PharmD Live

Chronic Care Management Nurse – Virtual Care (Nevada)

Posted on:

January 27, 2026

Job Type:

Contract

Role Type:

Care Management

License:

RN

State License:

Nevada

PharmD Live is a virtual care management solutions company powered by a multidisciplinary clinical team, with clinical pharmacists at the center of all care delivery. We focus on reducing medication-related risk, preventing adverse drug events, and lowering total cost of care through integrated medication therapy management, disease management, and patient-centered education. Our comprehensive solutions support the full spectrum of value-based care and include Chronic Care Management (CCM and Complex CCM), Advanced Primary Care Management, Advanced Care Management, Annual Wellness Visits (AWV), Transitions of Care Management (TCM), Medication Therapy Management (MTM), post-discharge medication reconciliation, polypharmacy and high-risk medication reviews, Remote Patient Monitoring (RPM), Remote Therapeutic Monitoring (RTM), Behavioral Health Integration (BHI), adherence optimization, deprescribing initiatives, chronic disease and medication education, and longitudinal care coordination. We partner with medical clinics, specialists, health systems, ACOs, FQHCs, and payers to close care gaps, improve outcomes, and deliver measurable, sustainable clinical and financial impact.

Location: Remote | Nevada Licensure Required Employment Type: Flexible (PT/FT Options Available) Role Description: PharmD Live is seeking a Chronic Care Management Nurse to deliver longitudinal support to patients with multiple chronic conditions. This role is central to improving care continuity, reducing avoidable utilization, and supporting value-based care initiatives through structured remote engagement.

Active LPN or RN license issued by the State of Nevada Minimum of 2 years nursing experience in ambulatory, chronic, or virtual care Experience with CCM, population health, or care coordination preferred Strong organizational and patient communication skills Comfortable working independently in a remote clinical setting

Conduct routine CCM check-ins and patient assessments via telehealth Reinforce individualized care plans and chronic disease self-management strategies Identify clinical risks and coordinate escalation pathways when needed Track and respond to remote monitoring data in collaboration with clinicians Support transitions of care following hospital or emergency encounters Coordinate with interdisciplinary care teams to ensure consistent follow-up Complete accurate clinical documentation in accordance with CMS requirements Address social, behavioral, and educational barriers impacting adherence

Myers and Stauffer LC

RN Clinical Reviewer

Posted on:

January 27, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

Indiana

Myers and Stauffer LC is a certified public accounting and health and human services consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients with complex health care reimbursement and provider compliance issues, operate 21 offices and have over 900 associates nationwide. At Myers and Stauffer, you will have a career that is rewarding while also supporting our state and federal government health and human service clients that focus on those in need. We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team. Our firm takes pride in the welcoming and collaborative culture we have throughout our offices. We are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing.

The RN Clinical Reviewer will independently review/audit nursing facility medical records relating to the Minimum Data Set (MDS).

Bachelor’s degree in Nursing or other related health care field required (Associate’s Degree from accredited nursing school with related experience may be substituted in lieu of a bachelor’s degree) Licensed Registered Nurse (RN) 3 years of long-term care experience; 5 years preferred MDS experience preferred Experience and knowledge of State and Federal healthcare regulations in long term care Knowledge of Medicaid reimbursement and coverage policies desired Proficient use of applicable software programs, including Microsoft Windows, Word, Excel Strong verbal and written communication skills Ability to manage multiple deadlines and prioritize assignments Ability to work in a team environment Well organized with a high degree of accuracy and attention to detail Must be able to travel based on client and business needs (up to 20% Travel) Minimum Qualifications: High school diploma or GED

Review resident medical records for accuracy, completeness and consistency with professional standards Participate in remote and on-site field examinations of Medicaid providers to review clinical documentation Successfully interact with providers in a professional manner, developing rapport and enhancing business relationships Maintain security of and confidentiality of all Protected Health Information (PHI) Additional responsibilities as assigned

Sentara Health

106444 - Integrated Case Manager - Registered Nurse

Posted on:

January 27, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

Virginia

Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 135 years in pursuit of its mission - "we improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 34,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, including 10 hospitals with the prestigious Magnet®️ recognition, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named a Health Quality Innovator of the Year (2024), was recognized by Forbes as "America’s Best-In-State Employer” (2024), "Best Employer for Veterans" (2022, 2023), and "Best Employer for Women" (2020), and named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018).

Sentara Health in Lawrenceville, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Lawrenceville, and surrounding areas as travel is required. The Integrated Case Manager is responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services.

Education: Associates Bachelors preferred Certification: Registered Nurse required Experience: 3 years of nursing experience required Managed care preferred Discharge planning experience preferred

Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team. Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs. Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible. Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans. Presents cases at case conferences for multidisciplinary focus. Ensure compliance with regulatory, accrediting and company policies and procedures. May assist in problem solving with provider, claims or service issues. Demonstrates the minimum knowledge, skills and abilities to care for the individualized needs of the patient to include physical, psychological, socio-cultural, spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills

Sailor Health

RN Healthcare Advocate (Remote)

Posted on:

January 27, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

New York

Sailor Health is revolutionizing mental health care for older adults, addressing one of the fastest-growing and most underserved healthcare segments in America. With over 60 million seniors projected to represent nearly 25% of the population by 2030, we're facing a seismic shift in healthcare demand. Yet, today, millions of older adults remain isolated, underserved, and struggling with mental health challenges such as anxiety, depression, loneliness, and life transitions without adequate support. Join us on our mission to redefine the golden years, enabling older adults across the nation to live happier and healthier lives. This isn't just a job—it's an opportunity to pioneer a movement in geriatric mental health and reshape the future of aging.

Join a mission-driven team transforming senior mental health care with compassion, flexibility, and support. Work remotely from your home and on your own hours. Sailor will take care of finding patients to you so that you can focus on providing exceptional care! About the Role: Sailor Health is seeking experienced and action-oriented RN Healthcare Advocates to support older adults on Medicare throughout their health journeys. As a Healthcare Advocate at Sailor Health, you’ll be a trusted partner for patients and families — offering empathetic guidance, tackling complex care challenges, and ensuring our patients feel supported and empowered. You’ll help connect the dots between mental health, physical health, and daily life — especially around Social Determinants of Health. This is a remote, 1099 position with flexible hours — starting at 15 hours per week. Compensation: $40 / hour

Registered Nurse license, active and in good standing Experience working in healthcare advocacy or care navigation with Medicare populations Familiarity with SDOH and how they affect patient outcomes Clinical judgment balanced with empathy and problem-solving Organized, communicative, and able to manage multiple patients and needs Tech-savvy—you’re comfortable learning new systems and working remotely Action-oriented and energized by building something new Based in the U.S.

Build trusted relationships with older adults and their families, grounded in listening and empathy. Serve as a go-to resource for navigating medical systems, social services, and emotional wellness needs. Create individualized care plans that address both clinical needs and SDOH, such as: Access to food and housing programs Transportation coordination Medication management and reminders Appointment scheduling and follow-ups Caregiver support and education Collaborate with Sailor’s therapists, care coordinators, and tech platform to deliver seamless, person-centered care. Provide feedback to help shape Sailor’s patient advocacy model as we scale.

Artemis

Bilingual LVN/LPN Care Navigator (Remote)

Posted on:

January 27, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

LPN/LVN

State License:

California

At Artemis, we offer a talent delivery methodology, that actually delivers. We go above and beyond the checkboxes, references and resumes. By harnessing our unique delivery methodology, we can produce higher quality talent at a much quicker and more efficient speed, offering your organization better results in a timely manner for the following talent verticals: Executive Search Technologies Accounting & Finance Healthcare Experience a better way to find your talent.

Artemis Healthcare Partners is seeking a dedicated and passionate professional to join our client's team! Position Name: Bilingual LVN/LPN Care Navigator Location: Remote (must live in Pacific, Central, or Mountain Time Zone) Employment Type: Direct-Hire & Permanent Setting: Telehealth / Virtual Care (Cardiac Specialty) Pay: $27-$30 per hour Shift: Full-Time | Mon-Fri, 9am-5pm In this LVN/LPN Care Navigator Remote role, you’ll play a key role in transforming cardiac care. You’ll work alongside a supportive virtual care team of nurses, practitioners, and pharmacists, using innovative tools to make a real difference in patients’ lives. If you’re looking for a role where your skills, compassion, and adaptability are valued, this is the place.

Required: LVN/LPN License Cardiology Experience (please ensure this is reflected on your Resume) Bilingual in Spanish Must live in Pacific or Central Time Zone Prior EMR/EHR experience (i.e. Epic, Athena, or NextGen) Preferred: Telehealth experience Strong organizational skills and attention to detail Excellent communication and interpersonal skills Ability to work efficiently in a fast-paced environment while maintaining confidentiality

Conduct routine and as-needed calls with patients regarding onboarding, treatment plans, and administrative needs. Transcribe and update patient information across EHR systems. Coordinate with the clinical care team to support patient care priorities. Communicate offerings to patients, addressing inbound calls and questions promptly. Follow escalation protocols to ensure patient safety and care. Build trust and encourage ongoing engagement with patients and caregivers. Proactively manage responsibilities and adapt to evolving team and patient needs.

Haven Headache & Migraine Center

Advanced Practice Provider (Nurse Practitioner/Physician Assistant) – Headache Medicine (California, Remote)

Posted on:

January 27, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

NP/APP

State License:

California

Haven Headache and Migraine Center is a virtual-first specialty clinic dedicated exclusively to the care of patients with headache and migraine disorders. Building headache care for the future. Founded by board-certified headache specialists, our mission is to radically improve access to expert care for the millions suffering from migraine and related conditions.

Are you passionate about transforming lives through innovative, patient-centered care? Do you want to be at the forefront of redefining how headache medicine is delivered? We are seeking a passionate, skilled, and autonomous Nurse Practitioner (NP) or Physician Assistant (PA) with experience in headache medicine to join our growing California-based team. If you're ready to make a profound difference and shape the future of telehealth in headache medicine, this is the opportunity for you.

A licensed NP or PA in California or Texas (required) Clinically experienced in headache medicine (2 years+ preferred) Skilled in key headache procedures: Botox for chronic migraine, nerve blocks, trigger point injections Comfortable with — or excited to grow in — telemedicine care delivery Compassionate, autonomous, and energized by a startup-style environment

Deliver exceptional telehealth care to patients with migraine and other headache disorders Interpret detailed headache histories and diagnose using ICHD-3 criteria Create and manage personalized, integrative care plans using both pharmacologic and non-pharmacologic strategies Guide patients in lifestyle approaches like sleep, nutrition, hydration, and exercise Perform or coordinate in-person procedures like Botox, nerve blocks, and trigger point injections Review text-based headache diaries and support patients between visits with real-time insights Partner with a dynamic, physician-led team on care innovation and clinical excellence

Haven Headache & Migraine Center

Triage RN - Headache Medicine (California )

Posted on:

January 27, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

California

Haven is building the future of migraine care for the 40 million Americans who suffer from this debilitating neurological condition. Backed by Precursor Ventures and 1843 Capital, we're transforming how migraine is treated through an innovative combination of telemedicine, AI-enabled monitoring, and personalized care plans. Our early results are exceptional—our initial patient cohort is seeing a 70% improvement rate with days impacted by headache reduced by half.

As an early member of our Triage Nurse team, you will have a direct, meaningful impact on patients’ lives. Migraine is one of the most misunderstood and under-treated neurological conditions — only 8% of patients receive adequate care. You will help change that. You'll work closely with our founding team, including our Stanford-trained Chief Medical Officer, to deliver truly personalized headache care. This is a unique chance to bring high-quality, guideline-driven migraine management to patients nationwide and help build the clinical foundation of a fast-growing, mission-driven startup. If you’re energized by patient connection, evidence-based care, and building something that doesn’t widely exist today, you’ll thrive here. Location information: We are based in downtown San Francisco and value in-person collaboration. This is a remote-first role for candidates based in the Bay Area, with very occasional onsite collaboration at our San Francisco headquarters. We are looking for candidates located anywhere in California. Working Hours & Schedule: This role is shift-based and aligned with Haven’s clinical operating hours. Core coverage is typically Monday–Friday, 9:00 AM–5:00 PM (Pacific Time). Team members work remotely, with multiple shift options available based on patient needs and team coverage. As our patient population and clinical team expand, shift availability and coverage requirements may evolve over time. Flexibility across time zones may be required, particularly as we continue to grow and support patients across California and beyond.

A registered nurse (California license preferred) with 2–4 years of triage experience in neurology, emergency/urgent care, primary care, or related fields Experience in Telehealth, virtual care, or remote patient communication A strong clinical communicator who can balance efficiency with empathy Comfort navigating early-stage startup ambiguity and evolving processes A genuine passion for helping patients feel seen, supported, and understood You’re likely a strong fit if you’re a clear communicator, highly organized, and excited to help build a modern migraine-care model that blends clinical excellence with technology.

Your primary focus will be guiding patients throughout their care journey — ensuring they have timely access to medications, clinical support, and care plan coordination. You’ll be an essential voice for patients, clinicians, and our broader care team. Key responsibilities include: Meeting response-time SLAs for patient questions and clinical concerns Conducting triage and escalation per established protocols Processing medication refills and prior authorizations Ensuring seamless coordination across the patient’s care plan Providing clear, concise clinical documentation Delivering empathetic, patient-centered communication at every step Remote Therapeutic Monitoring (RTM): Oversee patient RTM dashboards, review data, escalate clinical concerns to APPs/MDs, and conduct monthly RN check-ins to evaluate progress.

