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Resp & Qualifications PURPOSE : The Clinical Medical Review Nurse handles day-to-day review of professional and institutional claims and provider appeals that require medical review to determine if the...

Supplemental Health Care is seeking a travel nurse RN Pediatrics for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Pediatrics Discipline: RN Start Date:...

Description Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued – they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of...

Summary Sinai Hospital of Baltimore, LifeBridge Health - Remote PRN Pediatric ID Opportunity We are searching for a PRN Pediatric ID Physician to assist with call coverage for Sinai Hospital. ...

**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...

Description: Job Summary: Provides remote consultative and supportive nursing care to Intensive Care Units (ICU) to multiple medical centers utilizing in room camera and EPIC technology from a remote, centralized hub.

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Join Wilson Homecares On-Call Float Program - CAREGIVERS WANTED! Up to $1500 Sign On Bonus & Full-Time Benefits & Salary!$Are you an experienced nurse aide or caregiver with a passion for providing exceptional care? Wilson Homecare is expanding...

" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...

Cabell Huntington Hospital is seeking a full-time Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and driving...

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...

Registered Nurse The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing...

Job Description: I. Position Summary: The primary role of the Patient Care Associate (PCA), is to protect, sustain, and nurture the patients that live at the Center. They provide assistance with activities of daily living, care of the patient's...

Department: 05707 GCMG Pediatric Virtual Visit - Virtual Health: Visits On Demand Status: Full time Benefits Eligible: Yes Hours Per Week: 40...

Overview The Quality Outcomes Coordinator (QOC) works at the unit-level, in collaboration with bedside staff and unit leaders to deliver effective, efficient, high-quality care. The QOC continuously evaluates care at the bedside, identifies gaps...

Shift: Night Working Hours: 6:30p-7a Summary: The Admission/Discharge Registered Nurse (RN) is a member of the Nursing Care Team and is responsible for collaboration, communication & facilitation of optimal provision of...

LeaderStat is seeking a travel nurse RN Pediatric CVOR for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Pediatric CVOR Discipline: RN Start Date:...

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...

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...

Job Summary: The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach activities...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

Review and abstract medical record data into appropriate application(s)Support chart chase processes by requesting/obtaining records as needed. Primary source verify abstracted medical record data. Analyze chart data, evaluate for possible data...

Trustaff is seeking a travel nurse RN Pediatrics CVICU for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Pediatrics CVICUDiscipline: RNStart Date:...

Overview: This position will work in our School Based Health Centers in Franklin County. Hours are between 7-4 depending on the site. Days are M-F depending on the site. More details will be discussed during the interview.