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Location: Acute Care Hospital Tower\n \n Shift- 12hr Nights (7pm-7am) \n \n Work Hours: This program is a 7 day a week service, rotating every other weekend and rotating holidays \n \n Employment Type: Full Time \n \n \nHospital at Home is an innovative program that combines in-home with remote monitoring, offering patients timely, hospital-level care in their homes. Though the list of diagnoses enrolled in Hospital at Home continues to expand, common disease states include acute pneumonia, cellulitis, COVID-19, urinary tract infection, dehydration, or exacerbations of chronic conditions, such as heart failure or chronic obstructive pulmonary disease. For many patients, the program provides an alternative to the traditional hospital setting and results in improved patient outcomes and satisfaction. The Hospital at Home team is looking for motivated nurses with critical thinking skills, acute care experience, and an interest in serving the Parkland community.\n \n Primary Purpose\n \n \nThe RN is a licensed professional who uses the Parkland nursing professional practice model to coordinate acute patient care delivery in the patient home. Using the nursing process, the RN assesses the patient in their environment, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN utilizes knowledge of patient needs and providing healthcare in the home environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition, and the competencies of the employee.\n \n Minimum Specifications\n \n Education\n \n\n • Must be a graduate from an accredited school of nursing.\n, • Prefer Bachelor of Science in Nursing.\n\n Experience\n \n\n • Must have two years of nursing experience in the acute care setting.\n, • Prefer experience in the home environment.\n\n Equivalent Education and/or Experience\n \n\n • None\n\n Certification/Registration/Licensure\n \n\n • Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license.\n, • Must have current healthcare provider CPR course completion card from one of the following: \n \n • American Heart Association\n, • American Red Cross\n, • Military Training Network\n \n, • Must have current, valid driver's license.\n\n Required Tests for Placement\n \n\n • None\n\n Skills or Special Abilities\n \n\n • Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards.\n\n \n\n • Provides continuous assessment, consults with other team members as required and provides nursing care which demonstrates patient centered/patient valued care.\n\n \n\n • Exercises independent judgment in providing nursing care.\n\n \n\n • Must be able to communicate effectively with patients, families, and hospital staff in accordance with established policies and procedures.\n\n \n\n • Must be comfortable providing healthcare in patient homes.\n\n \n\n • Must be able to recognize emergency situations, escalate, and assist in corrective action.\n\n \n\n • Must be able to organize and prioritize assignments, duties, and responsibilities\n\n \n\n • Must be able to collaborate with various disciplines to meet the patient's plan of care in the home.\n\n \n\n • Must be able to identify, address, and escalate patient social needs.\n, • Must be able to demonstrate the ability to provide direction to non-nursing staff and serve as a preceptor.\n\n \n\n • Must be able to respond quickly and positively to dynamic processes, schedules, responsibilities, and expectations.\n\n \n\n • Must exhibit understanding of physical assessment, aseptic techniques, IV skills, and universal precautions.\n\n \n\n • Must be able to utilize navigational aids to find specific addresses.\n\n Responsibilities\n \n\n • Serves as a patient advocate, by focusing on patient needs, patient rights, confidentiality, and religious and cultural preferences. Maintains positive working relationships with all Parkland internal and external customers, employees, etc. Serves as a resource for patients and other healthcare team members. Provides patient care educational information and training to patient and family members. May serve as a resource for specific clinical patient care issues.\n\n\n, • Acts autonomously to structure day as well as coordinate and deliver care to multiple patients in Dallas County, following expectations outlined in department nursing procedures.\n\n\n, • Completes appropriate patient assessments, admission criteria, identification and implementation of appropriate clinical interventions, discharge planning, interdisciplinary communication. Utilizes critical thinking skills and recognizes emergency situations and provides appropriate nursing interventions. Consults with other team members as required, notifies providers to report changes in patient condition and implements orders in a timely manner. Exercises independent judgment in providing safe nursing care to patients.\n\n\n, • Completes appropriate documentation by maintaining accurate and timely entries and notations in patient care records and hospital documents. Ensures that all records and documents meet the standards, goals, and objectives of the department and Parkland.\n\n\n, • Maintains and implements knowledge of applicable rules, regulations, policies, laws and guidelines that impact or govern Radiology nursing practice, and ensures that Parkland Hospital is in compliance. This may include EMTALA, Order of Productive Custody, Memorandum of Transfer and APOWW. Develops effective internal controls that promote adherence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans. Maintains and updates knowledge of sanitation, infection control, safety, supplies, equipment, appropriate utilization of supplies and materials.\n\n\n, • Proactively anticipates and responds to the needs of patients, their families, providers, and coworkers. Demonstrates an energetic and positive approach to work. Maintains a positive working relationship with all Parkland internal and external customers, employees, etc. Demonstrates a sense of ownership and pays attention to details of the job to ensure all mandatory obligations are met.\n\n \n\n • Serves as a preceptor or trainer to newer nursing staffing members.\n\n\n, • Prepares and conducts an in-service educational program for the Hospital at Home Department at least once per year.\n\n\n, • Identifies ways to improve work processes and improve patient and customer satisfaction. Makes recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals of the Hospital at Home department and Parkland. May serve on various unit and interdisciplinary committees as opportunities present.\n\n\n, • Maintains State of Texas Licensure as a Registered Nurse, plus any additional required licensures/certifications. Integrates knowledge gained into current work practices.\n\n Job Accountabilities\n \n\n • Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.\n\n\n, • Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.\n\n \n\n • Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding\n\n \n Requisition ID: 987347