TAMMIRA

Remote Work- Telehealth Registered Nurse –Virtual iOS App for Adolescents

Posted on:

January 27, 2026

Job Type:

Contract

Role Type:

Telehealth

License:

RN

State License:

California

A telemental health platform for youth aged 10-22 a space to navigate the challenges of online beauty and wellness (mis) information. Wellness Program: Using evidence-based practices, our Nurse Personalizers provide a fun, safe, welcoming environment for education, entertainment, questions, and support without judgment. This builds self-advocacy, communication, social media literacy, and decision-making skills among our youth Learners. Our methods are designed to increase quality of life, self-esteem, and resilience, thereby improving the mental health of our youth Learners. Nurse Personalizers educate and connect with youth Learners about beauty, mental health, and wellness, helping them feel heard and seen while providing support and positivity. By partnering with medical professionals and engaging in monitored collective wisdom circles with peers, TAMMIRA offers a platform for asking questions about changing bodies and minds. Accurate, evidence-based, age-appropriate information is readily available to youth through TAMMIRA.

Remote Part-Time Work- Telehealth Registered Nurse –Virtual livestream mobile app for Adolescents- California licensed - and be comfortable educating on livestreamed events about our wellness modules for students (10-22 years old). There will always be 1-2 nurses and/or health care professional hosting/moderating during each livestreamed event. You can work a few hours on the weekends as needed based on students schedules and for training purposes. Due to the negative influences of social media, adolescents can feel insecure about their appearance with risks for eating disorders and poor mental and physical health. We’re a wellness and beauty livestream platform focused on providing our youth a safe space to feel comfortable with personalized digital spaces co-habited by responsible yet relatable nurses who can offer real-time accurate information about wellness, health and beauty-related topics. This is remote, virtual role is to provide wellness support to our pediatric users in their mental health and wellness journeys through education (e.g., self-awareness, self-esteem) in a supportive environment. Role Summary: Our Virtual Wellness RNs provides virtual, professional nursing care to the platform’s adolescents as referred by the school districts; school nurse, school counselors, social workers and/or requested by the adolescent/family, and in compliance with the state’s Nurse Practice Act, any applicable licensure/certification requirements, and the organization’s policies and procedures. The RN is fully responsible for the virtual assessment, care planning, telephonic intervention, and overall virtual care remote monitoring and follow up. Provides triage/on-call support with referrals to behavioral health medication support as needed. Makes appropriate referrals for evaluation/care to other disciplines and services if need identified, and coordinates care with office care manager to ensure effective and efficient care is provided. Utilizes interview, evaluation in assessing clients and applies nursing judgment, consistent with practice standards, in formulating interventions & making recommendations to the physician, agency, and client.

You must have an iOS iPhone (we're only in the Apple App Store) You must be a U.S. Citizen to apply for this job Experience working in a virtual or telehealth setting is a plus Care and compassion, and a desire to build rapport with patients Pediatric experience preferred Behavioral health experience preferred Reliable high-speed internet service Provide 2-3 professional references that you report to upon request Education Requirements: Associates Degree in Nursing required; Nursing Diploma or by endorsement Bachelors Degree in Nursing preferred Graduate of a school of practical or vocational nursing approved by the appropriate State, agency, and/or accredited School of Nursing or by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant. Experience Requirements: 3 years of nursing or case management experience required. Working knowledge of regulatory requirements and accreditation standards strongly preferred. Licenses/Certification Requirements: RN License required; Current state nursing licenses or valid RN license from a participating state in the National Licensure Compact This is freelance, remote-work only For licensed nurses in California, USA candidates only apply Please no agencies Please (1) submit your resume via LinkedIn to this job post *Must be ACTIVELY LICENSED IN CALIFORNIA*

Conduct TAMMIRA Wellness Program via our virtual livestreamed secured platform Provide mental health early prevention screenings, psychoeducation, counseling, mentorship and emotional support Accurately assessing needs, delivering or directing the appropriate level of care Identify potential health problems and influence adolescents to make better, healthier decisions Utilize evidence-based practice to provide best in class virtual care Serves as liaison between adolescents, parents, and TAMMIRA nurse staff Observe, recognize, report and respond appropriately to physical, emotional and behavioral changes by our adolescent users Actively participate in interdisciplinary team meetings to discuss about the care, address challenges and develop future collaborative Wellness Program plans Provide education on preventative care, lifestyle modifications and self-management strategies Provide feedback about opportunities to improve the quality of care and operational processes Contributes to the development, implementation, and evaluation of the Wellness Program Demonstrates the knowledge, skills and ability to recognize emergency situations and seeks assistance and initiates appropriate intervention Properly triage for depression, crisis, and suicide issues Demonstrated strong nursing, nutrition, exercise, chronic disease and health promotion, and customer service skills. Well-developed communication and interpersonal skills to provide effective interface with wellness team, parents and adolescents, and other related customers. Demonstrated ability to effectively use health coaching and motivational interviewing techniques to assist patients in achieving health goals. Health Coach Certification a plus. Preferred by not required: Analyze clinical data and prepare reports to identify trends, measure outcomes, and support continuous quality improvement efforts.

Sentara Health

Commercial Utilization Review Nurse/RN- Remote in VA

Posted on:

January 27, 2026

Job Type:

Full-Time

Role Type:

Utilization Review

License:

RN

State License:

Compact / Multi-State

Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 135 years in pursuit of its mission - "we improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 34,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, including 10 hospitals with the prestigious Magnet®️ recognition, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named a Health Quality Innovator of the Year (2024), was recognized by Forbes as "America’s Best-In-State Employer” (2024), "Best Employer for Veterans" (2022, 2023), and "Best Employer for Women" (2020), and named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018).

Sentara Health is currently hiring for a Utilization Review Nurse- Remote in VA! Status: Full-time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F. Location: Remote in Virginia.

Education: BLD – Bachelor's Level Degree in Nursing preferred Certification/License: Registered Nurse License (RN) – Nursing License – Compact/Multi-State License Experience: Minimum 3 years of acute care clinical experience. Previous Utilization Review and Case Management experience a plus. Commercial Health Insurance experience preferred InterQual or Milliman experience preferred. Knowledge of NCQA preferred. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

RN Clinician responsible for utilization management services within the scope of licensure. Conducts primary functions of prior authorization, inpatient review, concurrent review, retrospective review, medical director referrals and execution of member/provider approval and/or denial letter. Reviews provider requests for services requiring authorization. Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. May manage appeals for services denied. Responsible for written and/or verbal notification to members and providers. Demonstrates proactive anticipatory discharge planning; serves as joint transition of care coordinator with case management and facilitates member care transition. Ensures medical director written decision is consistent with criteria (CMS, state, medical policy, clinical criteria). Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards.

MDCanHelp

NP/PA/APP Coach - Remote - Part Time

Posted on:

January 27, 2026

Job Type:

Contract

Role Type:

Primary Care

License:

NP/APP

State License:

Massachusetts

MD Can Help is a premier clinician coaching group that has helped over 1000 physicians and Advanced Practice Providers (APPs) overcome burnout and rediscover fulfillment in their careers. We are growing rapidly and seeking an experienced NP/APP coach who is passionate about helping nurse practitioners, physician associates/assistants, and other APPs navigate the challenges of clinical practice and build sustainable, rewarding careers. Our CEO, Dr. Gail Gazelle, is an ICF Master Certified Coach (MCC), Assistant Professor at Harvard Medical School, and author of Mindful MD. She is one of the most respected leaders in clinician coaching, and this role provides a unique opportunity to be mentored directly by her while making a tangible impact on the lives of APPs.

This is a client-facing coaching role, where you will work directly with APP clients using proven coaching methodologies. If you are a former practicing NP, PA, or other APP with experience coaching clinicians, love helping others overcome burnout, and want to continue developing as a coach under the mentorship of Dr. Gazelle, this could be a great fit for you.

A former practicing NP, PA, or other Advanced Practice Provider who understands firsthand the pressures of clinical practice. Experienced in coaching APPs—you have worked directly with APPs in a coaching capacity. Deeply passionate about helping other clinicians overcome burnout and find fulfillment. An exceptional listener who can create a safe space for clients to reflect, grow, and take action. Motivated to be mentored by Dr. Gail Gazelle and grow into the best coach you can be. Skilled in motivational interviewing, coaching techniques, or related methodologies. Comfortable with virtual coaching sessions and working remotely. Highly professional, reliable, and compassionate in working with clinician clients.

Work one-on-one with APP clients, helping them overcome burnout and build careers they love. Guide clients through proven coaching frameworks developed by MD Can Help. Provide structured, goal-oriented coaching that leads to tangible results. Receive direct mentorship and training from Dr. Gail Gazelle to refine your coaching skills. Collaborate with our team to enhance coaching programs and contribute to clinician well-being. Maintain confidentiality, professionalism, and high ethical standards in all coaching interactions. What We’re Looking For (Must-Haves) Former practicing NP, PA, or other APP with relevant clinical background. Experience coaching clinicians 1:1. Full coach training in an ICF-accredited program. Passion for coaching and APP well-being. Excellent communication and listening skills. Eager to receive mentorship from Dr. Gail Gazelle and continuously improve as a coach. Ability to work remotely and provide high-quality virtual coaching. You reside in the United States. An audio of a coaching session (Do not apply if you cannot share an audio.) Preferred (But Not Required) ICF certification (or in the process of obtaining it). Background in executive coaching, positive psychology, or leadership development.

GlobalHealth, Inc.

Care Specialist LPN (49539)

Posted on:

January 27, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

LPN/LVN

State License:

Compact / Multi-State

GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and Optimal Health for the members we serve. We are unique by providing high touch, high value and a partnership to our members. We go above and beyond to provide personalized, engaging, and responsive services to our members. We work hard to offer affordable health insurance coverage with the benefits people truly want and need. It is our hope to be more than just a health insurance company we want to be long-term partners with our members. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning.

This position, under the direction of the Supervisor, Care Management, performs and manages all aspects of care management to improve the long-term wellness of members, becoming an advocate for our members through coordination of care.

Education And Experience: Active Licensed Practical Nurse in the state of Oklahoma required Active multi-state license is preferred Previous experience in managed care/utilization management preferred Knowledge, Skills And Abilities: Knowledge of current nursing processes, techniques, and established standards, including disease management, medications, and community resources. Strong attention to detail and good organization and time management skills, including ability to multi-task, learn new skills and reach set goals. Must be able to communicate, both orally and in writing, clearly and effectively Knowledge of Microsoft software programs including Word, Excel, and PowerPoint. Proven ability to work independently or as a member of a team. Work Environment: Current work environment is remote, however, some state exclusions apply. Must have access to a reliable and secured internet connection source. Work environment must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy. This position will also be required to use reasonable and necessary safeguards to protect GlobalHealth records from unauthorized access, disclosure or damage and will adhere to all GlobalHealth privacy and security policies.

Conducts telephonic case management for complex, high-risk members to include identification and assessment of needs, planning and coordination of care, and monitoring outcomes in accordance with GlobalHealth and the departments policies and procedures. Coordinates with providers when applicable to ensure holistic, healthy, beneficial outcomes. Communicates with respect to family culture, ethnic origin, race, language, gender, age, religion, socioeconomic status, sexual orientation, mental and/or physical challenges. Through interdepartmental communication, network communication, and member outreach the Case Manager remains aware of patient needs and changes in condition, providing patient advocacy, support, assessing and ensuring quality care, and providing crisis intervention. Coordination of services for members, including community resources and collaboration with other members of the care team. Educate members and their caregivers on conditions and self-management techniques. Participate in elements of the SNP MOC, including completing HRA and working with the member to reach desired goals, under the direction of the assigned Case Manager Complete TOC activities to include post-discharge assessment, medication reconciliation/review, and ensuring member has access to follow up care. Other Duties: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Inspire Hospice and Palliative Care

Remote Triage Nurse

Posted on:

January 27, 2026

Job Type:

Part-Time

Role Type:

Triage

License:

RN

State License:

Georgia

Our mission is to provide compassionate, expert hospice care for patients, families and the communities we serve throughout metro Atlanta and North Georgia.

Are you a compassionate RN looking to make a meaningful impact—without leaving home? Inspire Hospice and Palliative Care is seeking a dedicated, part-time Remote Triage Nurse to join our care team. This position is ideal for experienced hospice nurses who want to deliver exceptional end-of-life support while enjoying the flexibility of remote work. Position: Remote Triage Nurse Schedule: Part-time | Saturdays and Sundays, 8:00 AM – 8:00 PM Compensation: $25 per hour

Current Georgia RN license Must reside in Georgia Prior experience in hospice, palliative, or end-of-life care Reliable high-speed internet and access to a private, HIPAA-compliant workspace Strong technical skills with the ability to navigate multiple EMR and communication platforms Ability to thrive in a fast-paced, high-touch environment The Ideal Candidate Will Demonstrate outstanding communication and triage skills Bring a calm, empathetic presence to patients and families during sensitive moments Be highly organized and efficient in managing multiple tasks and priorities Have a background in critical care, triage, or hospice nursing

Provide phone-based triage, assess patient needs, and offer appropriate clinical guidance Review patient records using our electronic medical record (EMR) system and document interactions accurately Collaborate closely with the interdisciplinary care team to support patients and families Respond to patient calls with empathy, urgency, and clinical precision

LumiCare

Registered Nurse - Remote

Posted on:

January 27, 2026

Job Type:

Part-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

Whether it is used to manage daily tasks, participate in the community, be successful at one’s employment, or simply to allow someone to experience new things, technology solutions and planning can be the needed step toward elevating a person to the next level of independence.

The vast array of technologies available for those with neuro and physical diversities and other identified needs can be overwhelming. At LumiCare, we have nearly a decade of first-hand experience with technology implementation with one of the largest providers of human services in the country as well as engaging in data driven research as to what is successful. Not only do we have expertise with assessments and recommendations, procuring and customizing technology, but also the most important piece which is sustainability. We are unique in our services, and we pride ourselves on a wide knowledge base in the area of mainstream and specialized solutions. Remote services make our expertise available despite anyone’s geographical location. We will share our knowledge and continue to always research and vet the most useful technologies for optimal outcomes for our customers.

