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A leading healthcare provider in Minnesota is seeking a Registered Nurse (RN) to join their team. The role involves collaborating with healthcare givers in reviewing medical care and services. Candidates should possess an active RN license and at...

A healthcare organization in Massachusetts is seeking a Per Diem Registered Nurse for their After Hours Call Program. This remote role requires a commitment of at least one weekend per month and includes providing virtual visits and clinical...

A healthcare company is seeking a part-time RN Triage Nurse to join their remote team in Charlotte, NC. Candidates should have at least 5 years of experience in nursing, ideally within emergency departments or triage settings, and possess strong...

Clinical Appeals Nurse The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina...

Registered Nurse, Clinical Assessor Maximus is seeking a Registered Nurse, Clinical Assessor to join our growing team. As a Nurse Assessor, you will conduct person-centered assessments in accordance with contract directives, company...

Workers' Compensation Case Manager - RN - Fully Remote in the US WorkCare, Inc. is seeking a full?time RN to serve as Workers' Compensation Case Manager, supporting our occupational health initiatives across the United States.

A healthcare provider in West Valley City, UT, is seeking a Registered Nurse to provide clinical support through a work-from-home model. The ideal candidate should have 2 years of nursing experience, a valid RN license, and strong communication...

A national health organization is seeking a clinical professional to perform concurrent reviews and evaluate member health. This remote position requires a Nevada LPN or RN license and offers a pay range of $26.50 - $47.59 per hour, along with...

Performing pre-service clinical coverage review of services (predetermination reviews), using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. Managing clinical Out of...

Join UnitedHealthcare At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.

A leading healthcare company is seeking a Tele-Health Nurse to provide support to patients and caregivers through telephonic interactions. This remote position requires a Registered Nurse licensure and is ideal for those with a passion for...

Clinical Operations Perform clinical and administrative reviews within the Grievance and Appeals department, ensuring accurate administration of benefits, execution of clinical policy, timely access to appropriate levels of care and...

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic...

Additional Information About the Role Position Highlights $7,500 Sign On Bonus eligible* Part time position - Benefit eligible(1) 12 Hour Day Shift - 6:00 am to 6:30pm Located at BJC Commons Minimum of 2 -5 plus years of RN experience needed...

RN UM Clinical Appeals Nurse Remote at Molina Healthcare in Caldwell, Idaho, United States Job Description JOB DESCRIPTION Job Summary The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals...

Unit Description: The Primary Nurse in Ambulatory Oncology serves as a pivotal member of the patients' multidisciplinary team, coordinating care across the continuum. Key aspects of this role include telephone triage of acute illness, ongoing...

Utilization Review Case Manager The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts...

Join UnitedHealth Group At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.

A leading healthcare provider in Houston is looking for a Registered Nurse 1 to provide telephonic triage and patient care advice. The role requires an Associate Degree in Nursing, with a minimum of 3 years acute clinical experience. The schedule...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

Registered Nurse (Specialty Phone Triage) - Remote Opportunity Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with...

A leading healthcare provider in Winston-Salem is seeking a Telehealth Nurse to provide nursing services remotely. Applicants should have a valid RN license and at least 3 years of clinical experience, preferably in telephone triage. Strong...

Overview Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nations leading health care organizations and build your career at one of our 40+ locations throughout Houston.

Clinical Claims Review At UnitedHealthcare, we are simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.

A leading healthcare provider is seeking a Clinical Documentation Specialist to ensure compliance with CMS regulations by reviewing OASIS documents. The ideal candidate will have a California RN license, 2 years of clinical experience, and...

Hourly Pay Range: $33.96 - $52.64 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position Highlights: Position: Registered Nurse Triage - Centralized Triage Location:...

Overview Remote Registered Nurse (RN) Nurse Triage Position Summary The RN Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role is 100% hands?on,...

Registered Nurse (RN) - Remote Pine Park Health is a value-based primary care practice revolutionizing healthcare for senior living community residents. We empower seniors to get healthy, stay healthy, and lead lives they love through a...

What you'll do Provide direct services and student counseling Participate in IEP meetings Complete comprehensive case reports Exercise strong communication and relationship-building skills to collaborate with onsite school personnel and build...

A regional healthcare provider in Virginia Beach is seeking a Certified Diabetes Care and Education Specialist to serve as an expert resource for patients managing diabetes. The ideal candidate will have over 2 years of diabetes education...