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**Job Description** **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate...

Dermatology Nurse Practitioner or Physician Assistant - Columbus, Ohio Job#16747636 Full-service skin care and dermatology practice treating patients of all ages is seeking a Dermatology NP/PA. Join a team of...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

Gentiva is seeking a Registered Nurse (RN) Clinical Liaison for a nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Clinical...

Position Title: Registered Nurse II (100% REMOTE) Assignment Duration: 3 Months Work Schedule: M-F, 9-5:30pm EST with 30 min unpaid lunch Work Arrangement: Virtual Position Summary: Responsible for clinical criteria prior authorization setup to...

PRN, on call Dayshift Remote Summary: The Staff Nurse provides nursing care requiring specialized knowledge judgment and skill derived from the principles of biological, physical, behavioral, social and nursing sciences. Responsibilities: 1.

Company Overview: Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from...

LanceSoft is seeking a travel nurse RN Oncology for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: OncologyDiscipline:...

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job...

Join COMPLETE HEALTHCARE as an Ancillary Nurse and immerse yourself in a dynamic and fulfilling work environment. Here, you will play a vital role in enhancing patient care, bringing your skills to the forefront of innovative healthcare practices.

A company is looking for a Medical Review Nurse (RN) to support medical claim and internal appeals review activities remotely.Key ResponsibilitiesFacilitates clinical reviews of medical claims and appeals to ensure medical necessity and accurate...

Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...

Admissions Nurse Salary Range: $40 - $42/Hourly Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialtyone that blends clinical expertise with deep human connection? Just like cardiology or...

Immediate Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...

Join Our Caring Community: Help Us Prioritize Health As a Nurse Specialist focused on Authorization Review, you will be instrumental in facilitating the care patients need by diligently reviewing prior authorization requests. Your...

Focus Staff is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Long Term Acute...

BJC HealthCare is seeking a Registered Nurse (RN) Manager for a nursing job in Saint Louis, Missouri. Job Description & Requirements Specialty: Manager Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health, candidates with...

TNAA TotalMed RN is seeking a travel nurse RN Hospice for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: HospiceDiscipline:...

Overview Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion? With over 100 cutting-edge outpatient center locations, dedicated to providing...

About Royal Oak Hospital Recognized by U.S. News & World Report as the #2 hospital in Michigan and one of the top hospitals in the country. It is a major academic and referral center with Level I adult and Level II pediatric trauma...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

LanceSoft is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: PCU - Progressive...

Registered Nurse Job Type: Full Time/Parttime Shift: Nights 36 hour weeks (12 hour...

Were building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At CVS Health, youll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves...

FIND YOUR FUTURE We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and...