Remote weekend position EVERY Saturday and Sunday 7am-7pm - $30/hr plus Shift Differential for weekend hours.

Current RN Compact License Preferred IDD group home experience Call Center experience Candidate MUST reside in Ohio, Delaware, Virginia, Louisiana, Tennessee, Pennsylvania, or Texas Minimum of 1-2 years clinical experience in an acute or ambulatory care setting Additional RN licenses as determined by LumiCare

Triaging needs Clinical decision making Monitoring remote patient support system when applicable and advising the customer or their support team on actions to take for vital sign or compliance alerts Symptom-based problems, injuries, or general health questions by utilizing clinical software and guideline information.

Louisiana Healthcare Connections

Clinical Review Nurse - Prior Authorization

Posted on:

January 27, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

LPN/LVN

State License:

Louisiana

As the largest Medicaid health plan in the state, Louisiana Healthcare Connections proudly serves more than 400,000 Louisianans. We provide children and families in need with quality healthcare coverage that improves health outcomes. With offices in Baton Rouge, Lafayette, and Covington, our 600-plus Louisiana employees work with physicians and community organizations to help all of our members achieve health and wellness.

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.

Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience. Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. License/Certification: LPN - Licensed Practical Nurse - State Licensure required

Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members Provides feedback on opportunities to improve the authorization review process for members Performs other duties as assigned Complies with all policies and standards

CareHarmony

Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift

Posted on:

January 27, 2026

Job Type:

Full-Time

Role Type:

License:

LPN/LVN

State License:

Compact / Multi-State

At CareHarmony, we are singular in focus—we seek to improve the patient experience and clinical outcomes by providing compassionate, whole-person care coordination services. Our high-tech, high-touch offering includes a turnkey Chronic Care Management solution designed to offer healthcare providers an easy, limited-risk first step into value-based care. CareHarmony serves a variety of organizations across the country, including physician practices, ACO and IPAs.

CareHarmony’s Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient’s healthcare journey. You will have experience identifying resources and coordinating needs for chronic care management patients. This role is great for anyone who loves meeting and assisting new patients daily. What's in it for you? Fully remote position - Work from the comfort of your own home in cozy clothes without a commute. Score! Consistent schedule - Full-Time Monday – Friday, no weekends, rotational on-call-once per year on average. Career growth - Many of our team members move up in the company at a faster-than-average rate. We love to see our people succeed!

Additional Requirements: Active Compact/Multi-State license (LPN) (LVN) Technical aptitude – Microsoft Office Suite Excellent written and verbal communication skills Remote Requirements: Must have active high-speed Wi-Fi Must have a home office or HIPAA-compliant workspace Plusses: Epic Experience Bilingual Additional Single State licensures Physical Requirements: This position is sedentary and will require sitting for long periods of time This position will require the ability to speak clearly and listen attentively, often by telephone, for an extended period of time The position will require the ability to understand, process, and take thorough notes in real-time on telephone conversations

Accepting transfers from the Patient Enrollment team to conduct preliminary health assessments for newly enrolled patients in our network. Resolve patients' questions and create an open dialogue to understand needs. Identify and coordinate community resources with patients that would benefit their care. Provide patient education and health literacy on the management of chronic conditions. Assist with medication management, including identifying potential medication concerns, adherence, and coordinating refills. Assist in ensuring timely delivery of services to your patients; Home Health, DME, Home Infusion, and other critical needs. This individual must be able to quickly adapt to a fast-paced work environment. This role requires most of your shift on the phone.

Empassion Health

LPN/LVN Care Coordinator - Fully Remote

Posted on:

January 27, 2026

Job Type:

Full-Time

Role Type:

Care Management

License:

LPN/LVN

State License:

New York

Empassion is one of the most impactful and exciting start ups in health care. We are focused on improving the experience and lowering costs for seniors at end of life. Specifically, we provide palliative and hospice care for seniors with serious illness and high risk of an over-medicalized death. This population is highly neglected in the current market. Empassion clients are payers and risk-bearing entities and we work with community palliative and hospice partners to deliver superior outcomes. We are live today across 44 states and growing rapidly. Empassion is a hybrid remote/in-person company, with headquarters in NYC. We prioritize asynchronous work and communication but are quick to get on a call or Zoom

We are hiring a Care Coordinator/LPN to work within our contact center, including directly interfacing with patients, providers, and families in our palliative care program managing day to day functions such as educating patients by phone and scheduling them for palliative appointments. Working with clinical files to close out palliative visits and enter notes into the systems. The Care Coordinator/LPN will spend part of the day on the phones and part of the day doing administrative work. Looking for someone with an empathetic ear and strong multitasking skills to ensure our patients are getting the care they need and deliver on our mission of getting them more good days. The Care Coordinator/LPN will join our Central Operations team, looking for a candidate with deep healthcare, clinical and contact center experience. Empassion will provide in-depth training and resources to ensure that you will be successful in this role. This position is fully remote, but our team communicates regularly on Zoom and Slack.

Minimum 3+ years as an LPN Minimum 3+ years of reading and updating clinical notes Minimum of 1+ years of relevant work experience in a customer service call center Able to receive calls from patients, caregivers, and providers Bring with you strategic thinking to get the job done Enthusiastic about providing an outstanding experience for Empassion Health’s patients and their caregivers Passionate about making a change in the healthcare experience: you love to serve and make a difference, and you go the extra mile for patients, by insisting on the highest standards from the Care Coordinators Strong communication and written skills Detailed oriented Comfortable working with technology and in a dynamic, startup environment Secure Wi-Fi connectivity Spanish-speaking a plus but not required

Help the patient understand the value of palliative care Ensure you spend time connecting to the patients in need of the program to the palliative care providers Answer questions that patients have about palliative care or the program more broadly Confirm patient encounters are documented and triage of patient needs has taken place Review follow up with patients to ensure they are receiving high-quality care from Empassion’s network of providers Review and close cases that are completed daily Assist your supervisor by balancing your time between clinical triage and patient calls

Virta Health

Nurse Coach - LPN/ LVN

Posted on:

January 26, 2026

Job Type:

Full-Time

Role Type:

Coaching

License:

LPN/LVN

State License:

Colorado

Virta is an online specialty medical clinic that reverses type 2 diabetes safely and sustainably without the risks, costs, or side effects of medications or surgery. We also treat patients with pre-diabetes and obesity. Our innovations in the application of nutritional biochemistry, data science, and digital tools--combined with our clinical expertise--are shifting the diabetes treatment paradigm from management to reversal. Virta has developed a novel, team-based care model that delivers the Virta treatment exclusively through a telemedicine platform, with no brick-and-mortar clinics. Our clinical trial, which has already produced ten peer-reviewed publications, shows that the Virta treatment has lowered hemoglobin A1c values under the diabetes threshold while discontinuing diabetes medications. The American Diabetes Association has endorsed the core component of the Virta treatment, personalized carbohydrate restriction, as a first-line nutritional therapy for people with type 2 diabetes. We’ve been reversing diabetes for the last seven years, we see patients in all 50 states, and we are expanding our reach to patients with pre-diabetes and obesity. Our mission: Reverse type 2 diabetes and obesity in 1 Billion people. To achieve that mission, Virta is hiring RN’s to join our team.

We are hiring for fully virtual, full time roles with 8 hr shifts, although some shifts between the hours of 7am to 7pm, with one rotation weekend shift per quarter. The Role: Virta is launching a service for a select group of patients to assist them with their weight loss goals leveraging Virta’s well established approach to obesity reversal as well as GLP-1 agonist medications. We are looking for a small number of RNs who live in a nursing compact state to help our physicians and nurse practitioners launch this service. The role requires experience with diabetes and obesity care and an innovator’s spirit, as this program is new, and we need problem solvers who are willing to help Virta build this program from the ground up. Some experience working in a non-traditional healthcare setting such as a health tech company or other innovative environment is essential to success in this role.

Graduate of an accredited Practical/Vocational Nursing (LPN/LVN) program. Required Licensure: Current, active, and unencumbered LPN or RN license LPNs are encouraged to apply and will be considered for the position based on experience and scope of practice. Active nursing license in a Nursing Licensure Compact state with residency. Eligible for nursing licensure in every U.S. state. Minimum of two years experience working with diabetes patients in a clinical setting Interest and knowledge of diabetes care, education and prevention. Must be proficient in computers and pass a technology assessment. Knowledge of low carbohydrate nutrition and meal planning. CDCES preferred but not required. Interest and aptitude for working with a growth stage, tech-enabled healthcare organization. Occasional (2-3x/yr) travel to team and company events. An outstanding bedside manner: patients trust you and feel supported and empowered by your presence on the phone/video and your communication. Excellent communication, time management, and critical thinking ability necessary in this remote role. Team player: You work well with others, put your team first, and contribute toward the betterment of the Virta clinical team. On Our Values-Driven Culture: Virta’s company values drive our culture, so you’ll excel if: You put people first and take care of yourself, your peers, and our patients equally. You take initiative and complete tasks conscientiously while empowering others to do the same. You value positive impact over busy work. You can check your ego and recognize that everyone has something to bring to the table. You take risks and iterate rapidly. You promote transparency, trust, and empowerment through open access of information. You prioritize data and science over seniority and dogma.

Manage the prescriptions of a panel of patients seeking to reverse their obesity in collaboration with the patient’s Virta medical provider. Educate patients about Virta and Virta’s treatment and help them prepare for their nutritional and behavioral journey with Virta, setting them up for clinical success. Use motivational interviewing techniques to help patients progress in their weight management journey. Supporting patients on their obesity reversal journey, whether it involves nutritional change, medication or both, but with a firm understanding and commitment to Virta’s nutrition-first approach to weight loss. Collaborate closely with our clinical and technology teams to help us build out this new service line. We are committed to providing our patients with an evidence-based, highly-effective clinical program. Embrace a MVP (minimal viable product) approach to clinical program development. As time allows, provide clinical support for our team of providers (MDs and NPs). Responsibilities include panel management, triage calls with patients, medication entry, and diabetes education regarding medication administration, sliding scale insulin, carb counting, etc Commitment to providing care of the highest quality that delivers an exceptional experience for the patient. As time allows, conduct 20-minute clinical intake visits with prospective patients via video and/or phone. Intakes include verifying and documenting a clinical history, verifying medications, answering basic questions about Virta treatment, and identifying and flagging concerning history or labs for provider review.

argenx

Nurse Case Manager (Must have California License)

Posted on:

January 26, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

California

Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by VYVGART, our first-in-class neonatal Fc receptor blocker approved for the treatment of gMG, and with the potential to treat patients across dozens of severe autoimmune diseases. We are building a new kind of biotech company, one that maintains its roots as a science-based start-up and pushes our commitment to innovate across all corners of our business. We strive to inspire and grow our company, our partnerships, our science, and our people, because when we do, we deliver more for patients.

The Nurse Case Manager (NCM) is the single point of contact for patients and their caregivers. They are aligned regionally and are responsible for educating patients, caregivers and families affected by generalized Myasthenia Gravis (gMG) about the disease and argenx’s products and support services. The NCM may provide resources to help patients better manage their disease and coordinate their treatment. The NCM is responsible for participating in one-on-one communications with patients and their caregivers.

Skills and Competencies: Demonstrated effective presentation skills; ability to motivate others; excellent interpersonal (written and verbal) skills – with demonstrated effectiveness to work cross-functional and independently Demonstrated ability to develop, follow and execute plans in an independent environment Demonstrated ability to effectively build positive relationships both internally & externally Demonstrated ability to be adaptable to changing work environments and responsibilities Must be able to thrive in team environment and willing to contribute at all levels with flexibility and a positive attitude Fully competent in MS Office (Word, Excel, PowerPoint) Flexibility to work weekends and evenings, as needed Participate in and complete required pharmacovigilance training Comply with all relevant industry laws and argenx’s policies Travel requirements less than 50% of the time Education, Experience and Qualifications: Must live in the specified time zone. Current RN License in good standing Bachelor’s degree preferred 5+ years of clinical experience in healthcare to include hospital, home health, pharmaceutical or biotech 2-5+ years of case management 2+ years of experience in pharmaceutical/biotech industry a must Reimbursement experience a plus Must live in geographically assigned territory Bilingual or multilingual a plus

Provide direct educational training and support to patients and caregivers about gMG and prescribed argenx products Communicate insurance coverage updates and findings to the patient and/or caregiver Review and educate the patients and/or caregivers on financial assistance programs that they may be eligible for. Coordinate logistical support for patient to receive therapy and manage their disease Collaborate with argenx Patient Access Specialist, Case Coordinator, and Field Reimbursement Manager teams to troubleshoot and resolve reimbursement-related issues Engage with patients and provider case coordinators to ensure appropriate support is being given on an individualized basis Provide patient-focused education to empower patients to advocate on their behalf Develop relationships and manage multiple and complex challenges that patient and caregivers are facing Ensure compliance with relevant industry laws and argenx’s policies Aligned regional travel will be required for patient education to support patient programs Must be an excellent communicator and problem-solver Demonstrated time management skills; planning and prioritization skills; ability to multi-task and maintain prioritization of key projects and deadlines

CVS Health

Case Manager Registered Nurse - Field (Passaic County, New Jersey)

Posted on:

January 26, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

New Jersey

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Location: This role will be work at home with 25-50% travel within Passaic County, NJ. (50-mile radius from applicants’ home) Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST. Position Summary The ICM Case Manager develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness. This is a remote role with 25-50% travel required, candidates must have a dedicated workspace free of interruptions. Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.

