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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...

Ohio RN Clinical Finance Specialist is a full-time remote position responsible for implementing clinical finance strategies, securing pre-authorizations, and managing clinical denials.Key ResponsibilitiesImplement and support clinical finance...

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...

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...

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...

Overseeing hospice intake compliance, the full-time remote Hospice Clinical Compliance & Audit Associate Director will manage clinical audit activities to ensure documentation accuracy, regulatory compliance, and claim readiness while...

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...

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...

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...

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 professional nursing care in a remote full-time capacity, the Nurse Consultant II will support members through assessment, planning, and evaluation to enhance the member experience and ensure effective healthcare services.Key...

A company is looking for a Utilization Management RN to ensure efficient healthcare resource use while promoting quality patient care.Key ResponsibilitiesCoordinate with healthcare teams to assess and monitor the delivery of healthcare...

Supporting high- and rising-risk patients, the part-time Nightingale RN Care Coordinator will leverage clinical expertise for comprehensive care coordination and chronic disease management while working remotely between 8:00 AM and 4:30 PM.Key...

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...

To support patient care initiatives, the full-time Bilingual LPN Care Coordinator will manage outbound phone calls to patients, addressing healthcare needs and facilitating access to resources in a fully remote environment.Key...

A company is looking for an Associate Manager US Clinical Operations RN.Key ResponsibilitiesManage shift operations and ensure adherence to service level agreementsOversee team performance through coaching, performance reviews, and development...

To support a 24/7 Occupational Health triage call center, full-time Telephonic Registered Nurses will manage a high volume of incoming calls, provide assessments using proprietary algorithms, and document interactions while working remotely during...

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...

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...