are seeking a qualified RN or LPN with experience supporting HEDIS reporting and abstraction processes in a...

A healthcare organization is seeking a compassionate Family Medicine or Adult/Gerontology Nurse Practitioner to join their PRN telehealth team. This remote role allows for flexible scheduling and focuses on providing meaningful care to underserved...

Registered Nurse Primary Care Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health...

Case Manager Brighton Health Plan Solutions (BHPS) provides Case Management services to its clients. Cases are maintained by Case Managers. The employee reports directly to the Supervisor, Case Management (LCSW). In addition, the role...

Nurse Care Manager The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while...

*Job Summary and Responsibilities* As our Clinical Nurse, you will be a central figure in our patient care team, delivering exceptional, compassionate care that truly makes a difference in our patients' lives. Every day you will collaborate...

ISYS Solutions Inc. is seeking a Telephonic Case Manager - RN (remote) to provide workers' compensation case management from Augusta or surrounding areas. You will coordinate care, communicate with providers, insurers and attorneys, and document...

Manpower, Inc. is seeking an experienced RN Case Manager for a fully remote role supporting North Carolina residents. You will coordinate care, perform comprehensive assessments, and develop member-centered plans to improve outcomes. This...

Compassus is seeking a Hospice RN Clinical Coordinator to oversee administrative and management functions in the absence of the Director of Clinical Services. May carry caseload and ensure compliance with state and federal regulations. Remote role...

TEKsystems seeks a Clinical Quality Assurance Nurse to ensure high-quality case reports in compliance with client contracts and regulatory standards. You will handle QA questions and support the QA Department. Responsibilities include QA...

CHQ CHSI EMP LLC is seeking a Nurse Practitioner for adult telemedicine on a remote, part-time basis with potential full-time opportunities. The role focuses on delivering high-quality virtual care, wellness visits, and timely diagnosis and...

MedStar Health is seeking a Nurse Practitioner for the Diabetes Boot Camp. This remote role focuses on delivering intensive diabetes management and education via telehealth to patients with newly diagnosed or established diabetes. You will...