UnitedHealth Group
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Cambridge,MA
Senior Clinical Appeals RN 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...
Mass General Brigham
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Newton,MA
Site: Newton‑Wellesley HospitalJob SummarySign‑On Bonus: $750.00. Under the direction of a registered/licensed nurse (RN), the Patient Care Associate (PCA) assists in clinical support functions to promote a safe, compassionate patient care...
Virtual Vocations
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Cambridge,MA
Providing academic support to prelicensure nursing students, the part-time remote RN Licensed Nursing Tutor will facilitate group sessions focused on nursing concepts such as med math, MedSurg, and pharmacology, meeting a minimum of eight hours...
UnitedHealth Group
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Cambridge,MA
RN Health and Social Services Care Coordinator $5,000 Sign-on Bonus for External Candidates At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.
Virtual Vocations
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Cambridge,MA
To enhance the effectiveness of the Clinical Chart Validation team, the full-time RN Licensed Auditor Trainer will develop and deliver technical training, mentor team members, and assess training needs while collaborating with various stakeholders...
UnitedHealth Group
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Cambridge,MA
RN Clinical Care Coordinator At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the...
Virtual Vocations
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Cambridge,MA
Managing a daily caseload of Long Term Care (LTC) claims, the full-time remote Registered Nurse Claim Manager will evaluate claims for eligibility, educate policyholders on coverage, and communicate with service providers to facilitate claim...
UnitedHealth Group
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Cambridge,MA
Registered Nurse Explore opportunities with Atrius Health, part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and...
Virtual Vocations
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Cambridge,MA
To enhance member health outcomes, the full-time Bilingual Spanish RN Care Manager will provide telephonic care coordination, collaborate with clinical teams, and develop personalized care plans while working remotely in the USA.Key...
Virtual Vocations
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Cambridge,MA
Providing operational supervision for clinical staff, the full-time salaried RN Clinical Review Supervisor will guide and support utilization review activities while ensuring compliance and quality standards in a fully remote position.Key...
Virtual Vocations
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Cambridge,MA
A company is looking for an RN-to-BSN Academic Advisor.Key ResponsibilitiesServe as the primary advisor for nursing students from onboarding through graduationBuild strong relationships with students to enhance engagement, retention, and program...
Virtual Vocations
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Cambridge,MA
To support a fully remote Transfer Center team, the Tennessee Licensed Behavioral Health Coordinator (RN/LPN) will manage and triage behavioral health referrals, conduct clinical assessments, and coordinate patient admissions in a fast-paced...
Virtual Vocations
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Cambridge,MA
Leading the RN-led Complex Care Management program, the contract-to-hire RN Case Management Director will oversee strategy, clinical workflows, and operational performance in a remote setting, ensuring adherence to NCQA standards and driving...
Virtual Vocations
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Cambridge,MA
Seeking a remote California RN/LVN Utilization Management professional, the full-time nurse will review prior authorization requests for medical necessity across inpatient and outpatient services, applying CMS guidelines and Milliman Care...
Virtual Vocations
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Cambridge,MA
To support a growing team, the full-time remote Clinical Reviewer (LPN, LVN, RN) will review medical records against established criteria to determine medical appropriateness while managing daily workloads and collaborating on quality improvement...
Virtual Vocations
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Cambridge,MA
Seeking a full-time New York Licensed RN Coding Auditor with HCS-D and COS-C certifications to validate inpatient coded charts and ensure compliance with coding guidelines in a remote capacity.Key responsibilitiesLeverages clinical expertise to...
Virtual Vocations
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Cambridge,MA
To ensure the successful deployment of clinical programs and technologies, the full-time Arizona Licensed Clinical Implementation Specialist will manage implementation plans, liaise between clinical and technical teams, and provide ongoing support...
Virtual Vocations
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Cambridge,MA
To support a growing team focused on improving access to behavioral health care, the contract-to-hire Licensed Behavioral Health Care Manager will engage with individuals experiencing mental health and substance use disorders, navigate them to...
Virtual Vocations
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Cambridge,MA
To support the reimbursement process for complex medical bills, the full-time Licensed Nurse Bill Reviewer will review and research bills involving multiple surgeries and EMGs, ensuring accuracy based on state fee schedules and operative reports...
Virtual Vocations
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Cambridge,MA
Utilizing clinical expertise, the contract Maryland Licensed Utilization Management Nurse will perform remote utilization reviews to assess medical necessity and appropriateness of care while collaborating with internal teams and Medical Directors...
Virtual Vocations
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Cambridge,MA
To support a dedicated nursing team, the full-time Remote Assistant Nursing Manager will provide on-call support, oversee staff performance, and ensure continuity of care while residing in one of the specified states.Key responsibilitiesProvide...
Virtual Vocations
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Cambridge,MA
Providing clinical triage and telephonic case management for Workers' Compensation claims, the full-time Florida Licensed Telephonic Nurse Case Manager will ensure injured employees receive timely medical care and support early return-to-work...
Virtual Vocations
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Cambridge,MA
To support a growing care practice, the part-time contract Washington Licensed Nurse Practitioner will provide high-quality virtual care services to senior patients living with chronic conditions, collaborating with a transdisciplinary team to...
Virtual Vocations
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Cambridge,MA
Overseeing the undergraduate nursing content ecosystem, the full-time California Licensed Nursing Content Manager will manage a team of part-time NCLEX Content Leads and contracted editors, ensuring the quality and accuracy of content across...
