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Provide support to all units within Claims to ensure all clinical components are met for CMS, NCQA, URAC, DOL, DOI, and all other State and Federal entities. Identify business priorities and necessary processes to triage and deliver work. Use...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture,...

Clinic Nurse-Palliative Care. Department:James | Cancer Support Services Nursing. Scope of Position. The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institutes (OSUCCC-James) mission is to improve...

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...

Company Description Established practice in Columbus, OH has been delighting patients for years. The practice is a full-service general dermatology, surgical, and cosmetics practice. You will be supported by an...

Weekend Admissions Registered Nurse (RN) Are you a skilled and compassionate Registered Nurse looking for a weekend opportunity with excellent compensation? Join our team as a Weekend Admissions RN and make a difference in patients' lives...

Scope of Position The Ohio State University Wexner Medical Center's mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The team provides patient care and supportive...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Overview Connect Care. Guide Families. Make Every Day Count. We are seeking an experienced and compassionate Hospice Clinical Liaison to join our team. In this role, you will ensure that intake and referral processes...

Job Details Job Location Orange, CA - Orange, CA Remote Type Fully Remote Position Type Full Time Salary Range $45.00 - $45.00 Hourly Travel Percentage None...

Details Client Name Ohio State University Wexner - James Cancer Hospital and Research Job Type Travel Offering Nursing Profession...

Join a global community of talented professionals to shape the future of AI. Earn up to $15 USD/hr and additional rewards based on quality of submission.Outlier is committed to improving the intelligence & safety of AI models.Owned and operated by...

What You'll Do... * Administers medication (e.g., oral intramuscular and intravenous) and monitors patient medication compliance * Performs treatments and performs or assists with nurse's sick call * Assists with doctor's sick call...

A leading risk and claims administration company is seeking a part-time nurse to join their team in Annapolis. This role involves triaging medical calls to assess needs and offering appropriate care solutions. The ideal candidate should hold a...

The James Clinical Call Center Triage RN is responsible to be the primary responder to manage telephone calls within the defined scope of practice as established by the Ohio Board of Registered Nursing for established James patients. The James...

Applying to this posting will allow you to be considered for multiple Clinical Research Nurse opportunities within the Comprehensive Cancer Center. Positions may be available across various locations, including the OSU Main Medical Campus, James...

CommuniCare - JobID: R-000####### [CNA / Health Aide] As a STNA Nursing Assistant at CommuniCare, you'll: Assist patients with daily living activities; Monitor and record vital signs; Provide emotional support to patients and families; Assist...

Job Description Job Summary The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

School Registered Nurse The School Registered Nurse oversees the application of the nursing process and the delivery of student care in a school setting. The School RN supports the physical, mental and emotional well-being of students...

Clinical Claims Review At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.

ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With a...

The Ohio Hospital for Psychiatry is hiring Admissions Registeres Nurses! Shift: Days or Nights Schedule: PRN Pay Range: $36.00 to $40.00 per hour Ohio Hospital for Psychiatry is an acute inpatient & outpatient treatment center for...

Trustaff is seeking a travel nurse RN Clinic for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: ClinicDiscipline:...