Job Description CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Dallas, TX. Work from home, and on the road. Monday – Friday, regular business hours. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source, • Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans, • Provides assessment, planning, implementation, and evaluation of patient’s progress, • Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness, • Attends doctors, other providers, home and in some cases, attorney’s visits, • Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy, • Conducts home visit for initial evaluation, • Implements care such as negotiating the delivery of durable medical equipment and nursing services, • This role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month, • This role may require overnight travel, • Additional duties as required KNOWLEDGE & SKILLS: • Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment, • Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers, • A cost containment background, such as utilization review or managed care is helpful, • Strong interpersonal, time management, and organizational skills, • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets, • Ability to work both independently and within a team environment, • Bilingual (Spanish Speaking) EDUCATION & EXPERIENCE: • Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred, • Graduate of accredited school of nursing, • Current RN Licensure in state of operation, • Certification as a CCM, CIRS, or other Case Management certifications preferred, • A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $63,739 – $95,264 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL – Medical Case Managers: CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description About Us At Prenuvo, we are on a mission to flip the paradigm from reactive "sick-care" to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and non-invasive (no contrast). Our unique integrated stack of optimized hardware, software, and increasingly AI, coupled with the patient-centric experience across our domestic and global clinics, have allowed us to lead the change against "we caught it too late again". We are looking for a highly specialized Clinical Risk Manager who seamlessly blends sharp clinical risk acumen with deep empathy for patient advocacy. In this role, you will be the primary strategist and operational lead for managing patient complaints and clinical incidents. You will not just log issues; you will actively risk-manage them—evaluating severity, executing established protocols, and determining exactly when to loop in clinical leadership, legal counsel, or operational teams. Simultaneously, you will serve as a vital bridge for our patients, utilizing advanced de-escalation and advocacy skills to navigate sensitive, complex, or emotionally charged conversations, while coaching our clinicians to do the same. This role does not provide visa sponsorship. Applicants must be legally authorized to work in the United States at the time of hire and must not require employer sponsorship for a work visa (current or future). Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people's lives! What You'll Do Complaint Triage & Specialized Risk Management • Risk Triage & Resolution: Own the end-to-end management of patient clinical complaints and tickets. Critically assess each situation to determine the appropriate response path and level of escalation., • Cross-Functional Routing: Make high-level decisions on when to involve legal counsel, clinical directors, radiology teams, or executive leadership, ensuring appropriate organizational alignment on high-stakes issues., • Patient Safety Organization (PSO) Engagement: Manage the organization's active engagement with the Patient Safety Organization (PSO), ensuring rigorous adherence to quality privilege principles, systematic documentation within the Patient Safety Evaluation System (PSES), and the consistent protection of privileged safety information., • Investigation & Mitigation: Conduct comprehensive clinical root-cause analyses and incident investigations to develop and implement proactive risk mitigation strategies.Patient Advocacy & Collaborative Resolution, • Balanced Patient Engagement: Serve as the central point of contact for patient inquiries, fostering a balanced dialogue that prioritizes the patient perspective while maintaining objective clinical standards to drive effective and fair resolutions., • Clinician Communication & Coaching: Partner with Nurse Practitioners, radiologists, and clinic staff to model and coach on empathetic, transparent communication strategies that facilitate resolution and maintain trust following incidents., • Patient-Centric Advocacy: Champion the patient perspective across the organization, ensuring clinical quality improvements are informed by patient feedback and consistently result in safer, clearer, and more satisfying patient experiences.Compliance, Audits, & Documentation, • Legally Privileged Reporting: Document investigation findings, risk assessments, and corrective actions with meticulous accuracy under the direction of legal counsel, maintaining strict confidentiality., • Clinical Chart Reviews: Perform regular chart audits and reviews of Nurse Practitioner consults to identify potential risk vulnerabilities or systemic process gaps., • Data-Driven Insights: Analyze complaint and incident data to identify operational trends, presenting actionable reports to management to drive continuous improvement. What You'll Bring • Clinical Risk Expertise: Proven, dedicated experience in clinical risk management within a healthcare setting (experience with outpatient imaging or MRI services is highly valued). 5+ years of experience., • Active Registered Nurse (RN) license or Juris Doctor (JD) required., • Patient-Centric Frameworks: Strong background in patient relations, or healthcare conflict resolution, with verifiable skills in de-escalating high-tension situations., • Regulatory Knowledge: Solid understanding of clinical risk protocols, medical-legal concepts, and frameworks like the Patient Safety and Quality Improvement Act (including PSWP protections)., • Communication Fluency: Exceptional interpersonal, written, and remote communication skills (video conferencing, Slack, Google Suite, and JIRA). Nice to Haves • Credentials:, • JD and RN Dual qualification as a Juris Doctor and Registered Nurse is a major plus., • Willingness to obtain multi-state licensure as Prenuvo expands. Our Values First: we are Pioneers • Transforming healthcare requires divergent thinking, bias for action, disciplined experimentation, and consistent grit and determination to maintain momentum. This journey is as challenging as it is rewarding. Second: we are Platform-Builders • We're always building foundations that allow us to achieve tomorrow more than we did today. We never lose sight of what's ahead – in a mindset of ownership and duty to our mission. Above all: we are Patients • We could all be the next person who walks through our very doors, seeking clarity or peace of mind. We are proud of our impact on our patients' lives, and we won't stop till everyone can benefit from our work. What We Offer • An avenue to make a positive impact on people's lives and their health, • We believe in preventative healthcare for everyone, including our team - Prenuvo provides free, whole-body scans to each team member, • Growth opportunities are at the heart of our people journey, we're doing big things with bright minds - there is no single path to success, it can be shaped along the way, • Building strong relationships is at the core of everything we do - our team gets together each week to connect, share, and socialize, • Recognizing time away to restore is vital to our wellbeing - we have a flexible vacation policy and we will encourage you to use it, • We now offer the Prenuvo's Commuter Benefits Plan to help cover your transit and parking costs. Whether you ride, drive, or park, we've got you covered—making your commute easier and more affordable!, • Prenuvo offers a 401(k) retirement savings plan to eligible employees, allowing team members to make pre-tax contributions toward their retirement. While Prenuvo facilitates access to the plan, the company does not currently offer matching contributions., • We offer a comprehensive benefits package including health, dental, vision, including Mental Health coverage, to support you and your family, • The base salary for this role ranges from $100,000 to $115,000 USD annually, depending upon experience and geographic location We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. As part of the hiring process, successful candidates will undergo a background check in compliance to applicable federal, provincial, and state rules. Please be advised that official communication from our recruitment team will only come from our authorized domain [prenuvo.com]. If you are contacted by a recruiter, please ensure their email address ends with @prenuvo.com. We do not use third-party recruitment services or any other email domains for hiring purposes. If you receive communication that you believe to be fraudulent, please report it immediately to jobs@prenuvo.com.

Job DescriptionREMOTE CARE NAVIGATOR – CARDIAC Sector Healthcare — Cardiac Care Coordination Reports To RN Care Manager / Clinical Supervisor Type Full-Time · 40 hours/week Schedule Monday–Friday · Weekends - Flexible business hours (US hours, CST/PST overlap required) Rate $21–$24 USD/hour (based on experience) Contract W-2 Location 100% Remote — US only (Dallas/Fort Worth area preferred) Tools EHR platforms, care management software, population health dashboards, CMS documentation tools Role Overview Our client — a cardiac care management MSO — is hiring full-time virtual Care Navigators to support a growing population of medically complex patients with cardiac conditions, primarily congestive heart failure (CHF). This is a non-clinical (non-licensed) role focused on telephonic patient outreach, care plan support, CMS-compliant documentation, and coordination across the care team. The Care Navigator works under the supervision of RN Care Managers, escalating all clinical concerns appropriately. This role plays a critical part in reducing avoidable hospitalizations and supporting patient self-management over the long term. Key Responsibilities • Conduct structured telephonic outreach to CHF and complex cardiac patients, • Maintain an assigned patient caseload using risk stratification to prioritize outreach, • Complete initial assessments and follow-ups covering symptoms, medications, psychosocial status, and SDOH barriers, • Support Transitional Care Management (TCM) follow-up within 48 hours post-discharge — medication reconciliation, red-flag symptom screening, appointment scheduling, • Provide patient education on CHF self-management and evidence-based strategies, • Monitor for signs of worsening conditions or care gaps and escalate to supervising RN, • Review and act on population health dashboards to address care gaps (wellness visits, labs, symptom monitoring), • Document time, interventions, care plans, and patient goals per CMS billing standards, • Maintain proactive communication with RN Care Managers, cardiologists, and PCP offices, • Clinical assessment or medical diagnosis, • Medication prescribing or adjustments, • Interpretation of labs, imaging, or EKGs, • Clinical triage or emergency response, • In-person or home visit patient contact, • Billing or coding beyond required time-based documentationScope Limitations — This Role Does NOT Include, • Clinical assessment or medical diagnosis, • Medication prescribing or adjustments, • Interpretation of labs, imaging, or EKGs, • Clinical triage or emergency response, • In-person or home visit patient contact, • Billing or coding beyond required time-based documentationExperience & Skills Required: • Active Medical Assistant (MA) certification or equivalent clinical credential (CNA, EMT, CHW with relevant experience), • Minimum 2 years of experience in care coordination, case management, or ambulatory care, • Familiarity with CMS PCM, CCM, and/or TCM program requirements and documentation standards, • Technologically proficient with care coordination software and/or EHRs, • AI fluency — actively uses AI tools to work faster and more efficiently., • Must be based in and authorized to work in the United States — time zone compatibility required (US business hours, CST/PST overlap), • Exceptional written and verbal communication in English; strong phone presence assessed at screening Preferred: • Knowledge of cardiac conditions — especially heart failure and associated comorbidities, • Bilingual — Spanish/English (not a must)