Required Qualifications: Minimum 3+ years of clinical practice experience. Must have active and unrestricted RN licensure in the state of NJ. Must reside close to or within Passaic County, New Jersey. Willing and able to travel 25-50% of their time using your own vehicle to meet members face to face in their assigned area. Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy. The protection and security of our colleagues is paramount. CVS Health encourages it’s nurses to meet with members in a public place if they feel that is more appropriate. If needed, security escort is also available. Preferred Qualifications: Certified Case Manager is preferred. Minimum 2+ years Care Management, Discharge Planning and/or Home Health Care Coordination experience preferred. Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually. Excellent analytical and problem-solving skills. Effective communications, organizational, and interpersonal skills. Ability to work independently. Effective computer skills including navigating multiple systems and keyboarding. Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications. Bilingual Preferred. Educational: Associate's Degree required. Bachelor's degree preferred.

Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits. Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning. Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality. Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members. Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences. Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

ComForCare

Part-Time RN

Posted on:

January 26, 2026

Job Type:

Part-Time

Role Type:

License:

RN

State License:

Michigan

Live your best life possible by helping others live theirs. At ComForCare, we like to celebrate successes and have fun while building meaningful relationships. Join our team and be a part of a certified Great Place To Work®! Why join our team: Work a flexible schedule Paid Travel Time To and From Appointments Mileage Reimbursement 401(k) Matching Employer provided benefits that include: Medical Dental Vision Referral bonus Same Day Pay Available with Tapcheck Paid Training

Geriatric experience preferred. Graduate of an accredited school of professional nursing. Current license as a Registered Nurse (RN). Potiential for transitioning into the Director of Nursing role. Current CPR certification. Access to reliable transportation. Maintains confidentiality in all aspects of the job. Knowledge of safety and infection control practices.

Performing comprehensive client assessments. Developing an individualized plan of care for each client. Providing interventions with a focus on achieving realistic client outcomes. Reporting changes to update the plan of care to reflect progress towards goals and outcomes. Maintaining client records showing systematic assessments, planning interventions, and evaluations Being cross trained to perform orientations, new hire skill assessments, drug testing and on-going caregiver training. Performing other clinical tasks as needed.

Midi Health

REMOTE Nurse Practitioner - Maryland (MD) License

Posted on:

January 26, 2026

Job Type:

Full-Time

Role Type:

Primary Care

License:

NP/APP

State License:

Maryland

At Midi Health, we're on a mission to revolutionize healthcare for women at midlife—to relieve their symptoms, support their wellbeing, and ensure they feel seen, heard, and cared for. Our care is personalized, evidence-based, and covered by insurance, making it more accessible to women across the country. Wherever they live. Whatever their health story. We’re rapidly growing and looking for passionate full-time Nurse Practitioners to join our dedicated clinical team. You’ll help close the gender health gap by guiding women through perimenopause, menopause, and other midlife transitions with compassionate, evidence-based care.

Mission-Driven Impact: Join us in transforming healthcare for women in midlife—making a meaningful difference every day. Remote (U.S.–Based) Role with Structured Hours: Work fully remote from within the United States with patient-facing hours scheduled between 7:00 AM and 7:00 PM, adjusted by patient location and licensure. This is not a digital nomad role; work may not be performed while you are outside the United States. Continuous Learning: Access weekly clinical education to stay sharp and advance your expertise in women’s midlife health. Purposeful Visits: Our appointments provide you with time to listen, educate, and deliver personalized care that truly supports your patients. Technology + Clinical Support: Benefit from structured onboarding, user-friendly tech, and operational assistance—including elements of logistics, scheduling, and clinical operations—so you can focus on care without being on your own. Community of Care: Be part of a collaborative, respectful team passionate about women’s health and dedicated to your professional growth.

Active, unrestricted, and unencumbered Nurse Practitioner license in at least one U.S. state.*Multiple state licenses are highly preferred. Prescriptive authority as a Nurse Practitioner. Active national board certification (FNP, WHNP, AGNP, or similar). Minimum 3 years of recent experience (within the last 5 years) practicing as a Nurse Practitioner in Primary Care, Women’s Health, or Gynecology. Ability to work independently and make sound clinical decisions. High proficiency and efficiency with technology (telehealth platforms, EMRs, communication tools). A strong passion for caring for women navigating menopause and midlife health transitions.

At Midi, you’ll practice with purpose in a virtual-first care model that puts women’s needs front and center: Quality visits, better conversations: Appointments designed to allow time to listen, educate, and personalize care. Evidence-based protocols: Trained in expert-developed clinical pathways combining hormonal therapy, lifestyle coaching, and medication when appropriate. Care beyond the screen: Patients receive labs, prescriptions, supplements, and referrals as needed—our platform makes it seamless. You’re never alone: Supported by a collaborative team of clinicians, care coordinators, and clinical leaders, with opportunities to grow and specialize over time. Meaningful specialty focus: Practice in women’s midlife health, a critically underserved area where you help close one of the most persistent gaps in care. Mission-aligned, patient-centered culture: Join a team dedicated to empathy, equity, and clinical excellence.

Optum

Per Diem Nurse Practitioner - Telephonic Assessment - Remote from anywhere (VA Licensure Required)

Posted on:

January 26, 2026

Job Type:

Part-Time

Role Type:

Telehealth

License:

NP/APP

State License:

Virginia

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Provide nursing telephonic assessment, individualized care, and care coordination for patients receiving telephonic services for Optum OB Homecare postpartum hypertension services according to Optum policies and procedures, scope of practice, and certification. You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges.

Required Qualifications: Current unrestricted advanced practice nursing license for state of residence and the state of Virginia 3+ years of full-time clinical experience as an APC and willingness to apply to licensing board for approval for autonomous practice 1+ years of obstetrical nursing experience Proven exceptional communication skills (written and verbal) Proven exceptional clinical assessment skills Ability to manage patient/family conflict resolution and grievances Demonstrated ability to work with individuals with disabilities Willing to become licensed in other states as business needs arise Demonstrated technology knowledge to include desktop/laptop computer proficiency; use of analytical software, Microsoft Office, Outlook (internet and email). Attend in-services on applicable technology enhancements Preferred Qualifications: 3+ years of obstetrical nursing experience Telephonic nursing experience Independent case load management experience

Individualize patient assessments based on care/services being provided and patient need Ensure interventions respect and encourage the patient’s ability to make choices Respect each patient’s rights and conduct business in an ethical manner Educate patients and families with a systematic approach, promoting patient understanding of treatment and services, health status, coping ability and patient/family involvement in the continuum of care or service Initiate the plan of treatment/care pathway based upon the analysis of information obtained and within scope of practice and certification Coordinate care with the patient services centers, social worker and other healthcare professionals to promote the continuum of care or service Accurately communicate (written/verbal) patient status information to prescribing physician and case manager in timely manner and provide necessary clinical information to Optum pharmacists and other healthcare professionals as applicable Provide care and services to assigned caseload in an efficient, organized manner. Maintain flexibility in assignments and scheduling Modify the plan of care, as appropriate, based on re-assessment, change in prescriber orders, the patient’s need for further care or services, and the achievement of identified goals within scope of practice and certification Complete clinical record documentation per Optum policy in a timely, complete, and accurate manner Provide service-related clinical support to key physicians/hospitals through personal contacts and in- services, as directed Positively represent the Company to both internal and external customers; always maintain a professional and courteous manner Uphold the Optum core values in the conduct of work Adhere to Company privacy guidelines; ensure compliance with local, state, and federal regulations May be asked to participate in training or act as preceptor Additional duties as assigned

Conifer Health Solutions

Clinical Appeals Nurse - Remote

Posted on:

January 25, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

Texas

For over 35 years, Conifer Health has partnered with health systems, hospitals, physician groups, and employers to deliver tailored, technology-enabled revenue cycle and value-based care solutions that improve financial performance, enhance the care experience, and reduce the cost to collect. Supporting more than 600 clients and managing over $32 billion in NPR annually, we operate with a “by operators, for operators” mindset — combining deep operational expertise with intelligent automation, advanced analytics, and a mature global delivery model. Our commitment is simple: deliver on client goals with full transparency and measurable outcomes at every step.

The Revenue Cycle Clinician for the Appellate Solution is responsible for: Recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review Preparing and documenting appeal based on industry accepted criteria.

KNOWLEDGE, SKILLS, ABILITIES: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Demonstrates proficiency in the application of medical necessity criteria, currently InterQual® Possesses excellent written, verbal and professional letter writing skills Critical thinker, able to make decisions regarding medical necessity independently Ability to interact intelligently and professionally with other clinical and non-clinical partners Demonstrates knowledge of managed care contracts including reimbursement matrixes and terms Ability to multi-task Ability to conduct research regarding State/Federal appellate guidelines and applicable regulatory processes related to the appellate process. Ability to conduct research regarding off-label use of medications Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE: Include minimum education, technical training, and/or experience required to perform the job. Must possess a valid nursing license (Registered) Minimum of 3 yearsacute care experience in a facility environment Medical-surgical/critical care experience preferred Appeals writing experience preffered Minimum of 2 years UR/Case Management experience preferred Managed care payor experience a plus either in Utilization Review, Case Management or Appeals Previous classroom led instruction on InterQual® or MCG products (Acute Adult, Peds, Outpatient and Behavioral Health) preferred CERTIFICATES, LICENSES, REGISTRATIONS: Current, valid RN/ licensure Certified Case Manager (CCM) or Certified Professional in Utilization Review/Utilization Management/Healthcare Management (CPUR , CPUM, or CPHM) preferred PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to lift 15-20lbs Ability to travel approximately 10% of the time; either to facility sites, National Insurance Center (NIC) sites, Headquarters or other designated sites Ability to sit and work at a computer for a prolonged period of time conducting medical necessity reviews WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Characteristic of typical office environment requiring use of desk, chair, and office equipment such as computer, telephone, printer, etc. OTHER: May require travel – approximately 10% Interaction with facility Case Management, Physician Advisor is a requirement.

Performs retrospective (post –discharge/ post-service) medical necessity reviews to determine appellate potential of clinical disputes/denials or those eligible for clinical review. Demonstrates proficiency in use of medical necessity criteria sets, currently InterQual® or other key factors or systems as evidenced by Inter-rater reliability studies and other QA audits. Constructs and documents a succinct and fact based clinical case to support appeal utilizing appropriate module of InterQual® criteria (Acute, Procedures, etc). If clinical review does not meet IQ criteria, other pertinent clinical facts are utilized to support the appeal. Pertinent clinical facts include, but are not limited to, documentation preventing a safe transfer/discharge or documentation of medical necessary services denied for no authorization. Demonstrates ability to critically think and follow documented processes for supporting the clinical appellate process. Adhers to the department standards for productivity and quality goals. Ensuring accounts assigned are worked in a timely manner based on the payor guidelines. Demonstrates proficiency in utilization of electronic tools including but not limited to ACE, nThrive, eCARE, Authorization log, InterQual®, VI, HPF, as well as competency in Microsoft Office. Demonstrates basic patient accounting knowledge i.e. UB92/UB04 and EOB components, adjustments, credits, debits, balance due, patient liability, denials management, etc. Additional responsibilities: Serves as a resource to non-clinical personnel. Provides CRC leadership with sound solutions related to process improvement Assist in development of policy and procedures as business needs dictate. Assists Law Department with any medical necessity reviews as capacity allows up to and including attending mediation hearings, other litigation forums, etc.

IntellaTriage

Remote Hospice Triage RN PT 3:30p-12a + rotating Sat & Sun 3:30p-12a CST

Posted on:

January 25, 2026

Job Type:

Part-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. We are growing rapidly and excited to support our clients’ nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an extension of our clients’ care team, and they trust us to support them and their patients during their non-core hours.

We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over the phone wit professionalism and empathy. You will help ensure timely interventions and coordination of care for patients receiving hospice services.

Active multistate Registered Nurse (RN) license Hospice, palliative, or end-of-life care is strongly preferred Must be comfortable with technology and electronic medical records (EMR) utilized for documentation of calls Ability and comfort with typing documentation and notes in a fast-paced environment Must be able to handle stress and multitask when receiving calls (minimum of 5 calls per hour on weekdays, and up to 8 per hour on weekends) Strong communication and critical thinking skills Ability to work independently in a remote environment This is a remote position that requires consistent attendance, active communication, and reliable internet connectivity during all scheduled shifts to support timely patient care coordination

Provide telephone triage for hospice patients and families Assess patient conditions and determine appropriate next steps Collaborate with on-call teams to coordinate care and resources Accurately document all communications and interventions Maintain a calm and professional demeanor while handling urgent calls.

US Tech Solutions

Utilization Review Nurse

Posted on:

January 25, 2026

Job Type:

Contract

Role Type:

Utilization Review

License:

RN

State License:

Massachusetts

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com .

Location: Remote (must hold an unrestricted Massachusetts RN license) Employment Type: 5-month contract Overview: We are seeking an experienced Inpatient RN Utilization Reviewer to independently manage a clinically complex inpatient caseload across multiple care settings, including acute, subacute, rehabilitation, and LTAC. This role is responsible for determining medical necessity and benefit coverage across multiple lines of business, including government-sponsored health plans. The ideal candidate is a self-directed clinical professional with strong utilization management experience, sound judgment, and the ability to balance clinical decision-making with health plan business objectives.

Education & Licensure: Registered Nurse with a current, unrestricted state license BSN preferred Experience: Minimum 3 years of clinical nursing experience Minimum 3 years of utilization management experience (inpatient or managed care preferred) Skills & Competencies: Strong clinical judgment and decision-making skills Excellent communication, negotiation, and interpersonal skills Ability to work independently in a fast-paced environment Strong time management and organizational skills Proficiency with or ability to learn UM systems and web-based communication tools Working knowledge of Microsoft Word, Excel, and related applications Flexibility to manage shifting priorities and caseloads Additional Notes: Holiday and weekend rotation may be required Role requires frequent interaction with providers and internal stakeholders

Perform inpatient utilization management and discharge planning activities. Apply nationally recognized clinical criteria (e.g., InterQual, MCG) to determine medical necessity, level of care, and readiness for transition. Make timely, clinically appropriate, and cost-effective coverage determinations. Manage a complex caseload independently while collaborating with internal clinical teams. Communicate effectively with providers to facilitate care transitions across the continuum. Apply product-specific payment and reimbursement models such as DRG, case rate, or per diem structures. Identify issues requiring escalation and collaborate with leadership and cross-functional teams. Maintain accurate documentation in accordance with departmental standards. Participate in quality activities, audits, mentoring, and special projects as assigned.

