Remote Healthcare Recruiter (General Healthcare - Nationwide) Gotham Enterprises LtdRemote Healthcare Recruiter (General Healthcare - Nationwide)Hoboken, NJRemote$70,000–$80,000In this role, you will be a high-volume "talent hunter," identifying and placing a diverse range of medical professionals—from Mental Health Counselors, to Registered Nurses and Physicians to Allied Health and specialized clinical staff—into top-tier healthcare facilities coast-to-coast. High-Impact Outreach: Drive candidate engagement through massive "text blast" campaigns and high-volume daily call targets (50–100 calls) to build a robust talent pipeline.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEYonkers, NYRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) Auditor III, Healthcare ExlService Holdings IncSkilled Nursing Facility (SNF) / Resource Utilization Group (RUG) Auditor III, HealthcareNYRemote$70,000–$80,000 / yearIn this fully remote position as a Skilled Nursing Facility auditor you will apply your expert clinical knowledge to validate the accuracy of billed charges to ensure the integrity of the paid claim including coding validation, payment accuracy, contractual requirements and compliance with regulations. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
Case Manager, Registered Nurse - Fully Remote CVS Health CorpCase Manager, Registered Nurse - Fully RemoteNYRemote$54,095–$155,538 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Diabetes Registered Nurse with CDCES (Remote) EmblemHealth IncDiabetes Registered Nurse with CDCES (Remote)NYRemote$68,040–$118,800 / yearul>Assess and evaluate the needs of our most complex members, acting as the clinical coordinator collaborating with members, caregivers, providers, multi-disciplinary team, and health care and community resources through a variety of assessments to identify areas of (medical, financial, environmental, health insurance benefit, psycho-social, caregiving) concerns and potential gaps in care utilizing the most appropriate resources to support members' needs. Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members' health care needs, identifying gaps in care and needed support, administering/coordinating implementation of interventions.
Remote Triage RN - Future Opportunity HEITECH SERVICES INCRemote Triage RN - Future OpportunityNYRemoteHeiTech Services is seeking experienced Registered Nurses (RNs) interested in supporting upcoming federal healthcare programs that provide 24/7 telehealth triage services for military members, veterans, and their families. Remote Triage RN to support patients by assessing symptoms, providing clinical guidance, and helping determine appropriate next steps using established evidence-based protocols.
Licensed Clinical Social Worker- Remote BetterHelpLicensed Clinical Social Worker- RemoteNewark, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). . Private practice with no doors and no overhead..Mental Health Therapist - Remote BetterHelpMental Health Therapist - RemoteNew York, NYRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). . Private practice with no doors and no overhead..Licensed Mental Health Counselor - Remote BetterHelpLicensed Mental Health Counselor - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. Private practice with no doors and no overhead..Licensed Marriage and Family Therapist - Remote BetterHelpLicensed Marriage and Family Therapist - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .Licensed Clinical Professional Counselor - Remote BetterHelpLicensed Clinical Professional Counselor - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .Licensed Mental Health Counselor- Remote BetterHelpLicensed Mental Health Counselor- RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Mental Health Therapist - Remote BetterHelpLicensed Mental Health Therapist - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. Private practice with no doors and no overhead..Licensed Marriage and Family Therapist- Remote BetterHelpLicensed Marriage and Family Therapist- RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Psychologist - Remote BetterHelpLicensed Psychologist - RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Mental Health Therapist- Remote BetterHelpMental Health Therapist- RemoteNewark, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). . Private practice with no doors and no overhead..Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .Licensed Clinical Social Worker - Remote BetterHelpLicensed Clinical Social Worker - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. $650 Health Benefit Stipend: Eligibility for the Health Benefit Stipend requires a continuous commitment of 30 hours a week.Patient Access Manager - 100% Remote (EST Hours) Expressable, Inc,Patient Access Manager - 100% Remote (EST Hours)NYRemote$75,000–$95,000 / yearThe role of the Patient Access Manager is to ensure individual and team metrics are consistently met and that Expressable's client facing non-clinical team members are successfully supporting patients through their entire care experience. Demonstrated success managing teams in high-volume, metrics-driven healthcare call center environments, including workforce planning, quality monitoring, escalation management, and service level optimization.Remote Nurse Practitioner Contractor- Multi-State Perry Health IncRemote Nurse Practitioner Contractor- Multi-StateNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Utilization Management Nurse Consultant - Fully Remote CVS Health CorpUtilization Management Nurse Consultant - Fully RemoteNJRemote$26.01–$74.78 / hourBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Multi-State Remote RD, CDCES - Contracted Position Perry Health IncMulti-State Remote RD, CDCES - Contracted PositionNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Clinical Specialist Surgical Oncology--New Jersey (Remote) AngioDynamics IncClinical Specialist Surgical Oncology--New Jersey (Remote)Newark, NJRemoteAngioDynamics is dedicated to improving patient outcomes by focusing on the development of disruptive and differentiated technologies that address unmet patient needs and supporting professional healthcare providers around the world in the delivery of high-quality patient care. Position Summary: The key responsibility of this position is to promote AngioDynamics' products through the education of current and potential customers, providing them with clinical education and technical support in an effort to provide world class service to our customers.Remote Registered Nurse RN RylemRemote Registered Nurse RNNew York, NYRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseNJRemote$71,100–$97,800 / yearp>Work-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.Registered Nurse Clinical Reviewer / AIMS Greenlife Healthcare StaffingRegistered Nurse Clinical Reviewer / AIMSBronx, New YorkRemote$50About Greenlife Healthcare Staffing:We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.Registered Nurse Clinical Manager Humana IncRegistered Nurse Clinical ManagerWestbury, NYRemote$92,600–$127,400 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.Registered Nurse Case Manager - LTSS - Field in Passaic County, NJ CVS Health CorpRegistered Nurse Case Manager - LTSS - Field in Passaic County, NJPassaic, NJRemote$66,575–$142,576 / yearp>We're seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Passaic County, specifically looking for a candidate who resides in Passaic or Patterson NJ. Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.Case Manager Registered Nurse - Field in Bergen/Hudson Counties CVS Health CorpCase Manager Registered Nurse - Field in Bergen/Hudson CountiesHoboken, NJRemote$66,575–$142,576 / yearli>Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Middlesex County NJ CVS Health CorpCase Manager Registered Nurse - Field in Middlesex County NJEast Brunswick, NJRemote$66,575–$142,576 / yearComfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Essex County, NJ CVS Health CorpCase Manager Registered Nurse - Field in Essex County, NJEast Orange, NJRemote$66,575–$142,576 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. • Conduct in-home, face-to-face assessments for members enrolled in: • Managed Long-Term Services and Supports (MLTSS) • Dual Special Needs Programs (D-SNP/FIDE).Bilingual Pediatric Registered Nurse Imagine Pediatrics LLCBilingual Pediatric Registered NurseNYRemote$40–$47 / hourem> Bilingual Spanish required Familiarity with Medicaid regulations and services a plus Value Based Care (VBC) experience a plus Virtual care experience a plus What We Offer (Benefits + Perks) The hourly rate for this position ranges from $40 - 47 per hour in addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). What You'll Do As a Pediatric Registered Nurse at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem.NewRegistered Nurse #26-15220 US Tech Solutions, Inc.Registered Nurse #26-1522037 BROADWAY, NYRemote$38–$50 / hourThe RN will administer state-approved immunizations, including pediatric vaccinations, while ensuring safe patient care and accurate documentation. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.Utilization Management, Registered Nurse RN Clover Health Investments CorpUtilization Management, Registered Nurse RNNYRemote$90,000–$106,000 / yearAs a Utilization Management, Registered Nurse (RN), you will: Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations Manage cases end-to-end from prior authorization through concurrent review and discharge Collaborate with providers and facilities to obtain clinical information and support care coordination Ensure compliance with CMS turnaround times and regulatory requirements Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making Have strong personal accountability, responsibility and independent decision-making abilities. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents * And much more!Resource Pediatric Registered Nurse Imagine Pediatrics LLCResource Pediatric Registered NurseNYRemote$36–$42 / hourAs a Resource Pediatric Registered Nurse at Imagine Pediatrics, you serve as a key clinical partner within the Patient Engagement (Outreach & Enrollment) team, supporting the re-engagement of previously enrolled patients and families. Key responsibilities include: Provide real-time clinical support and triage for newly re-engaged patients, ensuring immediate response to clinical needs following outreach and enrollment interactions.Telehealth Triage Registered Nurse New York + Compact State RN License Required Ophelia Health IncTelehealth Triage Registered Nurse New York + Compact State RN License RequiredNew York, NYRemoteTriage RNs have experience working with patients with substance use and are comfortable conducting ongoing medication management, performing check-in calls and urine drug screens, assessing bridge prescription requests, and identifying escalation events requiring clinical oversight. Support medication management by communicating with patients regarding medication dosing, interactions, and taking meds as prescribed; discussing comfort medications during the induction phase, and educating patients on proper dosing method of buprenorphine.Appeals Registered Nurse Wisconsin Physicians Service Insurance CorpAppeals Registered NurseNJRemoteWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare regulations and policies.Registered Nurse (RN) – Principal Care Management (PCM) Elaya HealthRegistered Nurse (RN) – Principal Care Management (PCM)Great Neck, New YorkRemoteWe are looking for a compassionate, organized, and detail oriented Registered Nurse (RN) to join our growing team and assist with Principal Care Management (PCM) services remotely. We partner closely with long term care facilities to improve outcomes for patients with chronic conditions, primarily diabetes and thyroid disease.Clinical Review & Correspondence RN Cohere Health Technologies LLCClinical Review & Correspondence RNNYRemote$31–$35 / hourBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications.NewStaff Nurse Practitioner, Primary Care Telemedicine Teladoc Health IncStaff Nurse Practitioner, Primary Care TelemedicinePURCHASE, NYRemoteThis role is responsible for delivering exceptional patient care through compassion and dedication to high quality Essential Duties and Responsibilities * Conduct virtual patient assessments, including collecting medical history, performing physical examinations, and diagnosing and treating common illnesses and injuries. Collaborate with interdisciplinary healthcare teams, including physicians, specialists, and other healthcare professionals, to ensure coordinated and comprehensive care.Registered Nurse I, Oncology - Expert Medical Opinion Transcarent Inc.Registered Nurse I, Oncology - Expert Medical OpinionNYRemote$85,000–$90,000 / yearMD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences - Cancer Care, Surgery Care, and Weight Health - to support people with all of their health needs, simple or serious. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher-quality care, and lower costs for 21 million Members.Complex Oncology Nurse Navigator (11:30AM - 8:00PM EST) Thyme Care IncComplex Oncology Nurse Navigator (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our higher-acuity members as they move through the oncology care continuum.Oncology Transitions of Care Nurse (11:30AM - 8:00PM EST) Thyme Care IncOncology Transitions of Care Nurse (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our members as they move through the oncology care continuum.RN Clinical Reviewer / IDR Greenlife Healthcare StaffingRN Clinical Reviewer / IDRJericho, NYRemote$100,000–$105,000Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills.Psychiatric Nurse Practitioner (Full-Time W2) Reklame HealthPsychiatric Nurse Practitioner (Full-Time W2)New York, New YorkRemoteWe are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Psychiatric Evaluations and Medication Management: Deliver compassionate and high-quality psychiatric care, addiction care, and medication management through a convenient telehealth platform, ensuring members receive accessible and effective care.Medical Review Nurse Analyst Wisconsin Physicians Service Insurance CorpMedical Review Nurse AnalystNewark, NJRemote$70,000–$85,000 / yearp>We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).Urgent Care Nurse Practitioner (Full Time, Weekend Only) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time, Weekend Only)New York City, NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.Urgent Care Nurse Practitioner (Full Time) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time)NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Required Qualifications: Advanced Practice Registered Nurse with either a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP).Utilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantNJRemote$29.10–$62.32 / hourli>Coordinate, monitor, and assess healthcare service options to help ensure Medicare Integrated/dually eligible members receive appropriate, cost-effective care. Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program for Medicare Integrated/dually eligible member populations.Medical Management Audit and Complaints Manager Metroplus Health Plan IncMedical Management Audit and Complaints ManagerNYRemote$110,000–$120,000 / yearReporting to the Vice President of Clinical Services, with a dotted-line relationship to the Product team, the Medical Management Audit and Complaints Manager partners with the newly established SWAT Audit and Complaints arm of the SWAT unit to advance operational excellence and uphold regulatory compliance across cross‑functional teams. Serve as the primary liaison for all external audits conducted by DOH, CMS, or other entities related to medical management or any functions connected to clinical services or operations.12Resume ResourcesFree Resume TemplatesFree Resume BuilderGet noticed by top employers!Upload your resume to let employers know you're open to Remote Healthcare job opportunities. Plus, receive relevant job recommendations in your inbox.Send Us Your ResumeCreate A Free Account