Job DescriptionAbout Lantern Lantern is the specialty care platform connecting people with the best care when they need it most. By curating a Network of Excellence comprised of the nation's top specialists for surgery, cancer care, infusions and more, Lantern delivers excellent care with significant cost savings to employers and their workforces. Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the entirety of their care journey, helping them get back to good health, back to their families and back to work. With convenient access to specialists nationwide, Lantern means quality care is within driving distance for most. Lantern is trusted by the nation's largest employers to deliver care to more than 6 million members across the country. Learn more about us at lanterncare.com. About You: • You use LOGIC in your decision making and understand that progress is critical to making change. You focus on the execution of your content while balancing a fast-paced environment and you take the time to celebrate both the small & big wins., • INCLUSION is a core tenant of your personal beliefs. A diverse and inclusive environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with., • You have the GRIT, drive and ambition to tackle big problems. Big problems require big ideas and a team that supports new ideas., • You care deeply for your customers are driven to keep HUMANITY in all decisions. Your customers aren't just the individuals using your product. They are the driving factor in your motivation to make a change., • Integrity guides you in life. Focusing on the TRUTH vs. giving people the answers they want to hear., • You thrive in a Team Environment. Collaboration is key in innovation and creating change. These pillars of LIGHT are a reminder to our team that we are making a difference by providing guidance and support in navigating the often complex and confusing landscape of healthcare. We hope that through this LIGHT, individuals can find their way to the best care, resources, and support they need to get back to life. If this sounds like you, we would love to connect to speak further about career opportunities at Lantern. Please apply to our role & someone from our Talent Acquisition Team will reach out to help you navigate our interview process. Job Overview Lantern Care is seeking a dynamic Learning & Development professional to join our Member Experience & Enablement team. This Trainer will serve as the primary training resource for our Cancer navigation program, with backup support for Surgery and Infusion lines of business. The ideal candidate brings strong facilitation skills, hands-on instructional design experience, and a genuine passion for developing people in a fast-paced specialty care environment. As a visible role model within the organization, this individual will demonstrate professional maturity, coaching excellence, and a member-first mindset — contributing to training outcomes that directly impact NPS and member experience quality. This position is located in our downtown Dallas, Texas office. The role is on-site; remote or virtual arrangements are not available. Travel is not required. Responsibilities & Duties: • Serves as the primary Trainer for the Cancer navigation program, with cross-trained backup support for Surgery and Infusion lines of business., • Designs, develops, and facilitates staff training within Member Services, including new hire onboarding for classes of up to 20, ongoing skills development, and refresher curriculum., • Tracks individual trainee performance throughout the training period and provides structured performance documentation and handoff notes to supervisors at nesting and graduation milestones., • Collaborates with subject matter experts and cross-functional stakeholders to maintain and update courseware as programs, platforms, and workflows evolve., • Applies needs assessment methodologies, Voice of Customer data, and training assessment results to evaluate curriculum effectiveness and drive continuous improvement., • Manages assigned training projects from kick-off through post-implementation evaluation, exercising sound judgment within defined procedures and timelines., • Supports AI-enabled learning tools, including AI-assisted role play coaching and call intelligence analytics, as part of an active technology-forward L&D program., • Partners with the Quality team during off-peak periods to deliver call coaching based on evaluation data, reinforcing a culture of continuous performance improvement., • Maintains rigorous consistency standards within and across all courseware and job aids. Ideal Candidate Will Have: • Formal background in Instructional Design or ADDIE/SAM methodology for net-new course development., • Experience administering or navigating a Learning Management System (LMS)., • Familiarity with call quality frameworks and the ability to translate QA findings into actionable training., • Exposure to NPS, member satisfaction metrics, or Voice of Customer programs as inputs to training design., • Two or more years of experience facilitating corporate training in a classroom or contact center environment, or a college degree in Adult Learning/Adult Education., • Instructional design experience using Articulate or comparable authoring tools., • Demonstrated ability to manage multiple projects simultaneously in a high-volume, fast-paced environment., • Proficient with Microsoft Office suite, particularly Word, SharePoint, and Teams., • Excellent written and verbal communication skills; strong English composition and editing ability., • Detail-oriented with a commitment to consistency within and across training materials., • Strong relationship-builder with internal clients, subject matter experts, and cross-functional teams., • Intellectually curious; proactively identifies training gaps and proposes solutions without waiting to be directed., • Comfort with or interest in AI-assisted learning technologies and call analytics platforms. Preferred Skills & Experience: • Two or more years of experience in healthcare, health insurance, or specialty care navigation., • Experience with leadership development or supervisor-level coaching programs., • Bilingual English/Spanish a plus., • Experience training clinical or clinical-adjacent staff (RN, LPN, MA, LCSW, or equivalent), • Familiarity with oncology care workflows and terminology Benefits: • Medical Insurance, • Dental Insurance, • Vision Insurance, • Short & Long Term Disability, • Life Insurance, • 401k with company match, • Paid Time Off, • Paid Parental Leave Lantern does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.

Job DescriptionSalary: $45 per vst Home Health | Hospice | Caregiving | Pharmacy | Transportation | Remote Patient Monitoring | Primary Care | Podiatry | Mobile Physician At Billet Health, we believe exceptional care starts with exceptional clinicians. We are seeking compassionate, patient-focused Licensed Vocational Nurses (LVNs) to join our growing Home Health team throughout the Dallas-Fort Worth area. As an LVN, you'll provide skilled nursing care to geriatric patients in the comfort of their homes while collaborating closely with RN Case Managers and our Director of Nursing to deliver outstanding patient outcomes. Why You'll Love Working With Us • Flexible scheduling and self-managed caseloads, • Full-time and per diem opportunities available, • Coordinate visits directly with your patients, • Opportunity to continue caring for preferred patients, • Competitive compensation with travel included, • Joint Commission-certified organization, • Supportive leadership and collaborative team environment Typical visits range from 4560 minutes. Responsibilities • Provide skilled nursing care in patient homes and assisted living communities, • Monitor patient conditions and communicate changes to the care team, • Assist with implementing individualized care plans, • Educate patients and caregivers on disease management and treatments, • Deliver compassionate, patient-centered care Qualifications • Active LVN license in Texas, • Valid driver's license and auto insurance, • Current CPR or BLS certification, • Current TB documentation:, • Skin test within the last year, or, • Chest X-ray within the last five years Additional Information Travel compensation is included within a 20-mile radius of your home, with additional compensation opportunities available outside your designated territory. New graduates and experienced Home Health nurses are encouraged to apply. Service Areas Include: Dallas Plano Garland Irving Arlington Fort Worth Join Billet Health and make a meaningful differenceone patient, one visit, one home at a time.

With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! The Coding/CDI Denials Analyst primary responsibilities are to review coding denials for inpatient hospital medical records, for accuracy of assigned codes, and ensure all Official Coding Guidelines and conventions were followed. Also, to ensure the clinical evidence and provider documentation supports the assigned codes and DRG. Compose and submit appeal letters as appropriate, identify coding trends/opportunities for root causes of denials, which would be relevant for additional education to individual Coders/CDI Specialist's and/or the entire Coding/CDI Teams. Report these trends/opportunities to the Lead Denials Analyst to ensure education is developed and provided to the Coders and/or CDI Teams. Identify and communicate front-end activities that influence the denials/appeals process, seeking opportunities for process improvement. UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include: PPO medical plan, available day one at no cost for full-time employee-only coverage 100% coverage for preventive healthcare-no copay Paid Time Off, available day one Retirement Programs through the Teacher Retirement System of Texas (TRS) Paid Parental Leave Benefit Wellness programs Tuition Reimbursement Public Service Loan Forgiveness (PSLF) Qualified Employer Learn more about these and other UTSW employee benefits! Required Experience: 3 years three to five (3-5) year's acute hospital-based Coding and/or CDI experience or An equivalent combination of education and experience may be considered Denials and Appeals experience in an acute Hospital setting and Experience working in a remote environment Licenses and Certifications (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD HEALTH INFO TECHNOLO or (CCS) CERT CODING SPECIALIST or (CCDS) Cert Clinical Documentation or (CDIP) CERT DOCUMNTATN IMPROVMNT PRAC Preferred Experience: RN with CDI experience Job duties include: Review coding and/or clinical denials, ensuring all coding guidelines and conventions were followed, and ensuring all clinical evidence and provider documentation supports the assigned codes and DRG. Compose an effective appeal utilizing appropriate coding guidelines, relevant and effective clinical documentation, current industry guidelines, evidence-based medicine, and local and national medical management standards and protocols. Identify coding and/or documentation trends for root causes of denials. Identify and communicate DRG changes and financial impact. Identify coding and clinical educational opportunities and report these to the Lead Denials Analyst. Identify front-end activities that influence denial/appeals process. Support the Quality Standards set by UTSW and the HIM Coding & CDI Department. Maintains an expert level of knowledge of Coding/CDI guidelines and practices. Other duties as assigned. Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. To the extent this position requires the holder to research, work on, or have access to critical infrastructure as defined in Section 113.001(2) of the Texas Business and Commerce Code, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification to be hired and to continue to be employed in the position. EEO Statement UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