Insight Global

Pre-Access Utilization Review Registered Nurse

Posted on:

January 25, 2026

Job Type:

Full-Time

Role Type:

Utilization Review

License:

RN

State License:

Georgia

Insight Global is an international professional services and staffing company specializing in delivering talent and technical solutions to Fortune 1000 companies across the IT, Non-IT, Healthcare, and Engineering industries. Fueled by staffing and talent experts, Evergreen, our professional services brand, brings technical advisors and culture consultants to help customers tackle their biggest challenges. With over 70 locations across North America, Europe, and Asia, and global staffing capabilities in 50+ countries, our teams of tech-enabled recruiters are dedicated to finding the right talent and technical solutions to help our customers thrive. At our core, we are dedicated to empowering people to do great things. That’s why we’re passionate about developing our people personally, professionally, and financially so they can be the light to the world around them. To find out more, visit www.insightglobal.com

Position: Remote Pre-Access Utilization Review Registered Nurse Location: Remote Duration: 5-month contract to hire Working Hours: 4x10's or 5x8's (no weekends during training - first 12 weeks, however 1 weekend day must be included in their schedule post training) PR: $35/hr-$40/hr Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance clients.

1-2 years of experience in UM on the payer side 5+ years of clinical experience Reside in either TX, GA, FL, or AZ Registered Nurse Proficiency using a MacBook Proficiency in Google Suite Applications (google sheets, calendar, etc.) Associate Degree or Bachelors Degree - Nursing or Graduate of Accredited School of Nursing

This person will be responsible for evaluating 3.5 patient care cases per hour and collaborating with doctors, and other healthcare professionals. Day to day this individual will be assessing patient care requests for medical services (such as surgeries, procedures, hospital admissions, etc.) and collaborating with providers to ensure the requested services align with medical necessity. It is critical that this person adheres to company policies regarding confidentiality and privacy. This person needs to pay very close attention to detail, be a team player, have flexibility in their day to day, etc. Being an expert within the plan and benefit template is crucial, and having great written and verbal communication is important!

Oscar Health

NP/PA - Virtual Urgent Care

Posted on:

January 25, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

NP/APP

State License:

Compact / Multi-State

Hi, we're Oscar Medical Group. We're hiring a Physician Assistant or Nurse Practitioner to join our Virtual Urgent Care team. At Oscar Medical Group, we are refactoring healthcare. We want to help each of our members achieve their healthcare goals in a personalized way. To help us achieve that goal we are looking for innovative leaders who think big and push boundaries to refactor healthcare and the healthcare delivery system.

We are looking for virtual care providers who can provide telemedicine services and are always looking to explore new ways we can provide virtual care. You will deliver patient care on Oscar's platform(s) both via messaging and phone. As an Oscar Medical Group provider, you'll have the opportunity to re-imagine how we diagnose, treat and follow up with members virtually. You will work remotely, and work hand in hand with our team to provide exceptional patient care. This is a full time employed role with Oscar Medical Group. You will report into the Medical Director, Virtual Urgent Care Shift: 1pm-11pm EST 2 weekend requirements per month (Sat & Sun) Work Location: Oscar Medical Group is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Massachusetts, Michigan, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, or Virginia. Note, this list of states is subject to change. #LI-Remote Pay Transparency: The base pay for this role is: $104,000 - $136,000 per year. You are also eligible for employee benefits, and annual vacation grant of up to 18 days per year, and annual performance bonuses.

DNP, FNP, ENP, or PA from accredited program Board Certification (NCCPA or AANP or ANCC) Licensed in at least 3 out of the 5 following states: FL, TX, OH, NJ, GA Willingness to be licensed in additional states with our assistance, working with our licensing vendor 3+ years experience in urgent care, ER or outpatient family medicine practice 2+ years of Telemedicine experience Bonus points: Licensed in other OMG states: AZ, CO, CT, IA, IL, KS, MI, NC, NJ, NY, OH, OK, PA, VA Bilingual (Spanish - read, write, and speak)

Provide medical care virtually (both by phone and message) Provide patient care in alignment with Oscar Medical Group guidelines, practices and policies Focus on efficiency and quality of care delivery Ensure patient access to VUC services Collaborate with MAs, RNs, and other providers across service lines (e.g. primary care and health assessments)

ConcertoCare

RN Case Manager - Florida

Posted on:

January 25, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

Florida

ConcertoCare is a tech-enabled, value-based provider of at-home, comprehensive care for seniors and other adults with unmet health and social needs. ConcertoCare deploys physician-led interdisciplinary teams— supported by its proprietary population health platform, Patient3D®, and clinical decision support tools — to manage the country's most medically and socially complex and costly patients in ways that keep them in their homes and out of the hospital. The results are better health outcomes, reduced costs, and a more personalized and integrated experience for patients and their families. ConcertoCare works with a wide variety of payers and can partner with a patient’s current primary care physician or serve as the provider of record. Led by a world-class team of home-based care physicians, population health technology experts, former policymakers, and senior health plan executives, ConcertoCare serves seniors across the country. For more information, visit www.concertocare.com.

The ConcertoCare Case Manager coordinates all aspects of a patient’s care (medical, behavioral, functional, and social) and serves as a patient advocate across the continuum of care in partnership with the patient’s providers and extended care team. This is a unique Case Management role that is intimately integrated with a larger care team. This role requires a high level of interaction to successfully engage patients and foster positive, trusting relationships to help them achieve their goals. The ideal Case Manager has excellent communication skills, takes initiative, works well with other members of the care team, and creatively solves problems to address a patient’s needs holistically. This position is part of the Population Health Team, reports to the Vice President of Case Management, and works closely with other Population Health team members as well as market-based care teams. This is an ideal position for a registered nurse who seeks an opportunity to contribute to the health and well-being being of highly complex patients, enjoys a collaborative multidisciplinary team-based approach to care, and is excited to engage in developing and nurturing our innovative, value-based clinical model focused on caring for patients with complex and social support needs that the current health system does not serve well.

Current RN License in good standing in the state of practice required. Bachelor's degree in nursing required, or associates in nursing with other clinical or business bachelor’s degree Minimum of 4 years experience working in a clinical setting, with at least 2 years of case management experience in home health care, ambulatory care, community public health, and/or the insurance setting Certified Case Manager (CCM) certification or commitment to complete when eligible Geriatric care experience is highly desired 2 years of discharge planning, utilization management, case management, performance improvement, and/or managed care preferred. Knowledge of Medicare and Medicaid regulations and insurance benefits preferred Strong knowledge of clinical best practices as they relate to case management, discharge planning, utilization management, performance improvement, and/or managed care Strong clinical skills and ability to implement evidenced-based care. Ability to manage patient complexity and multiple clients with diverse needs Demonstrated ability to triage patient-reported symptoms and issues that require escalation to our field-based team and to apply critical thinking skills in unexpected circumstances. Ability to communicate effectively in writing and verbally. Demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines. Ability to work in a fast-paced, dynamic environment and work well with others on a team. Proficient computer skills including Microsoft Office Suite (Outlook, Excel, PowerPoint, Word) as well as clinical systems/ EMR competency Knowledge and ability to navigate internet-based tools and applications, and proficiency in computer documentation Demonstrates a high level of professionalism.

Conduct initial intake calls as well as scheduled and urgent patient outreach based on individual patient’s needs and risk levels to review and update the care plan, monitor progress, ensure needs are met, and identify new areas of concern. Provide ongoing care coordination for an assigned panel of complex patients. Conduct needs assessments and develop plans of care in partnership with the rest of the patient’s care team. Ensure care is coordinated, patient-centered, and aligned with the needs and wishes of the patient. Support patients during care transitions, including outreach and assessment during and post hospitalization to ensure discharge needs are addressed, to facilitate provider follow-up, and to perform medication reconciliation. Identify and implement interventions and collaborate closely with ConcertoCare’s multidisciplinary team (providers, Director of Clinical Care, social work, behavioral health, and clinical pharmacy), external providers, and social service organizations to: (1) address gaps in care, (2) mitigate the risk of inpatient admissions, readmissions, emergency room visits and movement to an institutional setting, (3) and keep patients safely living in their desired and appropriate home environment. Identify and verify appropriate utilization of resources across the continuum of care. Actively participate in interdisciplinary care team huddles, and other clinical meetings. Participate in quality improvement and evaluation processes. Adhere to compliance policies, procedures, and standards of conduct including all applicable laws and regulations. Serve as a mentor for new hires and existing case management team members Other duties as assigned.

Molina Healthcare

Care Manager (RN)

Posted on:

January 25, 2026

Job Type:

Full-Time

Role Type:

Care Management

License:

RN

State License:

Arizona

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

Required Qualifications: At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of practice. Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA). Demonstrated knowledge of community resources. Ability to operate proactively and demonstrate detail-oriented work. Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. Ability to work independently, with minimal supervision and self-motivation. Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. Ability to develop and maintain professional relationships. Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. Excellent problem-solving, and critical-thinking skills. Strong verbal and written communication skills. Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. Preferred Qualifications: Certified Case Manager (CCM). The ideal candidate will have experience with maternity, post partum, and pediatrics.

Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. Conducts telephonic, face-to-face or home visits as required. Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. Maintains ongoing member caseload for regular outreach and management. Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. Assesses for barriers to care, provides care coordination and assistance to member to address concerns. May provide consultation, resources and recommendations to peers as needed. Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may conduct medication reconciliation as needed. 25-40% estimated local travel may be required (based upon state/contractual requirements).

Tech Observer

Lead Clinical Documentation Improvement (CDI) RN

Posted on:

January 25, 2026

Job Type:

Contract

Role Type:

Clinical Operations

License:

RN

State License:

Compact / Multi-State

ech Observer has been providing Staffing(Clinical/Scientific/IT/Professional) and Clinical Research Services since 2005. We have offices in New Jersey: US (Headquarters), India ,UK, Denmark and Singapore. Being ISO 9001:2008, ISO 14155:2011 and ISO 27001 certified company, we believe in quality & responsible work ethic. We are proud in providing strategic & real-time insights to the client to achieve their goals. Our services range offer flexible solutions to our clients ranging from ‘standalone service’ to ‘end to end support’ for their needs. With a team of 500 employees globally, we are serving more than 50 companies in over 30 countries. Our Key Services are: • Clinical Operations • Clinical Data Management • Biostatistics & SAS Programming • Medical Writing & Scientific Communications • Post-Marketing Clinical Studies • Staffing (US only)

Responsible for improving the overall quality and completeness of clinical documentation. Facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to ensure that compliant documentation is achieved, with resultant appropriate level of severity reflected and reimbursement received for service rendered to all patients with a DRG based payor.

Required Skills & Experience: A minimum of five (5) years in an acute care setting as an RN. Working knowledge of computers. Preferred Skills & Experience: Coding experience, i.e. CCS, RHIT background. Education: Required Education: Associate degree in Nursing. Preferred Education: Bachelor's degree in Nursing. Required Certifications & Licensure: Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from a participating state in the NLC (Nurse Licensure Compact). Advanced certification related to CDI (CCDS, CDIP) is required within 6 months of hire.

Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and hospital outcomes. Assists the Case Management Manager in the day to day responsibilities of overseeing the Documentation Specialists. Includes, but is not limited to, participation in the Documentation Specialist performance appraisal process, supervision of workload assignments, and practice supervision. Plans and implements compliant documentation goals and objectives across the Community Hospital Division (CHD), which support hospital goals and objectives. Assists in development of agendas and in material preparations for meetings to support hospital improvements in identified hospital initiatives, including CDE System Steering Committee. Coordinates and manages program reporting and outcome measurements. Assists the Case Management Manager in the development and updating of policies, procedures and workflow. Facilitates modifications to clinical documentation to ensure compliant documentation with appropriate reimbursement received for the level of service rendered to all patients with a DRG based payor. Improves the overall quality and completeness of clinical documentation, ensuring documentation integrity, by performing initial reviews, continued stays reviews and reconciliation process using the 3M 360 Program. Coordinates professional growth for the Community Hospital Division - RN Clinical Documentation Specialists through appropriate educational opportunities. Coordinates staff development activities related to education, quality assurance and outcome measurements. Coordinates staff development activities related to education, quality assurance and outcome measurements. Facilitates communication and confers with providers face to face or via Clinical Documentation Excellence (CDE) Shared Note to clarify diagnoses information, obtain needed documentation, present opportunities and educate for appropriate DRG based on severity of illness (SOI) and risk of mortality (ROM). Reviews patient record to ensure points of clarification have been recorded. Educates all internal customers on compliant documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies. Assists with staff recruitment and interviewing RN Clinical Documentation Specialists ( CDS) candidates. Serves as Primary lead for orientation and training for new RN CDS. Assists with management of 3M 360 program and serves as subject matter expert with IT on resolution. when operations impacted. Other duties as assigned.

Saltu Healthcare

Remote Registered Nurse - Make $1850-$2000/Week

Posted on:

January 24, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

Texas

Saltu Healthcare is rooted in the community. We partner directly with local hospitals and clinicians to make every travel assignment supportive, transparent, and built around your success from start to finish.

A leading hospital is looking for a CVOR Registered Nurse to support high-acuity cardiovascular surgical services. The ideal candidate has strong clinical judgment, procedural expertise, and seamless collaboration within multidisciplinary care teams. The role includes structured scheduling, on-call coverage, and exposure to advanced cardiovascular procedures.