Mental Health Therapist - Remote BetterHelpMental Health Therapist - RemoteNew York, NYRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). . Private practice with no doors and no overhead..Licensed Mental Health Counselor - Remote BetterHelpLicensed Mental Health Counselor - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. Private practice with no doors and no overhead..Licensed Marriage and Family Therapist - Remote BetterHelpLicensed Marriage and Family Therapist - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .Licensed Clinical Professional Counselor - Remote BetterHelpLicensed Clinical Professional Counselor - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .Licensed Mental Health Counselor- Remote BetterHelpLicensed Mental Health Counselor- RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Mental Health Therapist - Remote BetterHelpLicensed Mental Health Therapist - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. Private practice with no doors and no overhead..Licensed Marriage and Family Therapist- Remote BetterHelpLicensed Marriage and Family Therapist- RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Psychologist - Remote BetterHelpLicensed Psychologist - RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Mental Health Therapist- Remote BetterHelpMental Health Therapist- RemoteNewark, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). . Private practice with no doors and no overhead..Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .Licensed Clinical Social Worker - Remote BetterHelpLicensed Clinical Social Worker - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. $650 Health Benefit Stipend: Eligibility for the Health Benefit Stipend requires a continuous commitment of 30 hours a week.Patient Access Manager - 100% Remote (EST Hours) Expressable, Inc,Patient Access Manager - 100% Remote (EST Hours)NYRemote$75,000–$95,000 / yearThe role of the Patient Access Manager is to ensure individual and team metrics are consistently met and that Expressable's client facing non-clinical team members are successfully supporting patients through their entire care experience. Demonstrated success managing teams in high-volume, metrics-driven healthcare call center environments, including workforce planning, quality monitoring, escalation management, and service level optimization.Remote Nurse Practitioner Contractor- Multi-State Perry Health IncRemote Nurse Practitioner Contractor- Multi-StateNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Utilization Management Nurse Consultant - Fully Remote CVS Health CorpUtilization Management Nurse Consultant - Fully RemoteNJRemote$26.01–$74.78 / hourBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Multi-State Remote RD, CDCES - Contracted Position Perry Health IncMulti-State Remote RD, CDCES - Contracted PositionNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Clinical Specialist Surgical Oncology--New Jersey (Remote) AngioDynamics IncClinical Specialist Surgical Oncology--New Jersey (Remote)Newark, NJRemoteAngioDynamics is dedicated to improving patient outcomes by focusing on the development of disruptive and differentiated technologies that address unmet patient needs and supporting professional healthcare providers around the world in the delivery of high-quality patient care. Position Summary: The key responsibility of this position is to promote AngioDynamics' products through the education of current and potential customers, providing them with clinical education and technical support in an effort to provide world class service to our customers.Remote Registered Nurse RN RylemRemote Registered Nurse RNNew York, NYRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseNJRemote$71,100–$97,800 / yearp>Work-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.Registered Nurse Clinical Reviewer / AIMS Greenlife Healthcare StaffingRegistered Nurse Clinical Reviewer / AIMSBronx, New YorkRemote$50About Greenlife Healthcare Staffing:We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.Registered Nurse Clinical Manager Humana IncRegistered Nurse Clinical ManagerWestbury, NYRemote$92,600–$127,400 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.Registered Nurse Case Manager - LTSS - Field in Passaic County, NJ CVS Health CorpRegistered Nurse Case Manager - LTSS - Field in Passaic County, NJPassaic, NJRemote$66,575–$142,576 / yearp>We're seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Passaic County, specifically looking for a candidate who resides in Passaic or Patterson NJ. Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.Case Manager Registered Nurse - Field in Bergen/Hudson Counties CVS Health CorpCase Manager Registered Nurse - Field in Bergen/Hudson CountiesHoboken, NJRemote$66,575–$142,576 / yearli>Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Middlesex County NJ CVS Health CorpCase Manager Registered Nurse - Field in Middlesex County NJEast Brunswick, NJRemote$66,575–$142,576 / yearComfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Essex County, NJ CVS Health CorpCase Manager Registered Nurse - Field in Essex County, NJEast Orange, NJRemote$66,575–$142,576 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. • Conduct in-home, face-to-face assessments for members enrolled in: • Managed Long-Term Services and Supports (MLTSS) • Dual Special Needs Programs (D-SNP/FIDE).Bilingual Pediatric Registered Nurse Imagine Pediatrics LLCBilingual Pediatric Registered NurseNYRemote$40–$47 / hourem> Bilingual Spanish required Familiarity with Medicaid regulations and services a plus Value Based Care (VBC) experience a plus Virtual care experience a plus What We Offer (Benefits + Perks) The hourly rate for this position ranges from $40 - 47 per hour in addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). What You'll Do As a Pediatric Registered Nurse at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem.NewRegistered Nurse #26-15220 US Tech Solutions, Inc.Registered Nurse #26-1522037 BROADWAY, NYRemote$38–$50 / hourThe RN will administer state-approved immunizations, including pediatric vaccinations, while ensuring safe patient care and accurate documentation. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.Utilization Management, Registered Nurse RN Clover Health Investments CorpUtilization Management, Registered Nurse RNNYRemote$90,000–$106,000 / yearAs a Utilization Management, Registered Nurse (RN), you will: Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations Manage cases end-to-end from prior authorization through concurrent review and discharge Collaborate with providers and facilities to obtain clinical information and support care coordination Ensure compliance with CMS turnaround times and regulatory requirements Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making Have strong personal accountability, responsibility and independent decision-making abilities. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents * And much more!Resource Pediatric Registered Nurse Imagine Pediatrics LLCResource Pediatric Registered NurseNYRemote$36–$42 / hourAs a Resource Pediatric Registered Nurse at Imagine Pediatrics, you serve as a key clinical partner within the Patient Engagement (Outreach & Enrollment) team, supporting the re-engagement of previously enrolled patients and families. Key responsibilities include: Provide real-time clinical support and triage for newly re-engaged patients, ensuring immediate response to clinical needs following outreach and enrollment interactions.Telehealth Triage Registered Nurse New York + Compact State RN License Required Ophelia Health IncTelehealth Triage Registered Nurse New York + Compact State RN License RequiredNew York, NYRemoteTriage RNs have experience working with patients with substance use and are comfortable conducting ongoing medication management, performing check-in calls and urine drug screens, assessing bridge prescription requests, and identifying escalation events requiring clinical oversight. Support medication management by communicating with patients regarding medication dosing, interactions, and taking meds as prescribed; discussing comfort medications during the induction phase, and educating patients on proper dosing method of buprenorphine.Appeals Registered Nurse Wisconsin Physicians Service Insurance CorpAppeals Registered NurseNJRemoteWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare regulations and policies.Registered Nurse (RN) – Principal Care Management (PCM) Elaya HealthRegistered Nurse (RN) – Principal Care Management (PCM)Great Neck, New YorkRemoteWe are looking for a compassionate, organized, and detail oriented Registered Nurse (RN) to join our growing team and assist with Principal Care Management (PCM) services remotely. We partner closely with long term care facilities to improve outcomes for patients with chronic conditions, primarily diabetes and thyroid disease.Clinical Review & Correspondence RN Cohere Health Technologies LLCClinical Review & Correspondence RNNYRemote$31–$35 / hourBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications.NewStaff Nurse Practitioner, Primary Care Telemedicine Teladoc Health IncStaff Nurse Practitioner, Primary Care TelemedicinePURCHASE, NYRemoteThis role is responsible for delivering exceptional patient care through compassion and dedication to high quality Essential Duties and Responsibilities * Conduct virtual patient assessments, including collecting medical history, performing physical examinations, and diagnosing and treating common illnesses and injuries. Collaborate with interdisciplinary healthcare teams, including physicians, specialists, and other healthcare professionals, to ensure coordinated and comprehensive care.Registered Nurse I, Oncology - Expert Medical Opinion Transcarent Inc.Registered Nurse I, Oncology - Expert Medical OpinionNYRemote$85,000–$90,000 / yearMD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences - Cancer Care, Surgery Care, and Weight Health - to support people with all of their health needs, simple or serious. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher-quality care, and lower costs for 21 million Members.Complex Oncology Nurse Navigator (11:30AM - 8:00PM EST) Thyme Care IncComplex Oncology Nurse Navigator (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our higher-acuity members as they move through the oncology care continuum.Oncology Transitions of Care Nurse (11:30AM - 8:00PM EST) Thyme Care IncOncology Transitions of Care Nurse (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our members as they move through the oncology care continuum.RN Clinical Reviewer / IDR Greenlife Healthcare StaffingRN Clinical Reviewer / IDRJericho, NYRemote$100,000–$105,000Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills.Psychiatric Nurse Practitioner (Full-Time W2) Reklame HealthPsychiatric Nurse Practitioner (Full-Time W2)New York, New YorkRemoteWe are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Psychiatric Evaluations and Medication Management: Deliver compassionate and high-quality psychiatric care, addiction care, and medication management through a convenient telehealth platform, ensuring members receive accessible and effective care.Medical Review Nurse Analyst Wisconsin Physicians Service Insurance CorpMedical Review Nurse AnalystNewark, NJRemote$70,000–$85,000 / yearp>We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).Urgent Care Nurse Practitioner (Full Time, Weekend Only) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time, Weekend Only)New York City, NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.Urgent Care Nurse Practitioner (Full Time) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time)NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Required Qualifications: Advanced Practice Registered Nurse with either a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP).Utilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantNJRemote$29.10–$62.32 / hourli>Coordinate, monitor, and assess healthcare service options to help ensure Medicare Integrated/dually eligible members receive appropriate, cost-effective care. Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program for Medicare Integrated/dually eligible member populations.Medical Management Audit and Complaints Manager Metroplus Health Plan IncMedical Management Audit and Complaints ManagerNYRemote$110,000–$120,000 / yearReporting to the Vice President of Clinical Services, with a dotted-line relationship to the Product team, the Medical Management Audit and Complaints Manager partners with the newly established SWAT Audit and Complaints arm of the SWAT unit to advance operational excellence and uphold regulatory compliance across cross‑functional teams. Serve as the primary liaison for all external audits conducted by DOH, CMS, or other entities related to medical management or any functions connected to clinical services or operations.12Resume ResourcesFree Resume TemplatesFree Resume Builder