Job DescriptionPractice: V/O Med Spa Location: 1417 E Renner Rd, Suite 310, Richardson, TX 75082 (On-Site) Schedule: Mon–Sat | Some Evenings to 7:00 PM | ~25 hrs/week Compensation: Starting at $65 per hour base + tiered productivity bonus Employment: Part-Time | W2 Step into an established membership practice where the patient volume is already there, the productivity model pays you for what you produce, and the operator knows how to keep your chair full. If you are a Texas-licensed nurse injector, NP, or PA ready to work independently from day one, this is a North Dallas medical spa worth a conversation. What You’ll Do • Inject independently across neurotoxins and fillers: Dysport, Botox, Daxify, Restylane, the full JUVEDERM portfolio, and Sculptra., • Own the consultation: full-face assessment, individualized treatment planning, and a natural-results approach., • Run devices within Texas MSO/PLLC scope: Pixel8 RF microneedling and laser treatments., • Grow the wellness side as it ramps (weight loss, peptides, IV) and own the patient relationship in a membership model, not just the treatment. RequirementsWhat We Need • Active Texas RN, NP, or PA license, unrestricted., • At least 1 year of independent aesthetic injector experience, chair-ready from the first appointment. Tox-only and assisted-only profiles are not a fit for this role., • Comfortable owning patient consultations and relationships in a membership model. Sculptra experience, a portable book of business, RF microneedling or laser skills, and a wellness program background are all strong advantages. DEA not required. BenefitsSchedule & Compensation Part-time, approximately 25 hours per week. Monday through Saturday with some evenings to 7:00 PM. Starting at $65 per hour base, commensurate with experience, plus a tiered productivity bonus that grows as your monthly chair production climbs. The more you produce, the more the bonus pays. A monthly healthcare stipend, and a beauty budget round out the package. About the Opportunity This is an established North Dallas location with an active membership base and a documented multi-year revenue history. The operator, Joe Luchenta, came out of healthcare strategy consulting and six years leading advertising and growth teams at Meta; he is in the building, invested in the practice, and runs the business so you can focus on the clinical work. VIO Med Spa operates 64 locations across 20 states, each independently owned and operated under physician medical director oversight. This location runs within a Texas MSO/PLLC structure with remote medical director supervision; aesthetics and front desk teams are already in place. Hiring Process Apply → alignM!NT Review → Recruiter Interview → Client Interview(s) → Offer → PLACEM!NT EOE + AI Disclosure We’re recruiting on behalf of our client/employer partner, an Equal Opportunity Employer. Reasonable accommodations are available - request assistance by contacting us at recruiting@placemint.agency. We and/or the employer may use automated tools (including AI) to support parts of recruiting (e.g., organizing applications, identifying role-relevant qualifications, scheduling) with human oversight; these tools are not the sole basis for decisions; people make all hiring decisions, consistent with applicable laws (including California and Texas requirements where applicable). placeM!NT is supporting VIO Med Spa with recruitment. All communication will come from a @placemint.agency email address.

Job Description Bilingual Nurse Practitioner (English/Spanish) – PRN Dallas, TX (Addison) | Onsite Telehealth PRN | Minimum 80 hrs/month | Flexible Day/Evening/Weekend Shifts Job Overview We are hiring a Bilingual Nurse Practitioner (English/Spanish) for a PRN telehealth preventive care role in Dallas (Addison area). In this role, you will conduct virtual preventive health consultations focused on early identification and education around: • Diabetes risk, • Heart disease prevention, • Stroke prevention, • Depression screening You will deliver structured, patient-centered care using a telehealth platform and proprietary EMR system, helping patients understand their health risks and take action through individualized care plans. Key Responsibilities • Conduct telehealth preventive health assessments, • Provide clinical education on chronic disease risk (AHA/ACC guidelines), • Create individualized patient action plans, • Perform depression screening and referrals, • Document patient encounters in EMR system, • Support patients in engaging with employer health resources, • Deliver high-quality, empathetic virtual patient consultations Requirements • Bilingual: English & Spanish (required), • Active TX APRN license, • Active RN Compact license eligibility required, • National certification: FNP, AGNP, or ANP, • Minimum 1 year Nurse Practitioner experience (Primary Care or Internal Medicine preferred), • Willingness to obtain 3–5 additional state licenses, • Strong communication + multitasking + EMR skills, • Comfortable with telehealth/video-based care delivery Schedule • PRN with minimum 80 hours per month availability (Operating days are Monday through Sunday)., • Shifts normally begin as early as 7:00AM and end as late as 9:00PM - Monday through Friday; Saturday's and Sunday's 8am - 3pm, • Onsite telehealth studio (Dallas – Addison area) using our remote platform Why Apply • Mission-driven preventive care organization, • High-impact patient education role, • Flexible PRN scheduling, • 401(k) with match, • Employee wellness & assistance programCompany DescriptionCatapult Health is an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Este empleador participa en E-Verify y proporcionará al gobierno federal la información de su Formulario I-9 para confirmar que usted está autorizado para trabajar en los EE.UU.. Catapult Health is committed to the full inclusion of all qualified individuals. In keeping with our commitment, we will take the steps to assure that people with disabilities are provided reasonable accommodations, absent undue hardship. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact our HR team.Catapult Health is an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.\r\n \r\nThis employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.\r\nEste empleador participa en E-Verify y proporcionará al gobierno federal la información de su Formulario I-9 para confirmar que usted está autorizado para trabajar en los EE.UU..\r\n\r\n \r\nCatapult Health is committed to the full inclusion of all qualified individuals. In keeping with our commitment, we will take the steps to assure that people with disabilities are provided reasonable accommodations, absent undue hardship. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact our HR team.

We are seeking experienced Utilisation Management and Case Management leaders — including RN UM directors, case management managers, and physician advisors — to evaluate AI tools designed to enhance clinical review, medical-necessity determination, and care-coordination workflows. Active clinica

Sign-On Bonus Available for Qualified Candidates. Eligibility and payout terms apply. Details discussed during the interview process. Department: Telemetry Employment Type: Full Time Shifts Available: Days Hours: 12 hour 7:00am to 7:00pm Location: Dallas Regional Medical Center Mesquite, TX We are seeking a Telemetry Registered Nurse (RN), sometimes referred to as a Telemetry RN or Tele RN. A Tele RN specializing in attending to patients within our telemetry units, including those needing cardiac monitoring. The Tele RN will monitor and interpret our patient's vital signs, such as heart rate, heart rhythm, respiratory rate, blood pressure, and oxygen saturation level. Continuous monitoring of patients, by the Telemetry RN enables gathering real-time data to make informed decisions regarding patient care, ensuring early detection of abnormalities or changes in the patient's condition. • Assess patients' conditions, including vital signs, cardiac rhythms, and overall health status, to create individualized care plans, • Monitor patients' cardiac rhythms and vital signs using telemetry equipment, which allows for remote monitoring of patients' heart rates and rhythms, • Communicate with the physician about changes in the patient's clinical condition, including cardiac monitoring, results of diagnostic studies, and symptomatology, • Administer medications as prescribed by physicians, including intravenous medications, and monitor patients for any adverse reactions, • Provide hands-on care to patients, including wound care, administering treatments, assisting with activities of daily living, and providing emotional support, • Educate patients and their families about their conditions, medications, and treatments, as well as provide guidance on self-care practices and lifestyle modifications in the Telemetry Unit, • Respond quickly to changes in patient conditions throughout shift and be able to address any concerns to the physician as soon as possible, • Responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation, and evaluation Here are some of the benefits of working at Prime Healthcare: • Health, dental, and vision insurance options, • Paid vacation, sick time and holidays, • Bereavement leave, FMLA and other leave options, • Employer 401K options, • Tuition reimbursement options, • Life, disability, and other insurance options, • Many other amazing benefits Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/ Before we go any further, we do have some deal-breakers. You must have: • Current and valid state RN License., • Current BLS certificate upon hire and maintain current Additional Qualifications That Are a Plus: • Current ACLS certificate 30 days upon hire and maintain current preferred., • Previous Acute Care hospital experience preferred., • Ventilator Management experience preferred., • Bachelor of Science in Nursing (BSN) preferred. Full Time Days Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOCKnowYourRightsscreenreader10_20.pdf