Requirements: Active Registered Nurse (RN) license BLS certification required Minimum 3 years of CVCT/CVOR experience (required) General RN experience (required) Epic EMR experience (required) Top Skills: Cardiovascular operating room procedures High-acuity patient monitoring Evidence-based nursing practice Clinical assessment and care planning

Perform comprehensive patient assessments and develop individualized plans of care Deliver perioperative and procedural nursing care in CVOR settings Assist in cardiovascular and cardiothoracic surgical procedures Coordinate care with physicians, surgical teams, and interdisciplinary staff Maintain aseptic technique and patient safety standards Monitor patient responses and adjust care plans accordingly Support patient education, advocacy, and informed decision-making Utilize Epic for clinical documentation and care coordination Contribute to quality improvement and patient safety initiatives

Guidehealth

RN Case Manager - Remote

Posted on:

January 24, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

Compact / Multi-State

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. 

Helping patients feel supported, heard, and guided—right from your home. At Guidehealth, we’re transforming how patients experience healthcare by combining clinical expertise with compassionate, person-centered support. As a Remote RN Case Manager, you’ll build trusted relationships with patients by phone, helping them navigate complex health needs, understand their care plans, and improve their overall well-being. If you’re a nurse who loves making a direct impact—without the physical demands of bedside care—this role offers the meaningful patient connection you’re looking for. This is a primarily remote role with 10–15% local travel to clinical sites in your hiring area.

Active Compact Registered Nurse license in good standing is required. 3+ years of RN Case Management experience, preferably in outpatient or ambulatory care. Strong critical-thinking and problem-solving skills to anticipate barriers and drive care forward. Ability to work independently, manage multiple priorities, and make sound clinical decisions remotely. Outstanding communication—warm, clear, confident, and patient-focused. Excellent telephonic interviewing skills and the ability to document accurately in real time. High comfort level with technology: EMRs, care-management systems, multi-screen workflow, Microsoft Office, and telecommunication tools. Understanding of accreditation and quality standards (NCQA, HEDIS). A quiet, private home office suitable for patient calls and handling PHI. Alignment with Guidehealth policies, clinical protocols, and compliance standards. What we'd love for you to have: BSN and Case Management certification preferred.

Conducting in-depth telephonic assessments to understand each patient’s medical, psychosocial, and social needs. Reviewing and updating medical histories—including medications, chronic conditions, and preventive care. Developing individualized care plans and guiding patients through their treatment goals and care options. Providing empathetic, evidence-based education on chronic disease management and preventive health. Monitoring progress by phone, adjusting care plans, and ensuring patients stay connected to their providers. Completing Medicare Annual Wellness Visits (AWVs) via telehealth under physician supervision. Partnering with Healthguides who support non-clinical needs like scheduling, transportation, food assistance, and SDOH resources. Performing proactive outreach and timely follow-ups to maintain continuity of care and patient engagement. Advocating for patients, helping them access the right resources at the right time. Documenting clearly and accurately in the EHR and care-management systems during and after calls. Supporting quality outcomes (HEDIS, NCQA) by coordinating preventive services and managing chronic conditions. Participating in virtual meetings, ongoing education, and clinical training to stay current with care standards. Using multiple communication methods (phone, text, patient portals, email, AI-supported tools) to reach high-risk patients. Collaborating in AI-driven outreach programs that help connect with vulnerable populations. Protecting patient privacy in a secure, private home workspace. Performing additional responsibilities as needed to support patients and the care team.

Trillium Community Health Plan

Care Navigator Child Welfare LPN

Posted on:

January 24, 2026

Job Type:

Full-Time

Role Type:

Care Management

License:

LPN/LVN

State License:

Oregon

At Trillium Community Health Plan (Trillium), we know all healthcare is local. Our Trillium staff are proud members of the communities we serve and we’re dedicated to transforming the lives of our members through programs and services that focus on prevention, health equity, and access to high-quality care. Trillium serves Oregon Health Plan members through the Coordinated Care Organization (CCO) model, connecting members to a network of healthcare providers for medical, dental, behavioral and mental health services. We also offer Trillium Advantage, a Medicare Advantage plan with prescription drug coverage. Trillium Advantage is available to those who qualify for Medicaid through the state of Oregon and are eligible for Medicare. Our 56,000 members live in Lane, Western Douglas and Western Linn counties, and in Clackamas, Washington and Multnomah counties. At Trillium, our focus is on whole health and active local engagement to help all people live a healthier life. Trillium is a wholly-owned subsidiary of Centene Corporation. To learn more about our offerings, please contact us at 1-877-600-5472 (TTY: 711) or visit our website at www.TrilliumOHP.com. Follow us on Facebook at facebook.com/TrilliumCHP or Twitter @trilliumchp.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ** Qualified applicants are preferred be licensed in the state of Oregon as an Licensed Practical Nurse (LPN) but are able to live in any state. Prefer candidates with child welfare, foster care, or peds experience.** Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.

Education/Experience: Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. License/Certification: State of Oregon LPN clinical license preferred. ** Qualified applicants are preferred to be licensed in the state of Oregon as an Licensed Practical Nurse (LPN) but are able to live in any state. **

Role will consist of working with our child welfare population and require qualified candidates to hold a LPN license in the state of Oregon. Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits Other duties or responsibilities as assigned by people leader to meet the member and/or business needs Performs other duties as assigned Complies with all policies and standards

Dane Street

Registered Nurses (RNs) for Disability Case Reviews - Remote Opportunity

Posted on:

January 24, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

RN

State License:

Compact / Multi-State

Dane Street is the industry's fastest growing national IME and Peer Review provider with a panel of board-certified, active-practice physicians in all 50 states. Services are provided to the Workers Compensation, Pharmacy, Disability, Group Health and Auto/Liability lines of business. Dane Street's Review and Evaluation services provide improved report quality, faster turnaround time and higher adjuster/nurse satisfaction and productivity.

Dane Street is seeking experienced Registered Nurses (RNs) to support our disability case review process. In this role, you will perform clinical reviews of disability claims, providing essential support to our decision-making team. These reviews will follow a structure similar to those performed by MDs, but are specifically designated for RN-level review. Previous experience in disability claims or clinical case review required

Active, unrestricted RN license (multi-state preferred) Previous experience in disability claims or clinical case review required Strong attention to detail and critical thinking skills Excellent written and verbal communication Comfortable working independently in a remote setting Experience with insurance or occupational health is a plus

Conduct thorough clinical reviews of disability claims Analyze medical records for accuracy and completeness Apply clinical expertise to evaluate claim validity Follow established review protocols and documentation standards

LanceSoft, Inc.

RN Clinical Documentation Specialist

Posted on:

January 24, 2026

Job Type:

Contract

Role Type:

Clinical Operations

License:

RN

State License:

Virginia

Established in 2000, LanceSoft is a pioneer in delivering top-notch Global Workforce Solutions and IT Services to a diverse clientele. We pride ourselves on fostering global cross-cultural connections that advance both the careers of our employees and the success of our clients' businesses. At LanceSoft, our mission is clear: to leverage our global network to seamlessly connect businesses with the right talent and individuals with the right opportunities, all without bias. We believe in providing Global Workforce Solutions with a personalized, human touch. Our comprehensive range of services spans various domains, encompassing temporary and permanent staffing, Statement of Work (SOW) arrangements, payrolling, Recruitment Process Outsourcing (RPO), application design and development, program/project management, and engineering solutions. Currently, our team of over 5,000 professionals caters to 110+ enterprise clients worldwide, including Fortune companies. Our client base represents a diverse spectrum of industries, including Banking & Financial Services, Semiconductor/VLSI, Technology, Healthcare & Life Sciences, Government, Telecom & Media, Retail & Distribution, Oil & Gas, and Energy & Utilities. Headquartered in Herndon, VA, LanceSoft operates 32+ regional offices across the North America, Europe, Asia, and Australia. We also have nine delivery centers strategically located in India in Bangalore, Indore, Noida, Baroda, Hyderabad, Bhubaneshwar, Dehradun, Goa, and Aligarh to further enhance our client service capabilities.

The Clinical Documentation Specialist is an experienced Clinical Documentation Nurse who has obtained knowledge and expertise in all patient populations across the enterprise to provide comprehensive Clinical Documentation Integrity (CDI) chart reviews. Facilitates modifications to clinical documentation to ensure appropriate reimbursement is received for the level of service rendered. Ensures the accuracy and completeness of clinical information used for measuring and reporting clinical and quality outcomes.

Required Skills & Experience: Minimum of five (5) years of acute care nursing experience is required. Minimum of one (1) year of CDI experience in a hospital setting is required. Efficient use of MS Office products (Excel, Outlook, Word), WebEx and Epic (or similar EMR). Excellent communication, negotiation, troubleshooting, and presentation skills. Ability to read and correlate an extensive variety of medical / surgical medical treatments and monitoring to clinical conditions. Ability to interact with all levels of organization. Ability to document and maintain process documentation. Excellent follow-through from initiation to conclusion. Working knowledge related to MSDRG and APRDRG payer trends and rules. Working knowledge related DRG and CMI impacts. Working knowledge of coding guidelines and coding clinics.

Collects and assesses data within CDI software systems. Independently applies experience and critical thinking skills to identify opportunities for documentation improvement that support the program and organizational goals. Facilitates modifications to clinical documentation to ensure appropriate reimbursement is received for the level of service rendered. Improves quality and completeness of clinical documentation by performing initial, follow-up, reconciliation reviews while adhering to organizational workflows and ACDIS / AHIMA guidelines. Provides training and guidance to Associate CDS nurses. Identifies and reviews complex clinical issues / service line trends upon reconciliation process via level process with coding. Facilitates and enhances procedural coding practices. Collaborates with physicians, midlevel providers, nursing staff, other patient providers, and coding staff to ensure appropriate reimbursement is received for the level of service rendered and to capture Quality specific codes related to patient encounter specific DRG’s. Ensure points of clarification have been recorded in the patient’s chart. Maintains records that support appropriate financial reimbursement (DRG and CMI) and organization quality benefit rankings. Other duties as assigned.

Elevance Health

Transitions of Care RN- Carebridge

Posted on:

January 24, 2026

Job Type:

Full-Time

Role Type:

Behavioral Health

License:

RN

State License:

Compact / Multi-State

Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner.   Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health.  We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.

Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. A proud member of the Elevance Health family of brands, Carelon Health (formerly CareMore Health) offers clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. Location(s): Costa Mesa, CA, Grand Prairie, TX, Tampa, FL, Miami, FL, Overland Park, KS, St. Louis, MO, Chicago, IL, Mendota Heights, MN, Cincinnati, OH, Iselin, NJ, Nashville, TN and Wilmington, DE Work Hours: Monday – Friday plus 2 weekends a month Eastern Time: 8:00AM – 7:00PM All other time zones: 7:00AM – 6:00PM, 8:00AM -7:00PM or 9:00AM -8:00PM The Transitions of Care RN- Carebridge is responsible for participating in delivery of patient education and disease management interventions and for performing health coaching for members, across multiple lines, for health improvement/management programs for chronic diseases.

Minimum Qualifications: Requires AS in nursing and minimum of 2 years of condition specific clinical or home health/discharge planning experience; or any combination of education and experience, which would provide an equivalent background. Current unrestricted RN license in applicable state(s) required.’ Preferred Skills, Capabilities and Experiences: RN compact license is highly preferred BS in nursing preferred Prior case management experience preferred Bilingual in Spanish or Mandarin is highly preferred Experience working with members that have chronic diseases is highly preferred Experience working in home health is preferred

Conducts behavioral or clinical assessments to identify individual member knowledge, skills and behavioral needs. Identifies and/or coordinates specific health coaching plan needs to address objectives and goals identified during assessments. Interfaces with provider and other health professionals to coordinate health coaching plan for the member. Implements and/or coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. Uses motivational interviewing to facilitate health behavior change. Monitors and evaluates effectiveness of interventions and/or health coaching plans and modifies as needed. Directs members to facilities, community agencies and appropriate provider/network. Refers member to catastrophic case management.

CareHarmony

Remote Triage Nurse - Weekend Shift - Licensed Practical Nurse - LPN - LVN

Posted on:

January 24, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

LPN/LVN

State License:

Compact / Multi-State

CareHarmony works comprehensively with providers to deliver value-based care management initiatives for their patients. Our clinicians are driven by their passion for the level of care delivered; experts in assisting patients and caregivers navigate a sometimes-fractured healthcare system and consistently prioritize a high-quality standard so patients may better manage chronic illnesses and improve their Quality of Life.

Under the direction of the Lead Triage RN, the triage nurse will be responsible for providing exceptional patient care for all calls after business hours. This includes telephonic triage of complex patients, assisting with psychosocial needs and business initiatives.

Required Skills/Abilities: Compact/Multistate Licensure required (additional licensures are a plus) Innovative mindset, driven to change how patients manage their health Robust clinical knowledge Extensive experience in telephonic triage Ability to quickly determine appropriate level of care based off clinical assessment Ability to navigate multiple technological platforms Excellent attention to detail Excellent customer service skills Excellent organizational skills Excellent verbal and communication skills Excellent professional presence when dealing with colleagues, clients and patients Ability to function cohesively within a team Education and Experience: Graduate of accredited School of Nursing Nursing license must be active and in good standing A minimum of five (5) years of professional experience in nursing Experience in Triage required Remote Requirements: Must have active high-speed Wi-Fi Must have a home office or HIPAA-compliant workspace Physical Requirements: This position is sedentary and will require sitting for long periods of time This position will require the ability to speak clearly and listen attentively, often by telephone, for an extended period of time The position will require the ability to understand, process, and take thorough notes in real-time on telephone conversations Schedule: 6am - 7pm CST (Saturday and Sunday every OTHER weekend)

Conduct thorough telephonic assessments with proprietary tools Identify and address patient concerns Address acute clinical concerns with close collaboration with the patient’s providers. Provide telephonic education to patients Participate in Innovation team projects Ensure excellent quality of care provided during on-call and triage interactions Foster relationships within the team to ensure the CareHarmony culture is positive and supportive

IntellaTriage

Remote Hospice Triage RN PT 3:30p-12a + rotating Sat & Sun 7:30a-4p CST

Posted on:

January 24, 2026

Job Type:

Part-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. We are growing rapidly and excited to support our clients’ nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an extension of our clients’ care team, and they trust us to support them and their patients during their non-core hours.