Licensed Mental Health Counselor - Remote BetterHelpLicensed Mental Health Counselor - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. Private practice with no doors and no overhead..Licensed Marriage and Family Therapist - Remote BetterHelpLicensed Marriage and Family Therapist - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .Licensed Clinical Professional Counselor - Remote BetterHelpLicensed Clinical Professional Counselor - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .Licensed Mental Health Counselor- Remote BetterHelpLicensed Mental Health Counselor- RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Mental Health Therapist - Remote BetterHelpLicensed Mental Health Therapist - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. Private practice with no doors and no overhead..Licensed Marriage and Family Therapist- Remote BetterHelpLicensed Marriage and Family Therapist- RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Psychologist - Remote BetterHelpLicensed Psychologist - RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Mental Health Therapist- Remote BetterHelpMental Health Therapist- RemoteNewark, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). . Private practice with no doors and no overhead..Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .Licensed Clinical Social Worker - Remote BetterHelpLicensed Clinical Social Worker - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. $650 Health Benefit Stipend: Eligibility for the Health Benefit Stipend requires a continuous commitment of 30 hours a week.Patient Access Manager - 100% Remote (EST Hours) Expressable, Inc,Patient Access Manager - 100% Remote (EST Hours)NYRemote$75,000–$95,000 / yearThe role of the Patient Access Manager is to ensure individual and team metrics are consistently met and that Expressable's client facing non-clinical team members are successfully supporting patients through their entire care experience. Demonstrated success managing teams in high-volume, metrics-driven healthcare call center environments, including workforce planning, quality monitoring, escalation management, and service level optimization.Remote Nurse Practitioner Contractor- Multi-State Perry Health IncRemote Nurse Practitioner Contractor- Multi-StateNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Utilization Management Nurse Consultant - Fully Remote CVS Health CorpUtilization Management Nurse Consultant - Fully RemoteNJRemote$26.01–$74.78 / hourBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Multi-State Remote RD, CDCES - Contracted Position Perry Health IncMulti-State Remote RD, CDCES - Contracted PositionNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Clinical Specialist Surgical Oncology--New Jersey (Remote) AngioDynamics IncClinical Specialist Surgical Oncology--New Jersey (Remote)Newark, NJRemoteAngioDynamics is dedicated to improving patient outcomes by focusing on the development of disruptive and differentiated technologies that address unmet patient needs and supporting professional healthcare providers around the world in the delivery of high-quality patient care. Position Summary: The key responsibility of this position is to promote AngioDynamics' products through the education of current and potential customers, providing them with clinical education and technical support in an effort to provide world class service to our customers.Remote Registered Nurse RN RylemRemote Registered Nurse RNNew York, NYRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseNJRemote$71,100–$97,800 / yearp>Work-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.Registered Nurse Clinical Reviewer / AIMS Greenlife Healthcare StaffingRegistered Nurse Clinical Reviewer / AIMSBronx, New YorkRemote$50About Greenlife Healthcare Staffing:We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.Registered Nurse Clinical Manager Humana IncRegistered Nurse Clinical ManagerWestbury, NYRemote$92,600–$127,400 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.Registered Nurse Case Manager - LTSS - Field in Passaic County, NJ CVS Health CorpRegistered Nurse Case Manager - LTSS - Field in Passaic County, NJPassaic, NJRemote$66,575–$142,576 / yearp>We're seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Passaic County, specifically looking for a candidate who resides in Passaic or Patterson NJ. Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.Case Manager Registered Nurse - Field in Bergen/Hudson Counties CVS Health CorpCase Manager Registered Nurse - Field in Bergen/Hudson CountiesHoboken, NJRemote$66,575–$142,576 / yearli>Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Middlesex County NJ CVS Health CorpCase Manager Registered Nurse - Field in Middlesex County NJEast Brunswick, NJRemote$66,575–$142,576 / yearComfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Essex County, NJ CVS Health CorpCase Manager Registered Nurse - Field in Essex County, NJEast Orange, NJRemote$66,575–$142,576 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. • Conduct in-home, face-to-face assessments for members enrolled in: • Managed Long-Term Services and Supports (MLTSS) • Dual Special Needs Programs (D-SNP/FIDE).Bilingual Pediatric Registered Nurse Imagine Pediatrics LLCBilingual Pediatric Registered NurseNYRemote$40–$47 / hourem> Bilingual Spanish required Familiarity with Medicaid regulations and services a plus Value Based Care (VBC) experience a plus Virtual care experience a plus What We Offer (Benefits + Perks) The hourly rate for this position ranges from $40 - 47 per hour in addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). What You'll Do As a Pediatric Registered Nurse at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem.NewRegistered Nurse #26-15220 US Tech Solutions, Inc.Registered Nurse #26-1522037 BROADWAY, NYRemote$38–$50 / hourThe RN will administer state-approved immunizations, including pediatric vaccinations, while ensuring safe patient care and accurate documentation. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.Utilization Management, Registered Nurse RN Clover Health Investments CorpUtilization Management, Registered Nurse RNNYRemote$90,000–$106,000 / yearAs a Utilization Management, Registered Nurse (RN), you will: Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations Manage cases end-to-end from prior authorization through concurrent review and discharge Collaborate with providers and facilities to obtain clinical information and support care coordination Ensure compliance with CMS turnaround times and regulatory requirements Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making Have strong personal accountability, responsibility and independent decision-making abilities. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents * And much more!Resource Pediatric Registered Nurse Imagine Pediatrics LLCResource Pediatric Registered NurseNYRemote$36–$42 / hourAs a Resource Pediatric Registered Nurse at Imagine Pediatrics, you serve as a key clinical partner within the Patient Engagement (Outreach & Enrollment) team, supporting the re-engagement of previously enrolled patients and families. Key responsibilities include: Provide real-time clinical support and triage for newly re-engaged patients, ensuring immediate response to clinical needs following outreach and enrollment interactions.Telehealth Triage Registered Nurse New York + Compact State RN License Required Ophelia Health IncTelehealth Triage Registered Nurse New York + Compact State RN License RequiredNew York, NYRemoteTriage RNs have experience working with patients with substance use and are comfortable conducting ongoing medication management, performing check-in calls and urine drug screens, assessing bridge prescription requests, and identifying escalation events requiring clinical oversight. Support medication management by communicating with patients regarding medication dosing, interactions, and taking meds as prescribed; discussing comfort medications during the induction phase, and educating patients on proper dosing method of buprenorphine.Appeals Registered Nurse Wisconsin Physicians Service Insurance CorpAppeals Registered NurseNJRemoteWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare regulations and policies.Registered Nurse (RN) – Principal Care Management (PCM) Elaya HealthRegistered Nurse (RN) – Principal Care Management (PCM)Great Neck, New YorkRemoteWe are looking for a compassionate, organized, and detail oriented Registered Nurse (RN) to join our growing team and assist with Principal Care Management (PCM) services remotely. We partner closely with long term care facilities to improve outcomes for patients with chronic conditions, primarily diabetes and thyroid disease.Clinical Review & Correspondence RN Cohere Health Technologies LLCClinical Review & Correspondence RNNYRemote$31–$35 / hourBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications.NewStaff Nurse Practitioner, Primary Care Telemedicine Teladoc Health IncStaff Nurse Practitioner, Primary Care TelemedicinePURCHASE, NYRemoteThis role is responsible for delivering exceptional patient care through compassion and dedication to high quality Essential Duties and Responsibilities * Conduct virtual patient assessments, including collecting medical history, performing physical examinations, and diagnosing and treating common illnesses and injuries. Collaborate with interdisciplinary healthcare teams, including physicians, specialists, and other healthcare professionals, to ensure coordinated and comprehensive care.Registered Nurse I, Oncology - Expert Medical Opinion Transcarent Inc.Registered Nurse I, Oncology - Expert Medical OpinionNYRemote$85,000–$90,000 / yearMD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences - Cancer Care, Surgery Care, and Weight Health - to support people with all of their health needs, simple or serious. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher-quality care, and lower costs for 21 million Members.Complex Oncology Nurse Navigator (11:30AM - 8:00PM EST) Thyme Care IncComplex Oncology Nurse Navigator (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our higher-acuity members as they move through the oncology care continuum.Oncology Transitions of Care Nurse (11:30AM - 8:00PM EST) Thyme Care IncOncology Transitions of Care Nurse (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our members as they move through the oncology care continuum.RN Clinical Reviewer / IDR Greenlife Healthcare StaffingRN Clinical Reviewer / IDRJericho, NYRemote$100,000–$105,000Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills.Psychiatric Nurse Practitioner (Full-Time W2) Reklame HealthPsychiatric Nurse Practitioner (Full-Time W2)New York, New YorkRemoteWe are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Psychiatric Evaluations and Medication Management: Deliver compassionate and high-quality psychiatric care, addiction care, and medication management through a convenient telehealth platform, ensuring members receive accessible and effective care.Medical Review Nurse Analyst Wisconsin Physicians Service Insurance CorpMedical Review Nurse AnalystNewark, NJRemote$70,000–$85,000 / yearp>We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).Urgent Care Nurse Practitioner (Full Time, Weekend Only) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time, Weekend Only)New York City, NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.Urgent Care Nurse Practitioner (Full Time) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time)NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Required Qualifications: Advanced Practice Registered Nurse with either a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP).Utilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantNJRemote$29.10–$62.32 / hourli>Coordinate, monitor, and assess healthcare service options to help ensure Medicare Integrated/dually eligible members receive appropriate, cost-effective care. Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program for Medicare Integrated/dually eligible member populations.Medical Management Audit and Complaints Manager Metroplus Health Plan IncMedical Management Audit and Complaints ManagerNYRemote$110,000–$120,000 / yearReporting to the Vice President of Clinical Services, with a dotted-line relationship to the Product team, the Medical Management Audit and Complaints Manager partners with the newly established SWAT Audit and Complaints arm of the SWAT unit to advance operational excellence and uphold regulatory compliance across cross‑functional teams. Serve as the primary liaison for all external audits conducted by DOH, CMS, or other entities related to medical management or any functions connected to clinical services or operations.12Resume ResourcesFree Resume TemplatesFree Resume Builder
Licensed Marriage and Family Therapist - Remote BetterHelpLicensed Marriage and Family Therapist - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .
Licensed Clinical Professional Counselor - Remote BetterHelpLicensed Clinical Professional Counselor - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .