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. This position's primary focus is the management of members with specialty (diabetes) diagnoses. This position will be responsible for performing all functions of case management (cm) and is a primary source of contact for members, health care personnel and all other entities involved in managing specialty care. The primary nurse case administrator performs care coordination; identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate options and services required to meet an individual's health needs; promotes quality and cost-effective outcomes; and serves as liaison to physicians and members. Provide education/local resource information and encourage member (self) education functioning in a clinical care advisory role. The primary nurse case administrator assesses members for case management, introduces members to our website tools, educates members regarding their specific condition, and facilitates the coordination of care for identified members. JOB REQUIREMENTS: • Registered Nurse (RN) with current, valid, unrestricted license in state of operations, • 4 years clinical practice experience of direct clinical care, to include 3 years of recent Specialty (Diabetes) clinical experience, • Knowledge of specialty diagnosis drugs, adjunct therapies and treatment protocols including side effects and complications, • Current certification in one of the following: CDE/CDCDS, • PC proficiency to include Word, Excel, Lotus Notes and database experience, • Clear and concise verbal and written communication skills, • Knowledge of UM/CM/DM activities and standardized criteria set, • Familiarity of ancillary services including HHC, SNF, Hospice, etc, • Verbal and written communication skills; analytical skills; sound clinical judgment, • Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC., • Knowledge of drugs and treatment protocols including side effects and complications, • Knowledge of diets relating to assist members, • Knowledge of Problem Solving, Healthy Coping and establishing SMART goals, • Current Certified Specialists must maintain their certification PREFERRED JOB REQUIREMENTS: • Experience in managing complex or catastrophic health cases, • Inpatient and Outpatient experience preferred, • 1-year experience in Care Management in a health insurance/managed care setting, • Current CCM certification, • Knowledge of medical management policies and procedures, • 1-year education experience in Specialty area This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. $69,200.00 - $146,700.00

Location: Dallas, Collin, Rockwall and surrounding areas, Texas (Remote with local travel) Travel: Up to 75% within territory Nurse Case Manager (RN) for a work-from-home role that requires frequent local travel for in-home member visits and occasional visits to nursing facilities within the Dallas, Collin, Rockwall and surrounding area. In this role, you will deliver high-quality case management services through a combination of telephonic and face-to-face engagement, helping members navigate their healthcare needs and achieve improved health outcomes. • Conduct comprehensive telephonic and in-person assessments to evaluate members' medical and behavioral health needs, • Develop and implement individualized care plans, ensuring alignment with clinical and program guidelines, • Coordinate and monitor ongoing care plan activities, adjusting as needed to improve outcomes, • Collaborate in multidisciplinary care reviews to optimize member health results, • Identify and escalate quality of care concerns through appropriate channels, • Engage members using motivational interviewing and coaching techniques to encourage healthy lifestyle choices, • Educate and empower members to actively participate in healthcare decision-making with their providers, • Use strong negotiation and coordination skills to secure appropriate services and resources, • Ensure accurate and timely documentation, adhering to regulatory, accreditation, and company standards, • Serve as a preceptor and mentor to new nurses and clinical staff, • Support onboarding by teaching policies, workflows, and best practices, • Foster a positive, supportive learning environment that promotes clinical excellence, • Active, unrestricted Registered Nurse (RN) license, • Bachelor's degree in Nursing (BSN), • Minimum 3+ years of clinical experience, • At least 1+ years of case management experience, • Experience in a Managed Care Organization (MCO), • STAR Kids program experience, • Bilingual (English/Spanish) preferred, • Flexible work-from-home environment with meaningful in-person patient interaction, • Opportunity to make a real impact on member health outcomes and quality of life, • Collaborative team culture focused on growth, mentorship, and clinical excellence If you're a dedicated RN who thrives in a dynamic, patient-centered role and enjoys both independence and collaboration, we encourage you to apply! Anticipated Weekly Hours: 40 Time Type: Full time Pay Range: $60,522.00 - $129,615.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. 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. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Job Details Telephonic Triage Nurse Case Manager (Remote) 2026-1475 Dallas, TX, USA Medical Case Management Full Time Description Overview Are you looking to make a difference by providing high-quality care with a personal touch that impacts the lives of injured workers? Would you like to be part of a team dedicated to empowering and improving health outcomes through compassionate care and support? Do you have the nursing expertise, case management experience and clinical judgment needed to help further establish Sedgwick Government Solutions as a leading provider of case management services? We believe in helping individuals with work-related injuries and illnesses achieve the best possible outcomes through timely intervention, health management and ongoing support. As a Telephonic Triage Nurse Case Manager , you will be part of a highly skilled remote team dedicated to supporting injured workers throughout the recovery process while delivering exceptional service and care. Responsibilities As a Telephonic Triage Nurse Case Manager , you will work independently from your home office while remaining connected to a supportive nationwide team. Using your clinical expertise and case management experience, you will support federal workers with occupational injuries and illnesses through timely assessment, care coordination and ongoing case management services. You will develop and manage individualized case management plans, monitor progress toward recovery goals and maintain accurate documentation within the case management system. You will also provide medical expertise, facilitate communication among all parties involved in the case and support the delivery of integrated medical disability management services to help injured workers achieve the best possible outcomes. Qualifications + High School Diploma or equivalent (GED) required + Bachelor of Science in Nursing (BSN) or related field preferred + Current, active, unrestricted resident RN license within the United States required; Compact License preferred + Additional licenses in Puerto Rico and other U.S. territories are preferred + Minimum of 5 years of clinical experience in medical case management, workers' compensation, occupational health AND/OR a related field required + At least 2 years of adult medical/surgical nursing experience AND 2 years of workers' compensation case management experience OR 1 year of adult medical/surgical nursing experience AND 3 years of workers' compensation case management experience required + National certification in case management or a related field preferred + Reliable high-speed cable or fiber optic internet service and an established home office environment + Strong attention to detail with excellent organizational and time management skills + Proficiency with Microsoft Office applications, including Word, Excel, and Outlook + Experience using case management systems, electronic medical records (EMR) or other electronic platforms + Ability to utilize telehealth technologies, including video and chat platforms, when appropriate. + Ability to work independently while collaborating effectively within a team environment + Excellent communication and documentation skills with the ability to provide timely follow-up, including 24-hour follow-up on communications and effective coordination among all parties involved in the case + Must successfully pass a preliminary credit and background check prior to hire For a career path that is both challenging and rewarding, join Sedgwick Government Solution's talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets-their employees, and their customers. At Sedgwick Government Solutions, caring counts. Join our team of creative and caring people of all backgrounds and help us make a difference in the lives of others. Sedgwick Government Solutions provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($75,000-$80,000). A comprehensive benefits package is offered including, but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. To be considered for this position, please submit a resume, and complete the application. The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required. Important Information Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire. Search Firm Representatives Please be advised that Sedgwick Government Solutions is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions and no fee will be paid in the event that person is hired by Government Solutions. Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation for completing the application process, please contact Government Solutions regarding accommodations. Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person's relatives, friends or associates. Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a) (http://www1.eeoc.gov/employers/upload/eeocselfprint_poster.pdf) . This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities. Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a) (http://www1.eeoc.gov/employers/upload/eeocginasupplement.pdf) . This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans. About Sedgwick Government Solutions Sedgwick Government Solutions is a trusted partner for federal agencies across the U.S., helping them confidently manage risk and claims. With decades of experience and deep regulatory expertise, we keep agencies compliant while improving their workforces' health and productivity. Backed by the most advanced technology, our tailored solutions help agencies navigate the complexities of federal risk and claims management. Sedgwick Government Solutions (https://www.sedgwickgovernment.com/)

The Workers' Compensation Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost-effective medical treatment of injured employees with the goal of optimum medical improvement. The TCM is responsible for disability management, including proactive early return to work coordination. Close collaboration with the claims and medical team to achieve individual case and department goals is a critical component of the position. This is a full-time remote position. • Excellent verbal and written communication skills. This position will involve continuous personal, telephonic, and written contact., • Strong interpersonal and relationship building skills., • Knowledge of traumatic injuries and the resultant disabilities and medical complications., • Knowledge of Workers' Compensation Acts and working knowledge of the medical providers in the assigned territory., • Knowledge and expertise in use of medical treatment guidelines and disability duration guidelines., • Experience using Microsoft Office products and ability to learn other technology tools., • Strong time management, critical thinking, and organizational skills with the ability to work independently to manage priorities and meet deadlines, • Complete timely initial assessment report, case management plan, and establish disability duration timeframes., • Throughout the life of an assignment review, analyze and critically assess medical records compared to evidence-based treatment guidelines; communicate findings and recommendations to the adjuster as part of the development of a medical action plan., • Active participation with claims team to review, establish, and execute action plan., • Develop and maintain action plan for early return to work (RTW) based on disability duration guidelines., • Work collaboratively with all stakeholders to effectively manage recovery and return to work process., • Meet productivity requirements., • Effectively manage inventory based on guidelines., • Registered Nurse (RN) license in good standing required and willingness to obtain additional licenses as needed. BSN preferred., • Certified Case Manager (CCM) certification, CDMS and/or CRRN preferred., • Compact license preferred., • 3-years experience in Workers' Compensation Case Management preferred., • Proficiency with MS Office products, • Bi-lingual in Spanish a plus The pay range for the role is $71,000 to $104,000. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.

