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JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies,...

A leading healthcare provider in Winston-Salem is seeking a Telehealth Nurse to provide nursing services remotely. Applicants should have a valid RN license and at least 3 years of clinical experience, preferably in telephone triage. Strong...

A state government agency in Florida is seeking a Registered Nurse Specialist to support foster children with complex medical needs. The role involves conducting assessments, home visits, and collaborating with caregivers and healthcare teams.

Psychiatric NP needed in Columbus, OH. Adult & Geriatric Inpatient work. Psychiatric NP needed in Columbus, OH. Adult and Geriatric population. Part time to full time. At full time salary in the 130k-160k range. Full...

A leading healthcare organization is looking for a Nurse Reviewer I to conduct preauthorization and appropriateness of treatment reviews for diagnostic imaging services. The role supports remote work and requires an associate degree in nursing...

We're looking for Pediatric Intensive Care Unit RNs for an immediate travel nurse opening in Columbus, OH. The right RN should have 1-2 years' recent acute care experience. Read below for more requirements. As a PICU RN, you'll provide...

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...

TravelNurseSource is working with GLC Group, GLC On-The-Go to find a qualified PICU RN in Columbus, Ohio, 43205! About The Position GLC is hiring: RN PICU - Columbus, OH - 13-week contract GLC – Named Best Nurse...

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...

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...

We are seeking a compassionate and skilled Pediatrics Nurse Practitioner (NP) to join our dedicated pediatric team in Ohio. In this vital role, you will provide comprehensive healthcare to infants, children, and adolescents, focusing on preventive...

Take advantage of flexible schedules and get paid up to $68 an hour as a Registered Nurse (RN) in Westerville, Ohio, and surrounding areas. Nursing...

A healthcare service provider is seeking a Registered Nurse - Case Review Specialist to provide remote support in reviewing cases for Federal Occupational Health. The ideal candidate will have at least 5 years of Nursing experience, a valid RN...

The Patient Care Assistant (PCA) I supports patient care by ensuring comfort and safety, following the model of care at TCH, which emphasizes collaboration between patients, families, and healthcare teams. Care is culturally sensitive and...

Details Client Name Ohio State University Wexner Medical Center Job Type Travel Offering Nursing Profession RN...

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...

What You Should Know About the RN Admission Care Liaison Role: * This is a part time DRIVING position serving the Central Ohio Region (Newark, Columbus, Marysville, Lancaster, etc.) * The hours are 11a-7p with any every 4th weekend and...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

BSMMHPUSR254037EXTERNALENUS Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared...

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...

A leading health company is seeking a Telephonic Nurse Case Manager II responsible for managing care for members with chronic needs. The position requires a BA/BS in a health-related field, a current RN license, and five years of clinical...

A regional healthcare provider in Virginia Beach is seeking a Certified Diabetes Care and Education Specialist to serve as an expert resource for patients managing diabetes. The ideal candidate will have over 2 years of diabetes education...

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...

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.

Nurse Navigator 1 - Site Disease - Full Time/Remote page is loaded## Nurse Navigator 1 - Site Disease - Full Time/Remotelocations: Miami, FLtime type: Full timeposted on: Posted Todayjob requisition id: R100091779## **Current Employees:**If you...