Licensed Mental Health Counselor- Remote BetterHelpLicensed Mental Health Counselor- RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Mental Health Therapist - Remote BetterHelpLicensed Mental Health Therapist - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. Private practice with no doors and no overhead..Licensed Marriage and Family Therapist- Remote BetterHelpLicensed Marriage and Family Therapist- RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Psychologist - Remote BetterHelpLicensed Psychologist - RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Mental Health Therapist- Remote BetterHelpMental Health Therapist- RemoteNewark, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). . Private practice with no doors and no overhead..Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .Licensed Clinical Social Worker - Remote BetterHelpLicensed Clinical Social Worker - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. $650 Health Benefit Stipend: Eligibility for the Health Benefit Stipend requires a continuous commitment of 30 hours a week.Patient Access Manager - 100% Remote (EST Hours) Expressable, Inc,Patient Access Manager - 100% Remote (EST Hours)NYRemote$75,000–$95,000 / yearThe role of the Patient Access Manager is to ensure individual and team metrics are consistently met and that Expressable's client facing non-clinical team members are successfully supporting patients through their entire care experience. Demonstrated success managing teams in high-volume, metrics-driven healthcare call center environments, including workforce planning, quality monitoring, escalation management, and service level optimization.Remote Nurse Practitioner Contractor- Multi-State Perry Health IncRemote Nurse Practitioner Contractor- Multi-StateNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Utilization Management Nurse Consultant - Fully Remote CVS Health CorpUtilization Management Nurse Consultant - Fully RemoteNJRemote$26.01–$74.78 / hourBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Multi-State Remote RD, CDCES - Contracted Position Perry Health IncMulti-State Remote RD, CDCES - Contracted PositionNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Clinical Specialist Surgical Oncology--New Jersey (Remote) AngioDynamics IncClinical Specialist Surgical Oncology--New Jersey (Remote)Newark, NJRemoteAngioDynamics is dedicated to improving patient outcomes by focusing on the development of disruptive and differentiated technologies that address unmet patient needs and supporting professional healthcare providers around the world in the delivery of high-quality patient care. Position Summary: The key responsibility of this position is to promote AngioDynamics' products through the education of current and potential customers, providing them with clinical education and technical support in an effort to provide world class service to our customers.Remote Registered Nurse RN RylemRemote Registered Nurse RNNew York, NYRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseNJRemote$71,100–$97,800 / yearp>Work-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.Registered Nurse Clinical Reviewer / AIMS Greenlife Healthcare StaffingRegistered Nurse Clinical Reviewer / AIMSBronx, New YorkRemote$50About Greenlife Healthcare Staffing:We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.Registered Nurse Clinical Manager Humana IncRegistered Nurse Clinical ManagerWestbury, NYRemote$92,600–$127,400 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.Registered Nurse Case Manager - LTSS - Field in Passaic County, NJ CVS Health CorpRegistered Nurse Case Manager - LTSS - Field in Passaic County, NJPassaic, NJRemote$66,575–$142,576 / yearp>We're seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Passaic County, specifically looking for a candidate who resides in Passaic or Patterson NJ. Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.Case Manager Registered Nurse - Field in Bergen/Hudson Counties CVS Health CorpCase Manager Registered Nurse - Field in Bergen/Hudson CountiesHoboken, NJRemote$66,575–$142,576 / yearli>Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Middlesex County NJ CVS Health CorpCase Manager Registered Nurse - Field in Middlesex County NJEast Brunswick, NJRemote$66,575–$142,576 / yearComfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Essex County, NJ CVS Health CorpCase Manager Registered Nurse - Field in Essex County, NJEast Orange, NJRemote$66,575–$142,576 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. • Conduct in-home, face-to-face assessments for members enrolled in: • Managed Long-Term Services and Supports (MLTSS) • Dual Special Needs Programs (D-SNP/FIDE).Bilingual Pediatric Registered Nurse Imagine Pediatrics LLCBilingual Pediatric Registered NurseNYRemote$40–$47 / hourem> Bilingual Spanish required Familiarity with Medicaid regulations and services a plus Value Based Care (VBC) experience a plus Virtual care experience a plus What We Offer (Benefits + Perks) The hourly rate for this position ranges from $40 - 47 per hour in addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). What You'll Do As a Pediatric Registered Nurse at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem.NewRegistered Nurse #26-15220 US Tech Solutions, Inc.Registered Nurse #26-1522037 BROADWAY, NYRemote$38–$50 / hourThe RN will administer state-approved immunizations, including pediatric vaccinations, while ensuring safe patient care and accurate documentation. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.Utilization Management, Registered Nurse RN Clover Health Investments CorpUtilization Management, Registered Nurse RNNYRemote$90,000–$106,000 / yearAs a Utilization Management, Registered Nurse (RN), you will: Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations Manage cases end-to-end from prior authorization through concurrent review and discharge Collaborate with providers and facilities to obtain clinical information and support care coordination Ensure compliance with CMS turnaround times and regulatory requirements Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making Have strong personal accountability, responsibility and independent decision-making abilities. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents * And much more!Resource Pediatric Registered Nurse Imagine Pediatrics LLCResource Pediatric Registered NurseNYRemote$36–$42 / hourAs a Resource Pediatric Registered Nurse at Imagine Pediatrics, you serve as a key clinical partner within the Patient Engagement (Outreach & Enrollment) team, supporting the re-engagement of previously enrolled patients and families. Key responsibilities include: Provide real-time clinical support and triage for newly re-engaged patients, ensuring immediate response to clinical needs following outreach and enrollment interactions.Telehealth Triage Registered Nurse New York + Compact State RN License Required Ophelia Health IncTelehealth Triage Registered Nurse New York + Compact State RN License RequiredNew York, NYRemoteTriage RNs have experience working with patients with substance use and are comfortable conducting ongoing medication management, performing check-in calls and urine drug screens, assessing bridge prescription requests, and identifying escalation events requiring clinical oversight. Support medication management by communicating with patients regarding medication dosing, interactions, and taking meds as prescribed; discussing comfort medications during the induction phase, and educating patients on proper dosing method of buprenorphine.Appeals Registered Nurse Wisconsin Physicians Service Insurance CorpAppeals Registered NurseNJRemoteWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare regulations and policies.Registered Nurse (RN) – Principal Care Management (PCM) Elaya HealthRegistered Nurse (RN) – Principal Care Management (PCM)Great Neck, New YorkRemoteWe are looking for a compassionate, organized, and detail oriented Registered Nurse (RN) to join our growing team and assist with Principal Care Management (PCM) services remotely. We partner closely with long term care facilities to improve outcomes for patients with chronic conditions, primarily diabetes and thyroid disease.Clinical Review & Correspondence RN Cohere Health Technologies LLCClinical Review & Correspondence RNNYRemote$31–$35 / hourBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications.NewStaff Nurse Practitioner, Primary Care Telemedicine Teladoc Health IncStaff Nurse Practitioner, Primary Care TelemedicinePURCHASE, NYRemoteThis role is responsible for delivering exceptional patient care through compassion and dedication to high quality Essential Duties and Responsibilities * Conduct virtual patient assessments, including collecting medical history, performing physical examinations, and diagnosing and treating common illnesses and injuries. Collaborate with interdisciplinary healthcare teams, including physicians, specialists, and other healthcare professionals, to ensure coordinated and comprehensive care.Registered Nurse I, Oncology - Expert Medical Opinion Transcarent Inc.Registered Nurse I, Oncology - Expert Medical OpinionNYRemote$85,000–$90,000 / yearMD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences - Cancer Care, Surgery Care, and Weight Health - to support people with all of their health needs, simple or serious. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher-quality care, and lower costs for 21 million Members.Complex Oncology Nurse Navigator (11:30AM - 8:00PM EST) Thyme Care IncComplex Oncology Nurse Navigator (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our higher-acuity members as they move through the oncology care continuum.Oncology Transitions of Care Nurse (11:30AM - 8:00PM EST) Thyme Care IncOncology Transitions of Care Nurse (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our members as they move through the oncology care continuum.RN Clinical Reviewer / IDR Greenlife Healthcare StaffingRN Clinical Reviewer / IDRJericho, NYRemote$100,000–$105,000Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills.Psychiatric Nurse Practitioner (Full-Time W2) Reklame HealthPsychiatric Nurse Practitioner (Full-Time W2)New York, New YorkRemoteWe are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Psychiatric Evaluations and Medication Management: Deliver compassionate and high-quality psychiatric care, addiction care, and medication management through a convenient telehealth platform, ensuring members receive accessible and effective care.Medical Review Nurse Analyst Wisconsin Physicians Service Insurance CorpMedical Review Nurse AnalystNewark, NJRemote$70,000–$85,000 / yearp>We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).Urgent Care Nurse Practitioner (Full Time, Weekend Only) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time, Weekend Only)New York City, NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.Urgent Care Nurse Practitioner (Full Time) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time)NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Required Qualifications: Advanced Practice Registered Nurse with either a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP).Utilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantNJRemote$29.10–$62.32 / hourli>Coordinate, monitor, and assess healthcare service options to help ensure Medicare Integrated/dually eligible members receive appropriate, cost-effective care. Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program for Medicare Integrated/dually eligible member populations.Medical Management Audit and Complaints Manager Metroplus Health Plan IncMedical Management Audit and Complaints ManagerNYRemote$110,000–$120,000 / yearReporting to the Vice President of Clinical Services, with a dotted-line relationship to the Product team, the Medical Management Audit and Complaints Manager partners with the newly established SWAT Audit and Complaints arm of the SWAT unit to advance operational excellence and uphold regulatory compliance across cross‑functional teams. Serve as the primary liaison for all external audits conducted by DOH, CMS, or other entities related to medical management or any functions connected to clinical services or operations.12Resume ResourcesFree Resume TemplatesFree Resume Builder
Licensed Mental Health Therapist - Remote BetterHelpLicensed Mental Health Therapist - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. Private practice with no doors and no overhead..Licensed Marriage and Family Therapist- Remote BetterHelpLicensed Marriage and Family Therapist- RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Psychologist - Remote BetterHelpLicensed Psychologist - RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Mental Health Therapist- Remote BetterHelpMental Health Therapist- RemoteNewark, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). . Private practice with no doors and no overhead..Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .Licensed Clinical Social Worker - Remote BetterHelpLicensed Clinical Social Worker - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. $650 Health Benefit Stipend: Eligibility for the Health Benefit Stipend requires a continuous commitment of 30 hours a week.Patient Access Manager - 100% Remote (EST Hours) Expressable, Inc,Patient Access Manager - 100% Remote (EST Hours)NYRemote$75,000–$95,000 / yearThe role of the Patient Access Manager is to ensure individual and team metrics are consistently met and that Expressable's client facing non-clinical team members are successfully supporting patients through their entire care experience. Demonstrated success managing teams in high-volume, metrics-driven healthcare call center environments, including workforce planning, quality monitoring, escalation management, and service level optimization.Remote Nurse Practitioner Contractor- Multi-State Perry Health IncRemote Nurse Practitioner Contractor- Multi-StateNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Utilization Management Nurse Consultant - Fully Remote CVS Health CorpUtilization Management Nurse Consultant - Fully RemoteNJRemote$26.01–$74.78 / hourBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Multi-State Remote RD, CDCES - Contracted Position Perry Health IncMulti-State Remote RD, CDCES - Contracted PositionNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Clinical Specialist Surgical Oncology--New Jersey (Remote) AngioDynamics IncClinical Specialist Surgical Oncology--New Jersey (Remote)Newark, NJRemoteAngioDynamics is dedicated to improving patient outcomes by focusing on the development of disruptive and differentiated technologies that address unmet patient needs and supporting professional healthcare providers around the world in the delivery of high-quality patient care. Position Summary: The key responsibility of this position is to promote AngioDynamics' products through the education of current and potential customers, providing them with clinical education and technical support in an effort to provide world class service to our customers.Remote Registered Nurse RN RylemRemote Registered Nurse RNNew York, NYRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseNJRemote$71,100–$97,800 / yearp>Work-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.Registered Nurse Clinical Reviewer / AIMS Greenlife Healthcare StaffingRegistered Nurse Clinical Reviewer / AIMSBronx, New YorkRemote$50About Greenlife Healthcare Staffing:We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.Registered Nurse Clinical Manager Humana IncRegistered Nurse Clinical ManagerWestbury, NYRemote$92,600–$127,400 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.Registered Nurse Case Manager - LTSS - Field in Passaic County, NJ CVS Health CorpRegistered Nurse Case Manager - LTSS - Field in Passaic County, NJPassaic, NJRemote$66,575–$142,576 / yearp>We're seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Passaic County, specifically looking for a candidate who resides in Passaic or Patterson NJ. Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.Case Manager Registered Nurse - Field in Bergen/Hudson Counties CVS Health CorpCase Manager Registered Nurse - Field in Bergen/Hudson CountiesHoboken, NJRemote$66,575–$142,576 / yearli>Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Middlesex County NJ CVS Health CorpCase Manager Registered Nurse - Field in Middlesex County NJEast Brunswick, NJRemote$66,575–$142,576 / yearComfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Essex County, NJ CVS Health CorpCase Manager Registered Nurse - Field in Essex County, NJEast Orange, NJRemote$66,575–$142,576 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. • Conduct in-home, face-to-face assessments for members enrolled in: • Managed Long-Term Services and Supports (MLTSS) • Dual Special Needs Programs (D-SNP/FIDE).Bilingual Pediatric Registered Nurse Imagine Pediatrics LLCBilingual Pediatric Registered NurseNYRemote$40–$47 / hourem> Bilingual Spanish required Familiarity with Medicaid regulations and services a plus Value Based Care (VBC) experience a plus Virtual care experience a plus What We Offer (Benefits + Perks) The hourly rate for this position ranges from $40 - 47 per hour in addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). What You'll Do As a Pediatric Registered Nurse at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem.NewRegistered Nurse #26-15220 US Tech Solutions, Inc.Registered Nurse #26-1522037 BROADWAY, NYRemote$38–$50 / hourThe RN will administer state-approved immunizations, including pediatric vaccinations, while ensuring safe patient care and accurate documentation. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.Utilization Management, Registered Nurse RN Clover Health Investments CorpUtilization Management, Registered Nurse RNNYRemote$90,000–$106,000 / yearAs a Utilization Management, Registered Nurse (RN), you will: Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations Manage cases end-to-end from prior authorization through concurrent review and discharge Collaborate with providers and facilities to obtain clinical information and support care coordination Ensure compliance with CMS turnaround times and regulatory requirements Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making Have strong personal accountability, responsibility and independent decision-making abilities. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents * And much more!Resource Pediatric Registered Nurse Imagine Pediatrics LLCResource Pediatric Registered NurseNYRemote$36–$42 / hourAs a Resource Pediatric Registered Nurse at Imagine Pediatrics, you serve as a key clinical partner within the Patient Engagement (Outreach & Enrollment) team, supporting the re-engagement of previously enrolled patients and families. Key responsibilities include: Provide real-time clinical support and triage for newly re-engaged patients, ensuring immediate response to clinical needs following outreach and enrollment interactions.Telehealth Triage Registered Nurse New York + Compact State RN License Required Ophelia Health IncTelehealth Triage Registered Nurse New York + Compact State RN License RequiredNew York, NYRemoteTriage RNs have experience working with patients with substance use and are comfortable conducting ongoing medication management, performing check-in calls and urine drug screens, assessing bridge prescription requests, and identifying escalation events requiring clinical oversight. Support medication management by communicating with patients regarding medication dosing, interactions, and taking meds as prescribed; discussing comfort medications during the induction phase, and educating patients on proper dosing method of buprenorphine.Appeals Registered Nurse Wisconsin Physicians Service Insurance CorpAppeals Registered NurseNJRemoteWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare regulations and policies.Registered Nurse (RN) – Principal Care Management (PCM) Elaya HealthRegistered Nurse (RN) – Principal Care Management (PCM)Great Neck, New YorkRemoteWe are looking for a compassionate, organized, and detail oriented Registered Nurse (RN) to join our growing team and assist with Principal Care Management (PCM) services remotely. We partner closely with long term care facilities to improve outcomes for patients with chronic conditions, primarily diabetes and thyroid disease.Clinical Review & Correspondence RN Cohere Health Technologies LLCClinical Review & Correspondence RNNYRemote$31–$35 / hourBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications.NewStaff Nurse Practitioner, Primary Care Telemedicine Teladoc Health IncStaff Nurse Practitioner, Primary Care TelemedicinePURCHASE, NYRemoteThis role is responsible for delivering exceptional patient care through compassion and dedication to high quality Essential Duties and Responsibilities * Conduct virtual patient assessments, including collecting medical history, performing physical examinations, and diagnosing and treating common illnesses and injuries. Collaborate with interdisciplinary healthcare teams, including physicians, specialists, and other healthcare professionals, to ensure coordinated and comprehensive care.Registered Nurse I, Oncology - Expert Medical Opinion Transcarent Inc.Registered Nurse I, Oncology - Expert Medical OpinionNYRemote$85,000–$90,000 / yearMD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences - Cancer Care, Surgery Care, and Weight Health - to support people with all of their health needs, simple or serious. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher-quality care, and lower costs for 21 million Members.Complex Oncology Nurse Navigator (11:30AM - 8:00PM EST) Thyme Care IncComplex Oncology Nurse Navigator (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our higher-acuity members as they move through the oncology care continuum.Oncology Transitions of Care Nurse (11:30AM - 8:00PM EST) Thyme Care IncOncology Transitions of Care Nurse (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our members as they move through the oncology care continuum.RN Clinical Reviewer / IDR Greenlife Healthcare StaffingRN Clinical Reviewer / IDRJericho, NYRemote$100,000–$105,000Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills.Psychiatric Nurse Practitioner (Full-Time W2) Reklame HealthPsychiatric Nurse Practitioner (Full-Time W2)New York, New YorkRemoteWe are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Psychiatric Evaluations and Medication Management: Deliver compassionate and high-quality psychiatric care, addiction care, and medication management through a convenient telehealth platform, ensuring members receive accessible and effective care.Medical Review Nurse Analyst Wisconsin Physicians Service Insurance CorpMedical Review Nurse AnalystNewark, NJRemote$70,000–$85,000 / yearp>We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).Urgent Care Nurse Practitioner (Full Time, Weekend Only) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time, Weekend Only)New York City, NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.Urgent Care Nurse Practitioner (Full Time) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time)NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Required Qualifications: Advanced Practice Registered Nurse with either a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP).Utilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantNJRemote$29.10–$62.32 / hourli>Coordinate, monitor, and assess healthcare service options to help ensure Medicare Integrated/dually eligible members receive appropriate, cost-effective care. Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program for Medicare Integrated/dually eligible member populations.Medical Management Audit and Complaints Manager Metroplus Health Plan IncMedical Management Audit and Complaints ManagerNYRemote$110,000–$120,000 / yearReporting to the Vice President of Clinical Services, with a dotted-line relationship to the Product team, the Medical Management Audit and Complaints Manager partners with the newly established SWAT Audit and Complaints arm of the SWAT unit to advance operational excellence and uphold regulatory compliance across cross‑functional teams. Serve as the primary liaison for all external audits conducted by DOH, CMS, or other entities related to medical management or any functions connected to clinical services or operations.12Resume ResourcesFree Resume TemplatesFree Resume Builder
Licensed Marriage and Family Therapist- Remote BetterHelpLicensed Marriage and Family Therapist- RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Psychologist - Remote BetterHelpLicensed Psychologist - RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Mental Health Therapist- Remote BetterHelpMental Health Therapist- RemoteNewark, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). . Private practice with no doors and no overhead..Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .Licensed Clinical Social Worker - Remote BetterHelpLicensed Clinical Social Worker - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. $650 Health Benefit Stipend: Eligibility for the Health Benefit Stipend requires a continuous commitment of 30 hours a week.Patient Access Manager - 100% Remote (EST Hours) Expressable, Inc,Patient Access Manager - 100% Remote (EST Hours)NYRemote$75,000–$95,000 / yearThe role of the Patient Access Manager is to ensure individual and team metrics are consistently met and that Expressable's client facing non-clinical team members are successfully supporting patients through their entire care experience. Demonstrated success managing teams in high-volume, metrics-driven healthcare call center environments, including workforce planning, quality monitoring, escalation management, and service level optimization.Remote Nurse Practitioner Contractor- Multi-State Perry Health IncRemote Nurse Practitioner Contractor- Multi-StateNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Utilization Management Nurse Consultant - Fully Remote CVS Health CorpUtilization Management Nurse Consultant - Fully RemoteNJRemote$26.01–$74.78 / hourBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Multi-State Remote RD, CDCES - Contracted Position Perry Health IncMulti-State Remote RD, CDCES - Contracted PositionNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Clinical Specialist Surgical Oncology--New Jersey (Remote) AngioDynamics IncClinical Specialist Surgical Oncology--New Jersey (Remote)Newark, NJRemoteAngioDynamics is dedicated to improving patient outcomes by focusing on the development of disruptive and differentiated technologies that address unmet patient needs and supporting professional healthcare providers around the world in the delivery of high-quality patient care. Position Summary: The key responsibility of this position is to promote AngioDynamics' products through the education of current and potential customers, providing them with clinical education and technical support in an effort to provide world class service to our customers.Remote Registered Nurse RN RylemRemote Registered Nurse RNNew York, NYRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseNJRemote$71,100–$97,800 / yearp>Work-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.Registered Nurse Clinical Reviewer / AIMS Greenlife Healthcare StaffingRegistered Nurse Clinical Reviewer / AIMSBronx, New YorkRemote$50About Greenlife Healthcare Staffing:We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.Registered Nurse Clinical Manager Humana IncRegistered Nurse Clinical ManagerWestbury, NYRemote$92,600–$127,400 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.Registered Nurse Case Manager - LTSS - Field in Passaic County, NJ CVS Health CorpRegistered Nurse Case Manager - LTSS - Field in Passaic County, NJPassaic, NJRemote$66,575–$142,576 / yearp>We're seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Passaic County, specifically looking for a candidate who resides in Passaic or Patterson NJ. Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.Case Manager Registered Nurse - Field in Bergen/Hudson Counties CVS Health CorpCase Manager Registered Nurse - Field in Bergen/Hudson CountiesHoboken, NJRemote$66,575–$142,576 / yearli>Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Middlesex County NJ CVS Health CorpCase Manager Registered Nurse - Field in Middlesex County NJEast Brunswick, NJRemote$66,575–$142,576 / yearComfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Essex County, NJ CVS Health CorpCase Manager Registered Nurse - Field in Essex County, NJEast Orange, NJRemote$66,575–$142,576 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. • Conduct in-home, face-to-face assessments for members enrolled in: • Managed Long-Term Services and Supports (MLTSS) • Dual Special Needs Programs (D-SNP/FIDE).Bilingual Pediatric Registered Nurse Imagine Pediatrics LLCBilingual Pediatric Registered NurseNYRemote$40–$47 / hourem> Bilingual Spanish required Familiarity with Medicaid regulations and services a plus Value Based Care (VBC) experience a plus Virtual care experience a plus What We Offer (Benefits + Perks) The hourly rate for this position ranges from $40 - 47 per hour in addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). What You'll Do As a Pediatric Registered Nurse at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem.NewRegistered Nurse #26-15220 US Tech Solutions, Inc.Registered Nurse #26-1522037 BROADWAY, NYRemote$38–$50 / hourThe RN will administer state-approved immunizations, including pediatric vaccinations, while ensuring safe patient care and accurate documentation. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.Utilization Management, Registered Nurse RN Clover Health Investments CorpUtilization Management, Registered Nurse RNNYRemote$90,000–$106,000 / yearAs a Utilization Management, Registered Nurse (RN), you will: Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations Manage cases end-to-end from prior authorization through concurrent review and discharge Collaborate with providers and facilities to obtain clinical information and support care coordination Ensure compliance with CMS turnaround times and regulatory requirements Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making Have strong personal accountability, responsibility and independent decision-making abilities. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents * And much more!Resource Pediatric Registered Nurse Imagine Pediatrics LLCResource Pediatric Registered NurseNYRemote$36–$42 / hourAs a Resource Pediatric Registered Nurse at Imagine Pediatrics, you serve as a key clinical partner within the Patient Engagement (Outreach & Enrollment) team, supporting the re-engagement of previously enrolled patients and families. Key responsibilities include: Provide real-time clinical support and triage for newly re-engaged patients, ensuring immediate response to clinical needs following outreach and enrollment interactions.Telehealth Triage Registered Nurse New York + Compact State RN License Required Ophelia Health IncTelehealth Triage Registered Nurse New York + Compact State RN License RequiredNew York, NYRemoteTriage RNs have experience working with patients with substance use and are comfortable conducting ongoing medication management, performing check-in calls and urine drug screens, assessing bridge prescription requests, and identifying escalation events requiring clinical oversight. Support medication management by communicating with patients regarding medication dosing, interactions, and taking meds as prescribed; discussing comfort medications during the induction phase, and educating patients on proper dosing method of buprenorphine.Appeals Registered Nurse Wisconsin Physicians Service Insurance CorpAppeals Registered NurseNJRemoteWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare regulations and policies.Registered Nurse (RN) – Principal Care Management (PCM) Elaya HealthRegistered Nurse (RN) – Principal Care Management (PCM)Great Neck, New YorkRemoteWe are looking for a compassionate, organized, and detail oriented Registered Nurse (RN) to join our growing team and assist with Principal Care Management (PCM) services remotely. We partner closely with long term care facilities to improve outcomes for patients with chronic conditions, primarily diabetes and thyroid disease.Clinical Review & Correspondence RN Cohere Health Technologies LLCClinical Review & Correspondence RNNYRemote$31–$35 / hourBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications.NewStaff Nurse Practitioner, Primary Care Telemedicine Teladoc Health IncStaff Nurse Practitioner, Primary Care TelemedicinePURCHASE, NYRemoteThis role is responsible for delivering exceptional patient care through compassion and dedication to high quality Essential Duties and Responsibilities * Conduct virtual patient assessments, including collecting medical history, performing physical examinations, and diagnosing and treating common illnesses and injuries. Collaborate with interdisciplinary healthcare teams, including physicians, specialists, and other healthcare professionals, to ensure coordinated and comprehensive care.Registered Nurse I, Oncology - Expert Medical Opinion Transcarent Inc.Registered Nurse I, Oncology - Expert Medical OpinionNYRemote$85,000–$90,000 / yearMD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences - Cancer Care, Surgery Care, and Weight Health - to support people with all of their health needs, simple or serious. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher-quality care, and lower costs for 21 million Members.Complex Oncology Nurse Navigator (11:30AM - 8:00PM EST) Thyme Care IncComplex Oncology Nurse Navigator (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our higher-acuity members as they move through the oncology care continuum.Oncology Transitions of Care Nurse (11:30AM - 8:00PM EST) Thyme Care IncOncology Transitions of Care Nurse (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our members as they move through the oncology care continuum.RN Clinical Reviewer / IDR Greenlife Healthcare StaffingRN Clinical Reviewer / IDRJericho, NYRemote$100,000–$105,000Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills.Psychiatric Nurse Practitioner (Full-Time W2) Reklame HealthPsychiatric Nurse Practitioner (Full-Time W2)New York, New YorkRemoteWe are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Psychiatric Evaluations and Medication Management: Deliver compassionate and high-quality psychiatric care, addiction care, and medication management through a convenient telehealth platform, ensuring members receive accessible and effective care.Medical Review Nurse Analyst Wisconsin Physicians Service Insurance CorpMedical Review Nurse AnalystNewark, NJRemote$70,000–$85,000 / yearp>We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).Urgent Care Nurse Practitioner (Full Time, Weekend Only) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time, Weekend Only)New York City, NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.Urgent Care Nurse Practitioner (Full Time) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time)NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Required Qualifications: Advanced Practice Registered Nurse with either a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP).Utilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantNJRemote$29.10–$62.32 / hourli>Coordinate, monitor, and assess healthcare service options to help ensure Medicare Integrated/dually eligible members receive appropriate, cost-effective care. Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program for Medicare Integrated/dually eligible member populations.Medical Management Audit and Complaints Manager Metroplus Health Plan IncMedical Management Audit and Complaints ManagerNYRemote$110,000–$120,000 / yearReporting to the Vice President of Clinical Services, with a dotted-line relationship to the Product team, the Medical Management Audit and Complaints Manager partners with the newly established SWAT Audit and Complaints arm of the SWAT unit to advance operational excellence and uphold regulatory compliance across cross‑functional teams. Serve as the primary liaison for all external audits conducted by DOH, CMS, or other entities related to medical management or any functions connected to clinical services or operations.12Resume ResourcesFree Resume TemplatesFree Resume Builder
Licensed Psychologist - Remote BetterHelpLicensed Psychologist - RemoteNew York City, NYRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Mental Health Therapist- Remote BetterHelpMental Health Therapist- RemoteNewark, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). . Private practice with no doors and no overhead..Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .Licensed Clinical Social Worker - Remote BetterHelpLicensed Clinical Social Worker - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. $650 Health Benefit Stipend: Eligibility for the Health Benefit Stipend requires a continuous commitment of 30 hours a week.Patient Access Manager - 100% Remote (EST Hours) Expressable, Inc,Patient Access Manager - 100% Remote (EST Hours)NYRemote$75,000–$95,000 / yearThe role of the Patient Access Manager is to ensure individual and team metrics are consistently met and that Expressable's client facing non-clinical team members are successfully supporting patients through their entire care experience. Demonstrated success managing teams in high-volume, metrics-driven healthcare call center environments, including workforce planning, quality monitoring, escalation management, and service level optimization.Remote Nurse Practitioner Contractor- Multi-State Perry Health IncRemote Nurse Practitioner Contractor- Multi-StateNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Utilization Management Nurse Consultant - Fully Remote CVS Health CorpUtilization Management Nurse Consultant - Fully RemoteNJRemote$26.01–$74.78 / hourBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Multi-State Remote RD, CDCES - Contracted Position Perry Health IncMulti-State Remote RD, CDCES - Contracted PositionNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Clinical Specialist Surgical Oncology--New Jersey (Remote) AngioDynamics IncClinical Specialist Surgical Oncology--New Jersey (Remote)Newark, NJRemoteAngioDynamics is dedicated to improving patient outcomes by focusing on the development of disruptive and differentiated technologies that address unmet patient needs and supporting professional healthcare providers around the world in the delivery of high-quality patient care. Position Summary: The key responsibility of this position is to promote AngioDynamics' products through the education of current and potential customers, providing them with clinical education and technical support in an effort to provide world class service to our customers.Remote Registered Nurse RN RylemRemote Registered Nurse RNNew York, NYRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseNJRemote$71,100–$97,800 / yearp>Work-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.Registered Nurse Clinical Reviewer / AIMS Greenlife Healthcare StaffingRegistered Nurse Clinical Reviewer / AIMSBronx, New YorkRemote$50About Greenlife Healthcare Staffing:We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.Registered Nurse Clinical Manager Humana IncRegistered Nurse Clinical ManagerWestbury, NYRemote$92,600–$127,400 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.Registered Nurse Case Manager - LTSS - Field in Passaic County, NJ CVS Health CorpRegistered Nurse Case Manager - LTSS - Field in Passaic County, NJPassaic, NJRemote$66,575–$142,576 / yearp>We're seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Passaic County, specifically looking for a candidate who resides in Passaic or Patterson NJ. Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.Case Manager Registered Nurse - Field in Bergen/Hudson Counties CVS Health CorpCase Manager Registered Nurse - Field in Bergen/Hudson CountiesHoboken, NJRemote$66,575–$142,576 / yearli>Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Middlesex County NJ CVS Health CorpCase Manager Registered Nurse - Field in Middlesex County NJEast Brunswick, NJRemote$66,575–$142,576 / yearComfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Essex County, NJ CVS Health CorpCase Manager Registered Nurse - Field in Essex County, NJEast Orange, NJRemote$66,575–$142,576 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. • Conduct in-home, face-to-face assessments for members enrolled in: • Managed Long-Term Services and Supports (MLTSS) • Dual Special Needs Programs (D-SNP/FIDE).Bilingual Pediatric Registered Nurse Imagine Pediatrics LLCBilingual Pediatric Registered NurseNYRemote$40–$47 / hourem> Bilingual Spanish required Familiarity with Medicaid regulations and services a plus Value Based Care (VBC) experience a plus Virtual care experience a plus What We Offer (Benefits + Perks) The hourly rate for this position ranges from $40 - 47 per hour in addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). What You'll Do As a Pediatric Registered Nurse at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem.NewRegistered Nurse #26-15220 US Tech Solutions, Inc.Registered Nurse #26-1522037 BROADWAY, NYRemote$38–$50 / hourThe RN will administer state-approved immunizations, including pediatric vaccinations, while ensuring safe patient care and accurate documentation. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.Utilization Management, Registered Nurse RN Clover Health Investments CorpUtilization Management, Registered Nurse RNNYRemote$90,000–$106,000 / yearAs a Utilization Management, Registered Nurse (RN), you will: Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations Manage cases end-to-end from prior authorization through concurrent review and discharge Collaborate with providers and facilities to obtain clinical information and support care coordination Ensure compliance with CMS turnaround times and regulatory requirements Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making Have strong personal accountability, responsibility and independent decision-making abilities. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents * And much more!Resource Pediatric Registered Nurse Imagine Pediatrics LLCResource Pediatric Registered NurseNYRemote$36–$42 / hourAs a Resource Pediatric Registered Nurse at Imagine Pediatrics, you serve as a key clinical partner within the Patient Engagement (Outreach & Enrollment) team, supporting the re-engagement of previously enrolled patients and families. Key responsibilities include: Provide real-time clinical support and triage for newly re-engaged patients, ensuring immediate response to clinical needs following outreach and enrollment interactions.Telehealth Triage Registered Nurse New York + Compact State RN License Required Ophelia Health IncTelehealth Triage Registered Nurse New York + Compact State RN License RequiredNew York, NYRemoteTriage RNs have experience working with patients with substance use and are comfortable conducting ongoing medication management, performing check-in calls and urine drug screens, assessing bridge prescription requests, and identifying escalation events requiring clinical oversight. Support medication management by communicating with patients regarding medication dosing, interactions, and taking meds as prescribed; discussing comfort medications during the induction phase, and educating patients on proper dosing method of buprenorphine.Appeals Registered Nurse Wisconsin Physicians Service Insurance CorpAppeals Registered NurseNJRemoteWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare regulations and policies.Registered Nurse (RN) – Principal Care Management (PCM) Elaya HealthRegistered Nurse (RN) – Principal Care Management (PCM)Great Neck, New YorkRemoteWe are looking for a compassionate, organized, and detail oriented Registered Nurse (RN) to join our growing team and assist with Principal Care Management (PCM) services remotely. We partner closely with long term care facilities to improve outcomes for patients with chronic conditions, primarily diabetes and thyroid disease.Clinical Review & Correspondence RN Cohere Health Technologies LLCClinical Review & Correspondence RNNYRemote$31–$35 / hourBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications.NewStaff Nurse Practitioner, Primary Care Telemedicine Teladoc Health IncStaff Nurse Practitioner, Primary Care TelemedicinePURCHASE, NYRemoteThis role is responsible for delivering exceptional patient care through compassion and dedication to high quality Essential Duties and Responsibilities * Conduct virtual patient assessments, including collecting medical history, performing physical examinations, and diagnosing and treating common illnesses and injuries. Collaborate with interdisciplinary healthcare teams, including physicians, specialists, and other healthcare professionals, to ensure coordinated and comprehensive care.Registered Nurse I, Oncology - Expert Medical Opinion Transcarent Inc.Registered Nurse I, Oncology - Expert Medical OpinionNYRemote$85,000–$90,000 / yearMD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences - Cancer Care, Surgery Care, and Weight Health - to support people with all of their health needs, simple or serious. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher-quality care, and lower costs for 21 million Members.Complex Oncology Nurse Navigator (11:30AM - 8:00PM EST) Thyme Care IncComplex Oncology Nurse Navigator (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our higher-acuity members as they move through the oncology care continuum.Oncology Transitions of Care Nurse (11:30AM - 8:00PM EST) Thyme Care IncOncology Transitions of Care Nurse (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our members as they move through the oncology care continuum.RN Clinical Reviewer / IDR Greenlife Healthcare StaffingRN Clinical Reviewer / IDRJericho, NYRemote$100,000–$105,000Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills.Psychiatric Nurse Practitioner (Full-Time W2) Reklame HealthPsychiatric Nurse Practitioner (Full-Time W2)New York, New YorkRemoteWe are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Psychiatric Evaluations and Medication Management: Deliver compassionate and high-quality psychiatric care, addiction care, and medication management through a convenient telehealth platform, ensuring members receive accessible and effective care.Medical Review Nurse Analyst Wisconsin Physicians Service Insurance CorpMedical Review Nurse AnalystNewark, NJRemote$70,000–$85,000 / yearp>We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).Urgent Care Nurse Practitioner (Full Time, Weekend Only) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time, Weekend Only)New York City, NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.Urgent Care Nurse Practitioner (Full Time) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time)NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Required Qualifications: Advanced Practice Registered Nurse with either a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP).Utilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantNJRemote$29.10–$62.32 / hourli>Coordinate, monitor, and assess healthcare service options to help ensure Medicare Integrated/dually eligible members receive appropriate, cost-effective care. Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program for Medicare Integrated/dually eligible member populations.Medical Management Audit and Complaints Manager Metroplus Health Plan IncMedical Management Audit and Complaints ManagerNYRemote$110,000–$120,000 / yearReporting to the Vice President of Clinical Services, with a dotted-line relationship to the Product team, the Medical Management Audit and Complaints Manager partners with the newly established SWAT Audit and Complaints arm of the SWAT unit to advance operational excellence and uphold regulatory compliance across cross‑functional teams. Serve as the primary liaison for all external audits conducted by DOH, CMS, or other entities related to medical management or any functions connected to clinical services or operations.12Resume ResourcesFree Resume TemplatesFree Resume Builder
Mental Health Therapist- Remote BetterHelpMental Health Therapist- RemoteNewark, NJRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). . Private practice with no doors and no overhead..Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .Licensed Clinical Social Worker - Remote BetterHelpLicensed Clinical Social Worker - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. $650 Health Benefit Stipend: Eligibility for the Health Benefit Stipend requires a continuous commitment of 30 hours a week.Patient Access Manager - 100% Remote (EST Hours) Expressable, Inc,Patient Access Manager - 100% Remote (EST Hours)NYRemote$75,000–$95,000 / yearThe role of the Patient Access Manager is to ensure individual and team metrics are consistently met and that Expressable's client facing non-clinical team members are successfully supporting patients through their entire care experience. Demonstrated success managing teams in high-volume, metrics-driven healthcare call center environments, including workforce planning, quality monitoring, escalation management, and service level optimization.Remote Nurse Practitioner Contractor- Multi-State Perry Health IncRemote Nurse Practitioner Contractor- Multi-StateNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Utilization Management Nurse Consultant - Fully Remote CVS Health CorpUtilization Management Nurse Consultant - Fully RemoteNJRemote$26.01–$74.78 / hourBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Multi-State Remote RD, CDCES - Contracted Position Perry Health IncMulti-State Remote RD, CDCES - Contracted PositionNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.Clinical Specialist Surgical Oncology--New Jersey (Remote) AngioDynamics IncClinical Specialist Surgical Oncology--New Jersey (Remote)Newark, NJRemoteAngioDynamics is dedicated to improving patient outcomes by focusing on the development of disruptive and differentiated technologies that address unmet patient needs and supporting professional healthcare providers around the world in the delivery of high-quality patient care. Position Summary: The key responsibility of this position is to promote AngioDynamics' products through the education of current and potential customers, providing them with clinical education and technical support in an effort to provide world class service to our customers.Remote Registered Nurse RN RylemRemote Registered Nurse RNNew York, NYRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseNJRemote$71,100–$97,800 / yearp>Work-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.Registered Nurse Clinical Reviewer / AIMS Greenlife Healthcare StaffingRegistered Nurse Clinical Reviewer / AIMSBronx, New YorkRemote$50About Greenlife Healthcare Staffing:We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.Registered Nurse Clinical Manager Humana IncRegistered Nurse Clinical ManagerWestbury, NYRemote$92,600–$127,400 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.Registered Nurse Case Manager - LTSS - Field in Passaic County, NJ CVS Health CorpRegistered Nurse Case Manager - LTSS - Field in Passaic County, NJPassaic, NJRemote$66,575–$142,576 / yearp>We're seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Passaic County, specifically looking for a candidate who resides in Passaic or Patterson NJ. Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.Case Manager Registered Nurse - Field in Bergen/Hudson Counties CVS Health CorpCase Manager Registered Nurse - Field in Bergen/Hudson CountiesHoboken, NJRemote$66,575–$142,576 / yearli>Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Middlesex County NJ CVS Health CorpCase Manager Registered Nurse - Field in Middlesex County NJEast Brunswick, NJRemote$66,575–$142,576 / yearComfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.Case Manager Registered Nurse - Field in Essex County, NJ CVS Health CorpCase Manager Registered Nurse - Field in Essex County, NJEast Orange, NJRemote$66,575–$142,576 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. • Conduct in-home, face-to-face assessments for members enrolled in: • Managed Long-Term Services and Supports (MLTSS) • Dual Special Needs Programs (D-SNP/FIDE).Bilingual Pediatric Registered Nurse Imagine Pediatrics LLCBilingual Pediatric Registered NurseNYRemote$40–$47 / hourem> Bilingual Spanish required Familiarity with Medicaid regulations and services a plus Value Based Care (VBC) experience a plus Virtual care experience a plus What We Offer (Benefits + Perks) The hourly rate for this position ranges from $40 - 47 per hour in addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). What You'll Do As a Pediatric Registered Nurse at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem.NewRegistered Nurse #26-15220 US Tech Solutions, Inc.Registered Nurse #26-1522037 BROADWAY, NYRemote$38–$50 / hourThe RN will administer state-approved immunizations, including pediatric vaccinations, while ensuring safe patient care and accurate documentation. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.Utilization Management, Registered Nurse RN Clover Health Investments CorpUtilization Management, Registered Nurse RNNYRemote$90,000–$106,000 / yearAs a Utilization Management, Registered Nurse (RN), you will: Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations Manage cases end-to-end from prior authorization through concurrent review and discharge Collaborate with providers and facilities to obtain clinical information and support care coordination Ensure compliance with CMS turnaround times and regulatory requirements Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making Have strong personal accountability, responsibility and independent decision-making abilities. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents * And much more!Resource Pediatric Registered Nurse Imagine Pediatrics LLCResource Pediatric Registered NurseNYRemote$36–$42 / hourAs a Resource Pediatric Registered Nurse at Imagine Pediatrics, you serve as a key clinical partner within the Patient Engagement (Outreach & Enrollment) team, supporting the re-engagement of previously enrolled patients and families. Key responsibilities include: Provide real-time clinical support and triage for newly re-engaged patients, ensuring immediate response to clinical needs following outreach and enrollment interactions.Telehealth Triage Registered Nurse New York + Compact State RN License Required Ophelia Health IncTelehealth Triage Registered Nurse New York + Compact State RN License RequiredNew York, NYRemoteTriage RNs have experience working with patients with substance use and are comfortable conducting ongoing medication management, performing check-in calls and urine drug screens, assessing bridge prescription requests, and identifying escalation events requiring clinical oversight. Support medication management by communicating with patients regarding medication dosing, interactions, and taking meds as prescribed; discussing comfort medications during the induction phase, and educating patients on proper dosing method of buprenorphine.Appeals Registered Nurse Wisconsin Physicians Service Insurance CorpAppeals Registered NurseNJRemoteWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare regulations and policies.Registered Nurse (RN) – Principal Care Management (PCM) Elaya HealthRegistered Nurse (RN) – Principal Care Management (PCM)Great Neck, New YorkRemoteWe are looking for a compassionate, organized, and detail oriented Registered Nurse (RN) to join our growing team and assist with Principal Care Management (PCM) services remotely. We partner closely with long term care facilities to improve outcomes for patients with chronic conditions, primarily diabetes and thyroid disease.Clinical Review & Correspondence RN Cohere Health Technologies LLCClinical Review & Correspondence RNNYRemote$31–$35 / hourBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications.NewStaff Nurse Practitioner, Primary Care Telemedicine Teladoc Health IncStaff Nurse Practitioner, Primary Care TelemedicinePURCHASE, NYRemoteThis role is responsible for delivering exceptional patient care through compassion and dedication to high quality Essential Duties and Responsibilities * Conduct virtual patient assessments, including collecting medical history, performing physical examinations, and diagnosing and treating common illnesses and injuries. Collaborate with interdisciplinary healthcare teams, including physicians, specialists, and other healthcare professionals, to ensure coordinated and comprehensive care.Registered Nurse I, Oncology - Expert Medical Opinion Transcarent Inc.Registered Nurse I, Oncology - Expert Medical OpinionNYRemote$85,000–$90,000 / yearMD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences - Cancer Care, Surgery Care, and Weight Health - to support people with all of their health needs, simple or serious. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher-quality care, and lower costs for 21 million Members.Complex Oncology Nurse Navigator (11:30AM - 8:00PM EST) Thyme Care IncComplex Oncology Nurse Navigator (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our higher-acuity members as they move through the oncology care continuum.Oncology Transitions of Care Nurse (11:30AM - 8:00PM EST) Thyme Care IncOncology Transitions of Care Nurse (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our members as they move through the oncology care continuum.RN Clinical Reviewer / IDR Greenlife Healthcare StaffingRN Clinical Reviewer / IDRJericho, NYRemote$100,000–$105,000Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills.Psychiatric Nurse Practitioner (Full-Time W2) Reklame HealthPsychiatric Nurse Practitioner (Full-Time W2)New York, New YorkRemoteWe are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Psychiatric Evaluations and Medication Management: Deliver compassionate and high-quality psychiatric care, addiction care, and medication management through a convenient telehealth platform, ensuring members receive accessible and effective care.Medical Review Nurse Analyst Wisconsin Physicians Service Insurance CorpMedical Review Nurse AnalystNewark, NJRemote$70,000–$85,000 / yearp>We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).Urgent Care Nurse Practitioner (Full Time, Weekend Only) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time, Weekend Only)New York City, NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.Urgent Care Nurse Practitioner (Full Time) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time)NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Required Qualifications: Advanced Practice Registered Nurse with either a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP).Utilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantNJRemote$29.10–$62.32 / hourli>Coordinate, monitor, and assess healthcare service options to help ensure Medicare Integrated/dually eligible members receive appropriate, cost-effective care. Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program for Medicare Integrated/dually eligible member populations.Medical Management Audit and Complaints Manager Metroplus Health Plan IncMedical Management Audit and Complaints ManagerNYRemote$110,000–$120,000 / yearReporting to the Vice President of Clinical Services, with a dotted-line relationship to the Product team, the Medical Management Audit and Complaints Manager partners with the newly established SWAT Audit and Complaints arm of the SWAT unit to advance operational excellence and uphold regulatory compliance across cross‑functional teams. Serve as the primary liaison for all external audits conducted by DOH, CMS, or other entities related to medical management or any functions connected to clinical services or operations.12Resume ResourcesFree Resume TemplatesFree Resume Builder
Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemoteJersey City, NJRemoteli>$500 first client bonus* — Earn more when you see your first insurance client within 30 days of applying. . Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). .