Candidates with a compact license strongly preferred Shift: Rotating schedule, 4 10-hour shifts per week, 7:30am 6:00pm CST Location: Candidates in Texas, Tennessee, and New Mexico preferred; PST, MST, CST time zones preferred; Alternate locations may be considered This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. The Remote Triage RN is responsible for serving as a Registered Nurse in the Remote triage call center. Monitors members using established disease specific protocols. Provides clinical support for members on program via telephonic outreach and inbound calls. How you will make an impact: • Provides information about the RPM Program to members with chronic conditions and explains the benefit of having chronic conditions managed, assessed and treated., • Communicates with program members and their care givers via outbound and inbound calls with respect to RPM clinical interventions., • Responds to member or provider written or inbound telephonic communications or inquires with respect to clinical interventions., • Monitors biometric data using established disease specific protocols., • Reviews members current labs and medications for appropriateness. Minimum requirements: • Requires BA/BS in a related field and minimum of 3 years of Registered Nurse experience; or any combination of education and experience, which would provide an equivalent background., • Current, unrestricted RN license in applicable states required. Preferred skills, capabilities, and experiences: • Compact license is strongly preferred., • BA/BS in Nursing preferred., • Clinical call center experience preferred. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed Nurse

WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! JOB SUMMARY The CDI Quality Review Nurse (QRN) will work under the direction of the Clinical Documentation Integrity ("CDI") Manager and conduct second-level reviews of targeted cases to identify and capture opportunities to improve the integrity of the medical record. The focus of the Quality Review Nurse will be on identifying and capturing methodology-specific risk variables (Vizient, HCC's, Elixhauser) on a post-discharge, pre-coding/billing basis, as well as identifying potential process improvements to capture the opportunities concurrently. The Quality Review Nurse will also validate that the record reflects the most appropriate principal diagnosis and diagnosis related group (DRG). The Quality Review Nurse will support the objective for accurate reflection of patient acuity, severity of illness, risk of mortality, and DRG assignment in compliance with industry rules and regulations. BENEFITS UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include: • PPO medical plan, available day one at no cost for full-time employee-only coverage, • 100% coverage for preventive healthcare-no copay, • Paid Time Off, available day one, • Retirement Programs through the Teacher Retirement System of Texas (TRS), • Paid Parental Leave Benefit, • Wellness programs, • Tuition Reimbursement, • Public Service Loan Forgiveness (PSLF) Qualified Employer, • Learn more about these and other UTSW employee benefits! EXPERIENCE AND EDUCATION Required • Education Bachelor's Degree in Nursing • Experience 5 years patient care nursing experience in an acute care setting and 3 years Clinical Document Integrity experience • Licenses and Certifications (RN) REGISTERED NURSE Upon Hire and (CCDS) Cert Clinical Documentation Upon Hire or (CDIP) CERT DOCUMNTATN IMPROVMNT PRAC Upon Hire Preferred • Education Master's Degree in Nursing • Experience 7 years patient care nursing experience in an acute care setting 5 years Clinical Document Integrity experience Experience working in a remote environment JOB DUTIES • Conduct post-discharge, pre-coding/billing reviews on targeted records identified for second-level review for opportunity to accurately capture methodology-specific risk variables (Vizient, HCC?s, Elixhauser); present on admission (POA) status, patient admission source, avoidable patient safety indicators (PSI?s), and DRG assignment in compliance with industry rules and regulations, • If a documentation opportunity is identified, place physician query and follow up for response, • If coding opportunity is identified, coordinate with Coding Team to review and address opportunity, as applicable, • Utilize methodology-specific risk calculators and guidance documents to understand if additional diagnoses and/or risk variables will impact the reported quality impact of a specific patient encounter, • Maintain a summary of opportunities identified through second-level review for feedback and education with the CDS Team, Providers, and Coding Team, • Identify and communicate any process improvement opportunities for front-end correction and education, • Periodically review the criteria established for cases triggering a second-level review and recommend updates or modifications to the criteria to maximize impact on quality scores, • Maintains an expert level of knowledge of CDI and Coding related guidelines and practices, • Other duties as assigned SECURITY AND EEO STATEMENT Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. EEO UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

Join Our Team as a Clinical Quality Assurance Coordinator! Are you passionate about healthcare quality and compliance? Do you thrive in a detail-oriented environment where your work directly impacts patient care and regulatory excellence? If so, we want to hear from you! We're seeking a Clinical Quality Assurance Coordinator to join our dynamic team. In this pivotal role, you'll ensure that our peer review reports meet the highest standards of quality, accuracy, and compliance with client contracts, regulatory guidelines, and federal/state mandates. What You'll Do: + Conduct thorough quality assurance reviews of peer review reports, correspondence, and supplemental materials. + Ensure all recommendations are evidence-based, clearly articulated, and supported by current clinical references. + Verify compliance with client instructions, state mandates, and federal ERISA regulations. + Confirm that appropriate board-certified specialists have reviewed each case. + Identify inconsistencies and collaborate with peer reviewers to resolve them. + Support the resolution of client complaints and quality concerns. + Provide insights to management on consultant performance and compliance. + Promote efficient use of company resources and uphold professional standards. + Participate in ongoing training and development opportunities. ? Qualifications: + 5+ years of RN or LPN experience + A keen eye for detail and a commitment to excellence. This role requires heavy professional writing skills + Ability to work independently and collaboratively in a fast-paced environment. + Behavioral Health experience is a plus! Shifts: **These positions could require 4, 10-hour or 5, 8-hour days weekly. Shifts below: + Team C: Wednesday-Saturday (4, 10 hour shifts) Assigned a shift between 6am-7pm cst + Team B: Tue-Fri (4, 10/hr days) Assigned a shift between 6am-7pm cst + Flex Team: Mon-Fri and Rotating Weekends (5, 8/hr days) 8:30am-5pm CST Why Join Us? + Be part of a mission-driven team that values integrity, quality, and innovation. + Make a meaningful impact on healthcare outcomes and compliance. + Enjoy opportunities for professional growth and development. Job Type & Location This is a Contract to Hire position based out of Dallas, TX. Pay and Benefits The pay range for this position is $26.50 - $28.50/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jul 15, 2026. About TEKsystems We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

Case Manager (RN) - Field & TelephonicLocation: Dallas, Collin, Rockwall and Surrounding areas, Texas (Remote with local travel)Travel: Up too, 75% within territoryPosition SummaryNurse Case Manager (RN) for a work-from-home role that requires frequent local travel for in-home member visits and occa