We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over the phone wit professionalism and empathy. You will help ensure timely interventions and coordination of care for patients receiving hospice services.

Active multistate Registered Nurse (RN) license Hospice, palliative, or end-of-life care is strongly preferred Must be comfortable with technology and electronic medical records (EMR) utilized for documentation of calls Ability and comfort with typing documentation and notes in a fast-paced environment Must be able to handle stress and multitask when receiving calls (minimum of 5 calls per hour on weekdays, and up to 8 per hour on weekends) Strong communication and critical thinking skills Ability to work independently in a remote environment This is a remote position that requires consistent attendance, active communication, and reliable internet connectivity during all scheduled shifts to support timely patient care coordination

Provide telephone triage for hospice patients and families Assess patient conditions and determine appropriate next steps Collaborate with on-call teams to coordinate care and resources Accurately document all communications and interventions Maintain a calm and professional demeanor while handling urgent calls.

Sun River Health

Registered Nurse - Patient Care Contact Center (Remote)

Posted on:

January 24, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

RN

State License:

New York

Sun River Health has a rich history of providing quality, affordable health care to communities in need. Founded in the early 1970s by four African American women in Peekskill, New York, the organization was established to address the lack of accessible health services in their community. With the help of a small federal grant, the first Sun River Health site opened its doors in 1975. Over the years, Sun River Health has grown into a comprehensive Federally Qualified Health Center (FQHC) system with over 45 locations, serving more than 250,000 patients across the Hudson Valley, New York City and Long Island. Our exceptional primary care practitioners, specialists and support staff are dedicated to delivering high-quality care to all individuals, regardless of their ability to pay. In December 2018, Sun River Health expanded its reach by merging with Brightpoint Health, an FQHC network offering integrated medical, behavioral and social support services in New York City. This merger allowed us to enhance our services and continue our mission under the unified name of Sun River Health

Sun River Health provides the highest quality comprehensive primary, preventative and behavioral health services to all who see it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable. Sun River Health is a Federally Qualified, Non-Profit Health Center serving communities in Suffolk, Rockland, Orange, Dutchess, Ulster, Sullivan, Columbia and Westchester County. Sun River Health is currently seeking a full-time Patient Care Center Registered Nurse to join our team. The PCC Registered Nurse is a licensed nurse responsible for delivery of nursing care remotely to individual clients. The Registered Nurse maintains the quality of client care through the ongoing processes of assessment, planning and implementation of nursing activities through the Patient Care Center.

Bachelors Degree in Nursing Required New York State Registered Nurse license CPR/BLS -HCP Required Bilingual Preferred

Meets good customer service to ensure quality call handling Follows call center nursing and scheduling workflows Assist staff with Urgent and Red Flags patient's health concerns. Support site level Prescription Refill and Medical Call Buckets during scheduled outbound call times Develops, implements and evaluates the nursing care regimens for clients. Plans, coordinates and assesses client care. Identifies client needs and provides remote nursing care based on the client’s care plan. Collaborates with interdisciplinary team members to develop, implement and evaluate client care. Meets call handling performance Functions as preceptor to students, new hire candidates and other clinical team members/ staff when needed Assists with Quality Assurance audits as assigned. Identifies quality issues and opportunities for improving quality of care. Documents client care with accurate and accessible records. Communicates with Pharmacy, Laboratories and other vendors as needed. Assists with medication refills per Sun River Health protocols Maintains professional competence through participation in staff development and educational program. Provides clinical education and counseling to patients for health promotion and disease prevention to improve health outcomes Have an appropriate and quiet remote work environment, as well as supplying and maintaining good Internet Connectivity required for Call Center Platforms

HydraMed Mobile IV + Longevity RX

Mobile I.V. Therapy Registered Nurses

Posted on:

January 24, 2026

Job Type:

Part-Time

Role Type:

Clinical Operations

License:

RN

State License:

Compact / Multi-State

HydraMed, a collective of leading medical professionals, offers Mobile IV Therapy for preventive and robust immune support and Longevity RX Treatments for smarter aging and enhanced longevity. Through a revolutionary approach that challenges conventional healthcare models, we bring personalized, cutting-edge treatments directly to you. Committed to accessibility and customization, our values are driven by the mission to empower you to live more and age smarter. Bear Harper, the original founder and principal owner of HydraMed, provides strategic direction and leadership to the company. Mark Baldwin, a full-time firefighter, also lends his expertise as a part-time owner and managing partner at HydraMed. Despite his full-time commitment to firefighting, Mark dedicates his time to HydraMed, aiding the company's success. With Bear and Mark's dedication and expertise, HydraMed delivers science-backed IV therapy and Longevity RX treatments tailored to smarter aging and enhanced longevity. Experience optimal well-being in the comfort of your own home or at any location of your choosing with HydraMed's convenient and expert services and treatments. HydraMed, committed to a healthier future, upholds safety, excellence, and innovation. Medical direction is led by Dr. Thomas Paluska and Nurse Practitioner Courtney Williams, we ensure our Longevity RX home-kits and treatments meet the highest standards, using premium compounds from FDA-registered US pharmacies. Our mission transcends typical healthcare, aiming to transform lives with custom treatments that promote longevity and vitality. HydraMed isn't just about providing care; it's about pioneering a future where living more and aging smarter becomes the norm for our community.

HydraMed is seeking experienced Registered Nurses to join our team as Mobile IV Therapists. You will deliver safe, medical-grade IV treatments in various settings, including homes, hotels, and offices. To ensure safety and consistency, all therapists must adhere to the following: Availability: Maintain activity by working at least once per month and submit weekly availability to Dispatch. Commitment: Once a booking is assigned, completion of the appointment is required unless an emergency occurs. Work Location: Clinical services are performed on-site at patient locations within a designated service area.

License: Active and valid Registered Nurse (R.N.) License in the state of practice (Compact license preferred). Certification: Current BLS Certification. Experience: 2+ years of clinical experience in specialized units (ICU, OB, NICU, ER, Med Surg, or Surgery). Skills: Proficiency in starting IVs, including difficult sticks, and administering IM injections.

Administer IV drips and IM injections according to established protocols Conduct patient assessments and obtain informed consent. Monitor patients during IV infusion and provide post-care guidance Complete medical documentation in the Intake form while maintaining HIPAA compliance Deliver professional, concierge-level care.

Accredo Specialty Pharmacy

Telephonic Critical Support Nurse, PM Shift - Accredo - Remote

Posted on:

January 24, 2026

Job Type:

Full-Time

Role Type:

Triage

License:

RN

State License:

Compact / Multi-State

Accredo® Specialty Pharmacy goes beyond the prescription, it provides deeply personalized care for individuals living with chronic, complex, and rare conditions that require specialty medications. Our expert teams—organized into condition-specific Therapeutic Resource Centers® (TRCs)—offer 24/7 clinical support, copay coordination and proactive patient outreach. We collaborate with prescribers, employers, health plans and pharmaceutical manufacturers to ensure access to vital therapies and improve patient outcomes. As part of Evernorth Health Services and The Cigna Group, Accredo Specialty Pharmacy combines compassionate care with data-driven insights to help patients live healthier, fuller lives.

Telephonic Critical Support Nurse (RN) Remote, Work from Home, United States Schedule Information: Evening shifts available: Four 10-hour days (12:30pm to 11:00pm Central Time) Three 12-hour days (10:30am to 11:00pm Central Time) plus an additional 4-hour shift on a fourth day Days off will vary week-to-week Must be available to work occasional overnight shifts (1–2 weekdays per month, 2–4 weekends per year) Evening and overnight shifts include a shift differential All shifts include every third weekend and some holidays Position Overview: This role supports a busy 24/7 clinical call center, responding to a wide variety of incoming calls from patients, clinicians, referral sources, and hospitals. The team provides support for chronic therapies, including Home Infusion Therapy, and handles after-hour calls for all divisions of Accredo Health Group Specialty Pharmacies.

Registered Nurse (RN) with multistate license in good standing, with ability to obtain licensure in all 50 states. Valid RN license in state of primary residence. Bachelor of Nursing degree (BSN) preferred. Minimum of 5 years of relevant RN experience in critical care or home infusion. Ability to work the shifts listed above. Proficiency with Microsoft Office software (Word, Excel, PowerPoint). Understanding of legal and regulatory issues. Ability to compile data and statistics. Strong customer service focus and ability to counsel patients. Ability to develop and maintain a cross-section of networks. Strong oral and written communication and organizational skills.

Triage incoming calls from patients, clinicians, hospitals, and other sources. Intervene to address life-threatening medication interruptions. Guide patients, caregivers, and clinicians through assessment of potential disruptions in medication administration, including pump malfunction, central line problems, and patient error. Troubleshoot issues with infusion devices, answer infusion access questions, and provide therapy support. Coordinate communication between patients, caregivers, pharmacists, nurses, hospital staff, and physicians. Ensure timely provision of products and supplies. Contact appropriate personnel as needed and document transactions in patients’ electronic charts. Maintain up-to-date knowledge of all services, products, and resources provided by Accredo, incorporating new product and service information. Identify trends and needs within the scope of customer/client contact.

VetJobs

RN CNA or CMA Healthcare Customer Service Representative - Remote

Posted on:

January 23, 2026

Job Type:

Full-Time

Role Type:

Telehealth

License:

RN

State License:

Missouri

VetJobs brings military and veteran job seekers together with employers who are looking to hire. Our career coaching services are unrivaled as VetJobs leads the nation in military and veteran job placement assistance services - all at no cost to the service member or veteran. With an average salary greater than $90,000 our team has provided job placement services to more than 300,000 military affiliated jobseekers and have surpassed our 100,000 job hires! These industry leading achievements are possible by providing consistent, effective, individualized career coaching services to those looking for their next career opportunity. Connect. Get started today. We look forward to serving you.

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. At this time, TP can only offer employment to individuals located in the following states: AL, AR, AZ, CT, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, WV, WY. Job_Category: Work From Home

Minimum Education Required: Certifications/Security Clearances/Other Qualifications: High School Diploma or equivalent (CNA/CMA). College degree (RN) Minimum of 6 months of healthcare/customer service experience. Must be 18 years of age or older. Ability to type at least 25 words per minute. Comfortable with desktop computer systems and have general knowledge of Windows-based systems. Must hold an Active License for the RN role Must have proof of school/experience for CNA/CMA role, Active license is preferred Must be comfortable working in a call center environment as this is not patient facing. Key Competencies: Process Excellence: Demonstrate commitment to following established procedures and be customer service driven. Collaboration: Proven ability to collaborate effectively with team members, supervisors, and support departments to resolve customer issues and achieve performance goals. Communication: Outstanding communication, listening, and analytical skills. Organizational Skills: Strong organizational and problem-solving skills. Emotional Intelligence: Ability to prioritize tasks and work well under pressure while remaining focused. Open-Mindedness: Open-minded approach to feedback, evolving policies, and working within a structured schedule that includes a variety of shifts. Critical Thinking: Sharp critical thinking skills, enabling quick analysis of customer issues and thoughtful, informed decision-making. Solution-Oriented: Proactive approach to problem-solving with a focus on creating a positive customer experience. Work from Home Requirements: Internet Requirements: Minimum subscribed download rate equal or exceeds 30.0 Mbps Minimum subscribed upload rate equal or exceeds 15.0 Mbps ISP must have no packet loss and ping under 50ms Internet connections cannot be Satellite, Mobile Data (5G, 4G, 3G hotspots), P2P or VPN Proof of internet speed required Clean and quiet workspace

Healthcare Customer Service Representatives field customer inquiries by finding innovative ways to respond to varying questions, issues, and concerns. Connect with customers via phone/email/chat/and or social media to resolve their questions or concerns Calmly attempt to resolve and de-escalate any issues Escalate interactions when necessary and appropriate Respond to requests for assistance and/or possible processing payments Track all call related information for auditing and reporting purposes Provide feedback on call issues Upsell if required

Career Management Group

Telehealth Diabetes RN (Remote, NY)

Posted on:

January 23, 2026

Job Type:

Contract

Role Type:

Telehealth

License:

RN

State License:

New York

Hiring doesn’t fail because of a lack of candidates — it fails because of misalignment. We partner with growth-minded companies nationwide to bring clarity, strategy, and execution to their hiring process. At Career Management Group, we take a boutique, hands-on approach to recruiting — learning the business, pressure points, and goals behind every role so we can deliver hires that actually move the needle. Our work spans high-growth and impact-driven industries including healthcare, telehealth, life sciences, medical devices, technology, sales, and corporate functions. Whether the need is contract talent, direct hire, or a more embedded recruiting partnership, we tailor solutions that scale with the business — without résumé flooding or wasted time. We believe recruiting should feel less transactional and more like a true extension of your team. When hiring is done right, growth follows.

