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Trillium Health Resources is seeking a Population Health Nurse to provide clinical care management and population health support for assigned members, focusing on prevention, wellness, and outcomes. The role uses nursing judgment as an RN to...

Certified Nursing Assistant (CNA) Coordinator Professional ExpertGlendale Community College is currently accepting applications for a Certified Nursing Assistant (CNA) Coordinator Professional Expert.Examples of DutiesProvides support in managing...

Integra Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals in a NCQA-compliant UM program. The role collaborates with the Medical Director to assess medical necessity and benefit coverage...

Description Virtual coordination role to support front line clinical staff in care of patients receiving care in the home setting. Serve as an extension to front line staff in patient care logistics management including admission...

UnitedHealth Group in the United States is seeking a Telehealth On-Call APC to provide telephonic/telehealth care and direction to patients, caregivers and facility staff 24/7, including holidays. This remote role supports multiple markets with a...

NK Consultancy LLC in California is seeking a Registered Nurse (RN) Field Case Manager for Workers' Compensation. This field-based role coordinates medical care and advocates for injured workers, helping them safely navigate recovery and return to...

Telenett is seeking a Remote Patient Monitoring Nurse to provide home-based telehealth care. The role involves monitoring patients remotely, performing virtual assessments, and educating on disease and medication management. You will...

Summit Healthcare Staffing, on behalf of a client, is seeking a compassionate, detail-oriented bilingual Registered Nurse (RN) to join their Intake team at a growing home health organization in Brooklyn, NY. You will coordinate patient care,...

The Virtual Nurse, RN at MUSC Center for Telehealth coordinates and delivers professional clinical services to patients via virtual care. This role supports pre-visit, during visit, and post-visit planning and assists with referrals and care plans...

Hines & Associates, Inc. seeks a Registered Nurse reviewer to assess patient conditions and certify treatments according to URAC and applicable regulations. The role emphasizes clinical judgment, documentation, and collaboration with case managers...

SCAN Health Insurance in the United States is seeking a Medical Management Specialist-RN to promote quality and cost-effective care under regulatory guidelines. Working under the Clinical Supervisor, the RN supports utilization management and case...

UR Medicine Thompson Health is seeking a Lead Clinical Documentation Specialist (RN) to oversee CDI efforts and improve documentation quality. The role emphasizes collaboration with physicians and the care team, ensuring compliance and optimized...

Summit Healthcare Staffing LLC is seeking a compassionate bilingual Registered Nurse (RN) to join the Intake team for a growing home health organization in Brooklyn, NY. The role starts on-site with potential to move to a remote role based on...

Virtual Medical is seeking qualified Registered Nurses to join our fully remote 24-hour On Call Center. We handle incoming calls for clients requiring immediate medical attention and provide assessment, guidance and disposition to the appropriate...

DaVita Peritoneal Dialysis RN DaVita is seeking an organized, self-directed RN to manage Peritoneal Dialysis (PD) patients. You'll educate patients and caregivers in-clinic, enabling them to perform dialysis independently at home. This...

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...

Allegheny Health Network is seeking an RN Clinical Document Specialist to support remote work from Pennsylvania within 50 miles of Pittsburgh or Erie. The role focuses on improving documentation accuracy to optimize reimbursement, with extensive...

Cascadia Healthcare is seeking an experienced PDPM Clinical Resource Nurse (RN or LPN) to support multiple skilled nursing facilities in the region. You will serve as a clinical and reimbursement resource, helping 15–25 facility teams understand...

Centene Management Company LLC is seeking a Licensed Practical Nurse to analyze prior authorization requests and determine medical necessity in New York. You will work with healthcare providers and the authorization team to ensure timely,...

Position overview Salary range: The posted UC salary scales (Academic salaries | UCOP) set the minimum pay determined by rank and step at appointment. See Table 5, Scale 8. The salary range for this position is $275,000...

NaphCare is hiring a Registered Nurse for the Family and Friends Line (FFL) as part of our Local Government team for our Corporate Office in Birmingham, AL. This position is remote and bilingual capability is required to assist families of...

Machinify is a leading healthcare intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to ensure compliance and high-quality documentation. The role emphasizes strong clinical...

ExamWorks is seeking a Utilization Review Nurse Auditor to perform quality utilization reviews and authorize medically necessary care. The role is fully remote with standard EST hours, requiring an active nursing license and coding certification.

Cassia is seeking an experienced Minnesota RN for an After-Hours RN role. You will triage calls from clinical staff, provide guidance, and coordinate care across hospitals and families at an on-call, remote capacity. You must hold a...

Cohere Health is seeking a Clinical Review & Correspondence RN to support utilization management by conducting medical necessity reviews and delivering compliant clinical determinations. You will collaborate with Medical Directors and...