Job DescriptionAbout Lantern Lantern is the specialty care platform connecting people with the best care when they need it most. By curating a Network of Excellence comprised of the nation's top specialists for surgery, cancer care, infusions and more, Lantern delivers excellent care with significant cost savings to employers and their workforces. Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the entirety of their care journey, helping them get back to good health, back to their families and back to work. With convenient access to specialists nationwide, Lantern means quality care is within driving distance for most. Lantern is trusted by the nation's largest employers to deliver care to more than 6 million members across the country. Learn more about us at lanterncare.com. About You: • You use LOGIC in your decision making and understand that progress is critical to making change. You focus on the execution of your content while balancing a fast-paced environment and you take the time to celebrate both the small & big wins., • INCLUSION is a core tenant of your personal beliefs. A diverse and inclusive environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with., • You have the GRIT, drive and ambition to tackle big problems. Big problems require big ideas and a team that supports new ideas., • You care deeply for your customers are driven to keep HUMANITY in all decisions. Your customers aren't just the individuals using your product. They are the driving factor in your motivation to make a change., • Integrity guides you in life. Focusing on the TRUTH vs. giving people the answers they want to hear., • You thrive in a Team Environment. Collaboration is key in innovation and creating change. These pillars of LIGHT are a reminder to our team that we are making a difference by providing guidance and support in navigating the often complex and confusing landscape of healthcare. We hope that through this LIGHT, individuals can find their way to the best care, resources, and support they need to get back to life. If this sounds like you, we would love to connect to speak further about career opportunities at Lantern. Please apply to our role & someone from our Talent Acquisition Team will reach out to help you navigate our interview process. Job Overview The ONN serves as a dedicated clinical partner for members navigating a cancer diagnosis, providing personalized education, care coordination, and ongoing support throughout the treatment and survivorship journey. Location: Dallas, TX — hybrid position. Candidates must be Dallas area based with the ability to work in-house up to five days per week depending on business need. Remote days require a private, secure home workspace free from other employment, caregiving, or school obligations during working hours. Responsibilities: • Manage a full, active caseload of members with cancer diagnoses, providing individualized navigation, education, and clinical support from diagnosis through survivorship., • Conduct comprehensive oncology intake assessments to establish member needs, goals, and care priorities., • Educate members and families on diagnosis, treatment options, clinical pathways, and available resources using evidence-based, NCCN-aligned and ONCC-aligned guidance., • Coordinate multidisciplinary care by facilitating communication between members, treating providers, and the broader LCC team., • Identify and address barriers to care including psychosocial, financial, and logistical needs; connect members with appropriate support resources., • Complete accurate, timely documentation of all member interactions and clinical activities within Lantern's care management platform., • Complete all outreach, follow-ups, and care coordination tasks within defined timeframes., • Participate in call auditing processes and consistently apply feedback to maintain and improve quality of care delivery., • Collaborate closely with the Lead ONN, LCSWs, Medical Records Specialists, Care Advocates, and cross-functional partners., • Contribute to team meetings, case reviews, and quality improvement initiatives., • Adhere to Lantern workflows, clinical protocols, and documentation standards at all times. Requirements: • Bachelor's degree in Nursing (BSN), • Active RN license in a compact state with unencumbered ability to be licensed in all 50 states, • Minimum 3 years of oncology nursing experience, • Active ONCC certification in Oncology Nursing (OCN) with unencumbered ability to maintain certification throughout employment, • Proficiency in Microsoft Outlook and Microsoft Office Suite, • Familiarity with NCCN guidelines and ClinicalTrials.gov, • Ability to work independently in a hybrid environment; must be Dallas area based Strong Candidates Will: • Demonstrate strong clinical judgment and deep knowledge of oncology diagnosis, treatment, and survivorship care, • Communicate with empathy, cultural competence, and clinical precision in all member-facing interactions, • Be detail-oriented and disciplined in documentation, follow-through, and quality standards, • Maintain a full, balanced caseload while meeting all productivity and quality expectations, • Thrive in a fast-paced, technology-enabled environment and adapt readily to frequent process changes, • Work effectively as part of a highly collaborative, multidisciplinary team, • Approach complex or ambiguous clinical situations with sound independent judgment, • Demonstrate a genuine commitment to equitable, member-centered care across a diverse oncology population Benefits • Medical Insurance, • Dental Insurance, • Vision Insurance, • Short & Long Term Disability, • Life Insurance, • 401k with company match, • Paid Time Off, • Paid Parental Leave Lantern does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.

Job Description Hi, we're Oscar. We're hiring a Case Management RN to join our Clinical Concierge Team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: Educate members on improving health outcomes, assist with transitions from care settings, participate in process improvement and other pilot programs as they arise, and work with support teams to ensure care for our members. You will report into the Case Management Supervisor. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $32.60 - $42.79 per hour. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year. Responsibilities: • Help coordinate care across a variety of settings (inpatient, outpatient, post acute, ER, home care), • You will reach out to members undergoing difficult health challenges and develop care plans, • You will reach out to hospital case managers to assist with discharge planning, • Communicate with members by phone or secure messaging to provide education on health conditions, new medications, and procedures, • Compliance with all applicable laws and regulations, • Other responsibilities as assigned Requirements: • Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license, • Obtain additional state licenses to meet our needs, • 2+ years of clinical experience to include hospital, outpatient or community-based care management, • 1+ years of experience in Care Coordination and Navigation Bonus points: • BSN, • Working knowledge of Milliman Guidelines, • CCM Certification, • Behavioral Health experience This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Complex Care Navigator Registered Nurse Location: Remote (must be located Texas) Who We Are Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. We deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers. Our interdisciplinary care teams reduce avoidable hospitalizations and improve quality of life wherever individuals call home. Through our leading-edge care model, Tuesday Health is shaping the future of community-based palliative care nationwide. The Role The Complex Care Navigator RN is a vital leader in delivering comprehensive, person-centered care to individuals with serious illness. This role involves administering and interpreting a variety of assessments and screening tools to identify and prioritize member needs. As a key member of the multidisciplinary team, the RN is responsible for developing individualized care plans and leading care coordination efforts through active participation in internal and joint rounds. Utilizing Tuesday Health's electronic systems and tools, the RN ensures a streamlined, technology-enabled approach to care. Central to this role is building strong, empathetic relationships with members, driving collaboration and transforming the member experience. Key responsibilities of this role may include: • Administer multiple assessments and screening tools within the clinical model at different times throughout the care timeline, • Interpret responses to assessments and screening tools and support prioritization of need based on responses, • Be accountable for care plan development within the multidisciplinary care team, • Lead in internal and joint rounds to ensure the member experience is optimal and coordinated, • Learn the Tuesday Health electronic systems, tools, technology, to deliver a coordinated approach to ensure the members have a unique experience, • Build a strong, trusting relationship with every member, where listening and empathy are the foundation of every interaction, • Serve as the quarterback of the multidisciplinary team transforming care for members with serious illness A strong candidate will demonstrate the following: • Active and unrestricted Registered Nurse license in the State of Texas without any board action, • Experience in clinical/medical setting preferred, • Experience in a multi-disciplinary care model working across network providers, health plan care management support, and employed clinicians, • Strong communication and organization skills, • Ability to multitask and work under pressure without sacrificing a positive member experience, • Ability to know when to escalate and potentially act professionally in an emergent situation, • Strong technical skills to navigate different documentation systems and tools; as well as ability to learn new systems as the company grows and evolves, • Strong written skills, • Ability to drive during daytime, nighttime, or inclement weather, • Valid driver's license with safe driving record, • State minimum automobile insurance coverage, • Comfort with change and ambiguity; you understand that rapid changes to the business, strategy, organization, and priorities will come with rapid evolution of our business What We Offer: • Competitive compensation, reflecting our commitment to attracting, retaining, and motivating the best talent in the industry, • Comprehensive benefits including medical, dental, vision, and life insurance, paid time off and holidays, employer 401(K) match, etc., • Remote work with multiple onsite sessions each year to maximize collaboration and team building, • A dynamic and inclusive team environment where you can lean on your teammates, offer candid feedback, bring your true self to work each day, and deliver tremendous impact while having fun along the way, • Meaningful work each day; we care deeply about our mission, our patients, and each other Tuesday Health seeks to recruit and retain staff from diverse backgrounds and encourages qualified candidates to apply. Tuesday Health is an equal opportunity employer and does not discriminate on the basis of age, sex, gender identity/expression, sexual orientation, color, race, creed, national origin, ancestry, religion, marital status, political belief, physical or mental disability, pregnancy, military, or veteran status. Be Aware of Recruitment Scams • Tuesday Health has become aware that scammers impersonate our recruiters to defraud job candidates. No one representing Tuesday Health will:, • Contact you via encrypted messaging applications, • Send you a check in advance of your employment, • Request you to wire money anywhere, • Request detailed personal financial information prior to employment, • Request any payment or fees to process your application or employment Legitimate Tuesday Health recruiters will only contact you from an official @tuesdayhealth.com email address. If you're unsure whether a communication is legitimate, please contact us directly at careers@tuesdayhealth.com to verify.

Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions. You will report into the Supervisor, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year. Responsibilities: • Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines, • Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines, • Meet required decision-making SLAs, • Refer members for further care engagement when needed, • Compliance with all applicable laws and regulations, • Other duties as assigned Requirements: • Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), • Associate Degree - Nursing or Graduate of Accredited School of Nursing Or Successful completion of Nursing Diploma Program in Accredited School of Nursing, • Ability to obtain additional state licenses to meet business needs, • 1+ year of utilization review experience in a managed care setting, • Strong experience utilizating MCG (Milliman Care Gudielines), • 1+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital), • Weekend availability is required; all applicants must be able to work at least one weekend day (Saturday or Sunday) each week. Bonus points: • BSN, • Previous experience conducting concurrent or inpatient reviews for a managed care plan This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Dallas, Texas, United States Lantern is the specialty care platform connecting people with the best care when they need it most. By curating a Network of Excellence comprised of the nation's top specialists for surgery, cancer care, infusions and more, Lantern delivers excellent care with significant cost savings to employers and their workforces. Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the entirety of their care journey, helping them get back to good health, back to their families and back to work. With convenient access to specialists nationwide, Lantern means quality care is within driving distance for most. Lantern is trusted by the nation's largest employers to deliver care to more than 6 million members across the country. About You: • You use logic in your decision making and understand that progress is critical to making change. You focus on the execution of your content while balancing a fast-paced environment and you take the time to celebrate both the small & big wins., • Inclusion is a core tenant of your personal beliefs. A diverse and inclusive environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with., • You have the grit, drive and ambition to tackle big problems. Big problems require big ideas and a team that supports new ideas., • You care deeply for your customers are driven to keep humanity in all decisions. Your customers aren't just the individuals using your product. They are the driving factor in your motivation to make a change., • Integrity guides you in life. Focusing on the truth vs. giving people the answers they want to hear., • You thrive in a team environment. Collaboration is key in innovation and creating change. These pillars of light are a reminder to our team that we are making a difference by providing guidance and support in navigating the often complex and confusing landscape of healthcare. We hope that through this light, individuals can find their way to the best care, resources, and support they need to get back to life. If this sounds like you, we would love to connect to speak further about career opportunities at Lantern. Please apply to our role & someone from our Talent Acquisition Team will reach out to help you navigate our interview process. Job Overview Lantern Care is seeking a dynamic Learning & Development professional to join our Member Experience & Enablement team. This Trainer will serve as the primary training resource for our Cancer navigation program, with backup support for Surgery and Infusion lines of business. The ideal candidate brings strong facilitation skills, hands-on instructional design experience, and a genuine passion for developing people in a fast-paced specialty care environment. As a visible role model within the organization, this individual will demonstrate professional maturity, coaching excellence, and a member-first mindset contributing to training outcomes that directly impact NPS and member experience quality. This position is located in our downtown Dallas, Texas office. The role is on-site; remote or virtual arrangements are not available. Travel is not required. Responsibilities & Duties: • Serves as the primary Trainer for the Cancer navigation program, with cross-trained backup support for Surgery and Infusion lines of business., • Designs, develops, and facilitates staff training within Member Services, including new hire onboarding for classes of up to 20, ongoing skills development, and refresher curriculum., • Tracks individual trainee performance throughout the training period and provides structured performance documentation and handoff notes to supervisors at nesting and graduation milestones., • Collaborates with subject matter experts and cross-functional stakeholders to maintain and update courseware as programs, platforms, and workflows evolve., • Applies needs assessment methodologies, Voice of Customer data, and training assessment results to evaluate curriculum effectiveness and drive continuous improvement., • Manages assigned training projects from kick-off through post-implementation evaluation, exercising sound judgment within defined procedures and timelines., • Supports AI-enabled learning tools, including AI-assisted role play coaching and call intelligence analytics, as part of an active technology-forward L&D program., • Partners with the Quality team during off-peak periods to deliver call coaching based on evaluation data, reinforcing a culture of continuous performance improvement., • Maintains rigorous consistency standards within and across all courseware and job aids. Ideal Candidate Will Have: • Formal background in Instructional Design or ADDIE/SAM methodology for net-new course development., • Experience administering or navigating a Learning Management System (LMS)., • Familiarity with call quality frameworks and the ability to translate QA findings into actionable training., • Exposure to NPS, member satisfaction metrics, or Voice of Customer programs as inputs to training design., • Two or more years of experience facilitating corporate training in a classroom or contact center environment, or a college degree in Adult Learning/Adult Education., • Instructional design experience using Articulate or comparable authoring tools., • Demonstrated ability to manage multiple projects simultaneously in a high-volume, fast-paced environment., • Proficient with Microsoft Office suite, particularly Word, SharePoint, and Teams., • Excellent written and verbal communication skills; strong English composition and editing ability., • Detail-oriented with a commitment to consistency within and across training materials., • Strong relationship-builder with internal clients, subject matter experts, and cross-functional teams., • Intellectually curious; proactively identifies training gaps and proposes solutions without waiting to be directed., • Comfort with or interest in AI-assisted learning technologies and call analytics platforms. Preferred Skills & Experience: • Two or more years of experience in healthcare, health insurance, or specialty care navigation., • Experience with leadership development or supervisor-level coaching programs., • Bilingual English/Spanish a plus., • Experience training clinical or clinical-adjacent staff (RN, LPN, MA, LCSW, or equivalent), • Familiarity with oncology care workflows and terminology Benefits: • Medical Insurance, • Dental Insurance, • Vision Insurance, • Short & Long Term Disability, • Life Insurance, • 401k with company match, • Paid Time Off, • Paid Parental Leave Lantern does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.

RN Care Managers are expected to: Conduct comprehensive assessments and reassessments to identify high-risk patients Develop and implement patient-centered, evidence-based care plans Perform medication reconciliation and monitor adherence Identify and address gaps in care Facilitate communication ac

Entry level for RNs with less than 2 years of Nephrology Nursing experience as an RN. The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This may include delegation of appropriate tasks to direct patient care staff

Learn more about TRS Healthcare at trshealthcare. Current RN license within the state of practice. Up to $1,000 referral bonuses with online tracking - no limit on your earning potential!.

Cynet Health is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Dallas, TX.Shift: 3x12 hr days Start Date: 08/17/2026 Duration: 13 weeks Pay: $1603 / Week.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competitive pay for every

Learn more about TRS Healthcare at trshealthcare. Current RN license within the state of practice. Up to $1,000 referral bonuses with online tracking - no limit on your earning potential!.

Cynet Health is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Dallas, TX.Shift: 3x12 hr days Start Date: 08/17/2026 Duration: 13 weeks Pay: $1603 / Week.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competitive pay for every

The RN Navigator facilitates communication and coordinates care with physicians, the providers’ clinic, hospital facilities, family, caregivers, and other community healthcare providers. Licenses, Registrations, or Certifications RN license in the state of employment or compact is required. Descri

Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills

WellMed, part of the Optum family of businesses, is seeking a Registered Nurse RN Home Health to join our team in San Antonio, TX. Required Qualifications: Graduate of an accredited school of nursing Current unrestricted Texas RN license or compact license BLS certification IV Certification 1 years

Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registr

Comfort learning digital tools and systems. As a Virtual Trip Coordinator, you will play a key role in supporting travelers from the moment they begin planning to the moment they return home. Your goal is to ensure every experience is smooth and enjoyable by assisting with travel arrangements, answe

About the Role As a Remote Travel Services Coordinator, you'll play a key role in guiding travelers through every step of their journeyfrom the excitement of planning to their return home with lasting memories. Comfortable with technology and quick to learn new booking tools and systems. Remote Trav

Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills

Maintains positive working relationships with all Parkland internal and external customers, employees, etc. Must have current RN license or valid temporary permit with the Texas Board of Nursing or valid Compact RN license. The RN utilizes knowledge of patient needs and the healthcare environment to

Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills

Strong organizational and communication skills Ability to manage multiple tasks and prioritize effectively Experience in coordination, scheduling, logistics, or customer support (preferred, not required) Comfortable working independently in a remote environment Detail-focused, dependable, and proact

Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills

Remote Travel Experience Coordinator. As a Remote Travel Experience Coordinator, you will support travelers throughout the entire planning and travel process. Resolve concerns calmly and efficiently.