Registered Nurse (RN) – CDCES Remote | RPM / CCM Telehealth | NYS RN License (Required) The Role We're hiring a Registered Nurse (RN) with CDCES credentials to support patients enrolled in Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) programs. This is a telehealth-focused role centered on education, engagement, and ongoing support — not bedside care, not call-center chaos. You'll work with patients managing diabetes and related chronic conditions, using real-time data, structured touchpoints, and evidence-based education to drive better outcomes. If you love coaching patients, interpreting trends, and actually seeing progress over time, you'll thrive here. Why This Role: 100% remote — work where you work best Focus on education, engagement, and outcomes No bedside burnout. No shift work. Structured programs with real impact on patient health Competitive compensation + benefits (role dependent)

Active NYS RN license CDCES certification ( preferred ) Experience or strong interest in RPM, CCM, or telehealth care models Solid understanding of diabetes management and chronic disease workflows Comfortable reviewing patient-generated health data and identifying trends Strong communication skills — clear, empathetic, and efficient Tech-savvy and comfortable working across EHRs and digital platforms Nice to Have: Prior experience in RPM, CCM, care coordination, or population health Familiarity with CGMs, insulin pumps, and connected monitoring devices Experience working with Medicare patients and CCM documentation standards Bilingual skills

Deliver diabetes education and coaching within RPM and CCM programs Monitor and interpret RPM data (blood glucose, BP, weight, etc.) and escalate concerns appropriately Conduct scheduled CCM outreach (monthly touchpoints, care plan reviews, follow-ups) Educate patients on: Diabetes self-management and lifestyle strategies Medication adherence (insulin and non-insulin therapies) CGMs, connected devices, and remote monitoring tools Identify barriers to adherence and engagement (behavioral, social, technical) Collaborate with providers and care teams to support treatment plans Document care plans, patient interactions, and outcomes to meet CCM/RPM requirements Support quality measures, patient retention, and program engagement metrics

Aptino, Inc.

Remote - Nurse / Telehealth Nurse / Telemedicine Nurse / Registered Telehealth Nurse / Telephonic Nurse / Call Center Nurse / Clinical Nurse / Tele Nurse

Posted on:

January 23, 2026

Job Type:

Contract

Role Type:

Telehealth

License:

RN

State License:

Kentucky

Welcome to Aptino where we combine APTITUDE of talent, skills, and expertise with INNOVATION of continuous change and transformation to deliver the highest quality of total talent strategies and results. Aptino is a specialized IT consulting firm that leverages cutting-edge AI technology and innovative methodologies to create a comprehensive strategy tailored to the unique needs of each client. Our efficient, focused determination leads us to the highest quality results focusing on a true partnership with our clients and workforce. Our Vision To innovate your approach to sourcing superior talent. Our Mission We leverage cutting-edge AI technology and innovative methodologies to create a comprehensive strategy tailored to the unique needs of each client. Our efficient, focused determination leads us to the highest quality results focusing on a true partnership with our clients and workforce.

Role: Telehealth Nurse Location: Louisville, KY 40219 / Remote Job Job Description: Work timings: Monday - Friday Shifts we can start with below however may have some flexibility in shifts: 8:30 - 5pm EST, 10:30-7pm EST or 11:30-8pm EST Telehealth experience preferred Work from home policy – high level overview this is a call center environment- a dedicated workspace to be HIPAA compliant and childcare is required. To provide service to patients, caregivers, healthcare providers and their staff in support of prescription and specialty drugs through inbound and outbound telephonic interactions relative to program and regulatory requirements inclusive of the coordination of services such as: testing, monitoring and counseling follow up. The Tele-Health Nurse provides service and support to defined stakeholder populations through the use of telecommunications in accordance with the Nurse Practice Act and licensure guidelines.

Education/Training: Vocational or technical training is required. Registered or Licensed Practical Nurse licensure is required. Licensure must be current and maintained upon hire and throughout duration of employment in this role. Business Experience: Two or more years of experience working for a healthcare company, a physician’s office or in a laboratory environment. Knowledge Skills: Reading, writing, arithmetic, medical terminology, good communication skills, read and interpret documents such as safety rules and procedure manuals, PC and word-processing skills, and working knowledge of the company products. Specialized Knowledge/Skills: Ability to express ideas clearly in both written and oral communications, read and interpret documents such as safety rules, procedure manuals, and work instructions, resolve problems independently, and speak effectively and professionally to patients, caregivers, and internal/external stakeholders of the organization. Pro-active self-starter with experience in researching available services and agencies to assist clients with any issues. Strong computer skills required, data entry, proficiency with Microsoft Suite software, basic keyboarding skills. Strong attention to detail to work, accuracy in data collection/note documentation, ability to navigate multiple online platforms and programs synchronously, and comply with competing regulatory requirements. Experience in developing and preparing action plans in addition to consulting with patients and caregivers to resolve complex issues. Adaptable and excited about change which positively impacts the patient experience, adherence to therapy, and goals. Ability to accommodate a fast-paced environment, changing needs within health care. Knowledge to identify Adverse Events and Product Complaints. Working Conditions: Remote - WFH Must have secure and professional working environment space, HIPAA compliant workspace. Must have reliable high-speed internet capable of supporting multiple online platform resource access including VOIP calls and video conferencing Physical Requirements: May sit or stand seven (7) to ten (10) hours per day. May be necessary to work extended hours as needed. Finger dexterity to operate office equipment required. Headset may be required for prolonged hours.

Provide telephonic and electronic service and support of stakeholders, utilizing experience in Behavior Modification and Motivational Interviewing to help achieve and sustain medication adherence through telephonic outreach. Coordinate the collection of patient specific clinical data required to support adherence to regulatory program requirements and therapy protocols Demonstrate understanding of and compliance with regulatory and specific service line and program requirements Utilize clinical knowledge and defined processes to identify stakeholder needs, risks and safety concerns, ensuring timely escalation and reporting Follow up with physicians and patients for purpose of compliance and persistency in reference to program protocols Maintenance of professional licensure

HarmonyCares

Advance Practice Provider - Primary Care

Posted on:

January 23, 2026

Job Type:

Full-Time

Role Type:

Primary Care

License:

NP/APP

State License:

Michigan

HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered out of Troy, Michigan, HarmonyCares operates home-based primary care practices in 14 states. HarmonyCares employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model. Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision – Every patient deserves access to quality healthcare. Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us Competitive Base Salary Accountable Care Organization Comprehensive benefit package including 401K with match Annual stipend for CME and license/association dues Paid Subscription UpToDate for your tablet and company phone A+ rated malpractice coverage with tail coverage Additional Benefits No holidays, no hospital rounds Minimal call responsibilities Provide primary care to high acuity patients in their home Monday - Friday Assistant to support your appointments in select markets Company Car w/ Driver in select markets

Advance Practice Provider (NP or PA) managing chronic conditions of own patient panel. See 6-8 patients per day, Monday - Friday. This role comes with a full-time exempt salary + quality-based bonus + full benefits.

Licensed as a NP in the State where HarmonyCares Medical Group office located Federal DEA License/eligibility Geriatric training/experience preferred Active CPR/BLS Certification Board Certification

The Nurse Practitioners we seek are those who have directly related experience in home health, geriatrics, hospice and primary care. The Nurse Practitioner who wants to practice medicine with a focus on patient care, not volume. We want our clinicians to take the time needed to truly address the patient’s needs.

HarmonyCares

Health Risk Assessment Nurse, Licensed Practical Nurse (LPN) OHIO

Posted on:

January 23, 2026

Job Type:

Full-Time

Role Type:

Primary Care

License:

LPN/LVN

State License:

Ohio

HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered out of Troy, Michigan, HarmonyCares operates home-based primary care practices in 14 states. HarmonyCares employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model. Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision – Every patient deserves access to quality healthcare. Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us 401K Retirement Plan (with company match) Paid Orientation and Training Established in 11 states More details about the benefits we offer can be found at https://careers.harmonycares.com/benefits.

A current unencumbered State professional nurse license Proficient in basic clinical skills Proficient in Microsoft Office

HRA, LPN/LVN collects Health Risk Assessment data both telephonically and face to face to initiate the formulation of a plan of care. As a HRA, LPN/LVN you will: Schedule and perform home visits to collect Health Risk Assessment (HRA) data, unless request to obtain telephonically Communicate any patient needs timely with Nurse Manager in effort to expedite process of getting the patient needs fulfilled Maintain accurate records providing detail of calls attempted and telephonic HRA

DataAnnotation

Registered Nurse

Posted on:

January 23, 2026

Job Type:

Contract

Role Type:

License:

RN

State License:

Idaho

Welcome to DataAnnotation! We pay smart folks to train AI. We offer a remote, flexible work model- you choose your own hours and get to work when you want, whenever you want. Apply now through our open Job Listings.

We are looking for a Registered Nurse to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. Physicians & Advanced Practice Clinicians In this role you will need to be an expert in healthcare. We are interested in a wide range of expertise, so relevant backgrounds include: Physicians of all specialties (e.g., Internists, Cardiologists, Oncologists), Physician Assistants, Nurse Practitioners, Certified Nurse-Midwives, Certified Registered Nurse Anesthetists, Clinical Nurse Specialists, Registered Nurses. Therapists Physical Therapists, Occupational Therapists, Speech-Language Pathologists, Respiratory Therapists, Athletic Trainers, Massage/Recreational Therapists. Diagnostic & Laboratory Professionals Radiologic Technologists, Sonographers, MRI & Nuclear Medicine Technologists, Medical Laboratory Scientists, Phlebotomists, Histology & Genetics Technicians. Public Health & Specialized Roles Dietitians/Nutritionists, Genetic Counselors, Epidemiologists, Public Health Nurses. Benefits: This is a full-time or part-time REMOTE position You’ll be able to choose which projects you want to work on You can work on your own schedule Projects are paid hourly starting at $50-$60 USD per hour, with bonuses on high-quality and high-volume work

Fluency in English (native or bilingual level) A current or in progress medical degree

Give AI chatbots diverse and complex healthcare related problems and evaluate their outputs Evaluate the quality produced by AI models for correctness and performance Ensure the medical accuracy of model performance

Cherokee Federal

Licensed Practical Nurse, LPN/LVN

Posted on:

January 23, 2026

Job Type:

Full-Time

Role Type:

Clinical Operations

License:

LPN/LVN

State License:

Oklahoma

Cherokee Federal, a division of Cherokee Nation Businesses, is a trusted team of government contracting professionals who can rapidly build innovative solutions. We work around the globe to help solve issues in national security and intelligence, information technology, health solutions, DoD logistics and humanitarian relief. Our businesses serve the Cherokee Nation tribe, where 100% of our profits support building a brighter future for tribal citizens.

Accurately advises patients of their referral eligibility, beneficiary status, and health treatment options as outlined by their TRICARE enrollment and/or DEERS status. Coordinates with the military treatment facility, (MTF), Staff for all active, reserve, and guard referrals not covered under the TRICARE benefit for approval. Directs patient to the patient travel coordinator and provides information on travel-related benefits. Assists MTF, as necessary, on advising patients regarding Line-of-Duty, Personal Reliability Program (PRP), and Medical Evaluation Board issues as outlined in AFI 41-210, Tricare Operations and Patient Administration Functions, and AFI 36-3212, Physical Evaluation for Retention, Retirement, Separation (in conjunction with MTF Physical Evaluation Board Liaison Officer and MTF monitors). Verifies appropriate paperwork is on file before authorization. Initiate, receive, and coordinate, (telephone/computer/written), communication between beneficiaries, team members, internal staff and providers, network/outside providers, and ancillary health care workers regarding specialty clinic appointments and referrals.

Professional license for LPN required. Knowledge of MHS Genesis is preferred. Knowledge of military patient referrals is preferred. Must pass the pre-employment qualifications of Cherokee Federal.

Shall read, understand, speak, and write English fluently. Shall have knowledge, skills, and computer literacy to interpret and apply medical care criteria, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. Shall have a minimum of two (2) years broad-based clinical nursing experience in either an inpatient or outpatient care setting within the last three (3) years. The license must be valid and unrestricted. Contract personnel shall be in good standing, and under no clinical restrictions, with the licensure boards in all jurisdictions in which a license is held or has been held within the last ten (10) years. Operational computer skills with general working knowledge of word processing, and Microsoft applications (including Windows, Word, Excel, and Outlook). General medical ethics, telephone etiquette, written/verbal/electronic communication, and customer service skills. Performs other job-related duties as assigned.

Oscar Health

Case Management Nurse

Posted on:

January 23, 2026

Job Type:

Full-Time

Role Type:

Case Management

License:

RN

State License:

Compact / Multi-State

Hi, we're Oscar. We're hiring a Case Management Nurse to join our Case Mangement team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

You will educate members on improving health outcomes, assist with transitions from care settings, participate in process improvement and other pilot programs as they arise, and work with support teams to ensure exceptional care for our members. You will report into the Associate Director, Clinical. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $39.28 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license Ability to obtain additional state licenses to meet business needs 2+ years of clinical experience to include payer, hospital, outpatient or community based care management 1+ years of experience in Care Coordination and Navigation Bonus points: CCM Certification Bilingual in Spanish and/or creole reading, writing, speaking BSN Working knowledge of Milliman Guidelines

Assist in the coordination of care across a variety of settings (inpatient, outpatient, post acute, ER, home care) Actively reach out to members undergoing difficult health challenges and develop care plans Proactively reach out to hospital case managers to assist with discharge planning Communicate with members via phone or secure messaging to provide education on health conditions, new medications, and procedures. Compliance with all applicable laws and regulations Other duties as assigned

Oscar Health

Utilization Review Nurse

Posted on:

January 23, 2026

Job Type:

Full-Time

Role Type:

Utilization Review

License:

RN

State License:

Compact / Multi-State

Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions. You will report into the Supervisor, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Texas, Georgia, Arizona, and Florida. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) Associate Degree or Bachelors Degree - Nursing or Graduate of Accredited School of Nursing MCG or InterQual tooling experience Ability to obtain additional state licenses to meet business needs 1+ year of utilization review experience in a managed care setting 1+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital) Bonus points: BSN Previous experience conducting concurrent or inpatient reviews for a managed care plan

Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines Meet required decision-making SLAs Refer members for further care engagement when needed Compliance with all applicable laws and regulations Other duties as assigned