Licensed Clinical Social Worker - Remote BetterHelpLicensed Clinical Social Worker - RemoteNew YorkRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).. $650 Health Benefit Stipend: Eligibility for the Health Benefit Stipend requires a continuous commitment of 30 hours a week.
Patient Access Manager - 100% Remote (EST Hours) Expressable, Inc,Patient Access Manager - 100% Remote (EST Hours)NYRemote$75,000–$95,000 / yearThe role of the Patient Access Manager is to ensure individual and team metrics are consistently met and that Expressable's client facing non-clinical team members are successfully supporting patients through their entire care experience. Demonstrated success managing teams in high-volume, metrics-driven healthcare call center environments, including workforce planning, quality monitoring, escalation management, and service level optimization.
Remote Nurse Practitioner Contractor- Multi-State Perry Health IncRemote Nurse Practitioner Contractor- Multi-StateNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.
Utilization Management Nurse Consultant - Fully Remote CVS Health CorpUtilization Management Nurse Consultant - Fully RemoteNJRemote$26.01–$74.78 / hourBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Multi-State Remote RD, CDCES - Contracted Position Perry Health IncMulti-State Remote RD, CDCES - Contracted PositionNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.
Clinical Specialist Surgical Oncology--New Jersey (Remote) AngioDynamics IncClinical Specialist Surgical Oncology--New Jersey (Remote)Newark, NJRemoteAngioDynamics is dedicated to improving patient outcomes by focusing on the development of disruptive and differentiated technologies that address unmet patient needs and supporting professional healthcare providers around the world in the delivery of high-quality patient care. Position Summary: The key responsibility of this position is to promote AngioDynamics' products through the education of current and potential customers, providing them with clinical education and technical support in an effort to provide world class service to our customers.
Remote Registered Nurse RN RylemRemote Registered Nurse RNNew York, NYRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseNJRemote$71,100–$97,800 / yearp>Work-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Registered Nurse Clinical Reviewer / AIMS Greenlife Healthcare StaffingRegistered Nurse Clinical Reviewer / AIMSBronx, New YorkRemote$50About Greenlife Healthcare Staffing:We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.
Registered Nurse Clinical Manager Humana IncRegistered Nurse Clinical ManagerWestbury, NYRemote$92,600–$127,400 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Registered Nurse Case Manager - LTSS - Field in Passaic County, NJ CVS Health CorpRegistered Nurse Case Manager - LTSS - Field in Passaic County, NJPassaic, NJRemote$66,575–$142,576 / yearp>We're seeking a compassionate and experienced Registered Nurse Case Manager to support members throughout Passaic County, specifically looking for a candidate who resides in Passaic or Patterson NJ. Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.
Case Manager Registered Nurse - Field in Bergen/Hudson Counties CVS Health CorpCase Manager Registered Nurse - Field in Bergen/Hudson CountiesHoboken, NJRemote$66,575–$142,576 / yearli>Comfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.
Case Manager Registered Nurse - Field in Middlesex County NJ CVS Health CorpCase Manager Registered Nurse - Field in Middlesex County NJEast Brunswick, NJRemote$66,575–$142,576 / yearComfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You'll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.
Case Manager Registered Nurse - Field in Essex County, NJ CVS Health CorpCase Manager Registered Nurse - Field in Essex County, NJEast Orange, NJRemote$66,575–$142,576 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. • Conduct in-home, face-to-face assessments for members enrolled in: • Managed Long-Term Services and Supports (MLTSS) • Dual Special Needs Programs (D-SNP/FIDE).
Bilingual Pediatric Registered Nurse Imagine Pediatrics LLCBilingual Pediatric Registered NurseNYRemote$40–$47 / hourem> Bilingual Spanish required Familiarity with Medicaid regulations and services a plus Value Based Care (VBC) experience a plus Virtual care experience a plus What We Offer (Benefits + Perks) The hourly rate for this position ranges from $40 - 47 per hour in addition to competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). What You'll Do As a Pediatric Registered Nurse at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem.
NewRegistered Nurse #26-15220 US Tech Solutions, Inc.Registered Nurse #26-1522037 BROADWAY, NYRemote$38–$50 / hourThe RN will administer state-approved immunizations, including pediatric vaccinations, while ensuring safe patient care and accurate documentation. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
Utilization Management, Registered Nurse RN Clover Health Investments CorpUtilization Management, Registered Nurse RNNYRemote$90,000–$106,000 / yearAs a Utilization Management, Registered Nurse (RN), you will: Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations Manage cases end-to-end from prior authorization through concurrent review and discharge Collaborate with providers and facilities to obtain clinical information and support care coordination Ensure compliance with CMS turnaround times and regulatory requirements Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making Have strong personal accountability, responsibility and independent decision-making abilities. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents * And much more!
Resource Pediatric Registered Nurse Imagine Pediatrics LLCResource Pediatric Registered NurseNYRemote$36–$42 / hourAs a Resource Pediatric Registered Nurse at Imagine Pediatrics, you serve as a key clinical partner within the Patient Engagement (Outreach & Enrollment) team, supporting the re-engagement of previously enrolled patients and families. Key responsibilities include: Provide real-time clinical support and triage for newly re-engaged patients, ensuring immediate response to clinical needs following outreach and enrollment interactions.
Telehealth Triage Registered Nurse New York + Compact State RN License Required Ophelia Health IncTelehealth Triage Registered Nurse New York + Compact State RN License RequiredNew York, NYRemoteTriage RNs have experience working with patients with substance use and are comfortable conducting ongoing medication management, performing check-in calls and urine drug screens, assessing bridge prescription requests, and identifying escalation events requiring clinical oversight. Support medication management by communicating with patients regarding medication dosing, interactions, and taking meds as prescribed; discussing comfort medications during the induction phase, and educating patients on proper dosing method of buprenorphine.
Appeals Registered Nurse Wisconsin Physicians Service Insurance CorpAppeals Registered NurseNJRemoteWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare regulations and policies.
Registered Nurse (RN) – Principal Care Management (PCM) Elaya HealthRegistered Nurse (RN) – Principal Care Management (PCM)Great Neck, New YorkRemoteWe are looking for a compassionate, organized, and detail oriented Registered Nurse (RN) to join our growing team and assist with Principal Care Management (PCM) services remotely. We partner closely with long term care facilities to improve outcomes for patients with chronic conditions, primarily diabetes and thyroid disease.
Clinical Review & Correspondence RN Cohere Health Technologies LLCClinical Review & Correspondence RNNYRemote$31–$35 / hourBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications.
NewStaff Nurse Practitioner, Primary Care Telemedicine Teladoc Health IncStaff Nurse Practitioner, Primary Care TelemedicinePURCHASE, NYRemoteThis role is responsible for delivering exceptional patient care through compassion and dedication to high quality Essential Duties and Responsibilities * Conduct virtual patient assessments, including collecting medical history, performing physical examinations, and diagnosing and treating common illnesses and injuries. Collaborate with interdisciplinary healthcare teams, including physicians, specialists, and other healthcare professionals, to ensure coordinated and comprehensive care.
Registered Nurse I, Oncology - Expert Medical Opinion Transcarent Inc.Registered Nurse I, Oncology - Expert Medical OpinionNYRemote$85,000–$90,000 / yearMD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences - Cancer Care, Surgery Care, and Weight Health - to support people with all of their health needs, simple or serious. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher-quality care, and lower costs for 21 million Members.
Complex Oncology Nurse Navigator (11:30AM - 8:00PM EST) Thyme Care IncComplex Oncology Nurse Navigator (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our higher-acuity members as they move through the oncology care continuum.
Oncology Transitions of Care Nurse (11:30AM - 8:00PM EST) Thyme Care IncOncology Transitions of Care Nurse (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our members as they move through the oncology care continuum.
RN Clinical Reviewer / IDR Greenlife Healthcare StaffingRN Clinical Reviewer / IDRJericho, NYRemote$100,000–$105,000Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills.
Psychiatric Nurse Practitioner (Full-Time W2) Reklame HealthPsychiatric Nurse Practitioner (Full-Time W2)New York, New YorkRemoteWe are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Psychiatric Evaluations and Medication Management: Deliver compassionate and high-quality psychiatric care, addiction care, and medication management through a convenient telehealth platform, ensuring members receive accessible and effective care.
Medical Review Nurse Analyst Wisconsin Physicians Service Insurance CorpMedical Review Nurse AnalystNewark, NJRemote$70,000–$85,000 / yearp>We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).
Urgent Care Nurse Practitioner (Full Time, Weekend Only) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time, Weekend Only)New York City, NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.
Urgent Care Nurse Practitioner (Full Time) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time)NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Required Qualifications: Advanced Practice Registered Nurse with either a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP).
Utilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantNJRemote$29.10–$62.32 / hourli>Coordinate, monitor, and assess healthcare service options to help ensure Medicare Integrated/dually eligible members receive appropriate, cost-effective care. Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program for Medicare Integrated/dually eligible member populations.
Medical Management Audit and Complaints Manager Metroplus Health Plan IncMedical Management Audit and Complaints ManagerNYRemote$110,000–$120,000 / yearReporting to the Vice President of Clinical Services, with a dotted-line relationship to the Product team, the Medical Management Audit and Complaints Manager partners with the newly established SWAT Audit and Complaints arm of the SWAT unit to advance operational excellence and uphold regulatory compliance across cross‑functional teams. Serve as the primary liaison for all external audits conducted by DOH, CMS, or other entities related to medical management or any functions connected to clinical services or operations.