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We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: Aids patients in obtaining the correct level of care with...

Perm Staff Jobs is seeking a Registered Nurse (RN) Long Term Care for a nursing job in Upper Arlington, Ohio. Job Description & RequirementsSpecialty: Long Term...

Research Nurse (Per Diem) - Lexington, MA Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile research...

Medical Claims Review Support 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...

Certified Nursing Assistant/STNA First Community Village located in Columbus, OH is an independent living, assisted living and memory care community with a team of health care professionals that is unmatched in the area! We are...

A health services organization is seeking a Prior Authorization RN to join their Wisconsin Medicaid Market team. This role involves reviewing clinical appropriateness of prior authorization requests in accordance with Medicare/Medicaid guidelines.

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 clinical...

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. Come build the health care...

Vibra Travels is seeking a travel nurse RN Case Management for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Case...

Job Description Job Summary Join our team as a Clinical Review Nurse, where you will play a crucial role in supporting the review of medical claims and appeals. You will ensure compliance with state and federal...

*Pay: $28.50/hr (Fixed rates, no opportunity for negotiation)* *Shift: *Monday- Friday- 8-4:30PM EST, MUST have flexibility twice a month to start as early as 7 and end as late as 7PM * * *Overview* We're hiring Clinical Quality...

Job Type Full-time Description WESTSIDE IS LOOKING FOR A NURSE / RN TO JOIN THE VIRTUAL NURSE TEAM! SIGN ON BONUS OFFERED! LOAN PAYOFF PROGRAMS...

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...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

ChenMed is seeking a Registered Nurse (RN) Case Management for a nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Case...

Medical Solutions is seeking a local contract nurse RN Post Partum for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Post...

A healthcare provider is seeking a compassionate On-Call Registered Nurse (RN) to offer clinical support after hours, ensuring clients receive expert care when the office is closed. This role requires a valid RN license in Florida, Georgia, or New...

Non Certified Nursing Assistant/Non STNA First Community Village Senior Living Campus located in Columbus, OH is an independent living, assisted living and memory care community with a team of health care professionals that is unmatched...

Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in...

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

Job Description This is a RN Travel position. You must live more than 50 miles from the facility to be considered for this position. Why You Should Apply: Competitive Pay:...

Overview Mount Carmel Behavioral Health is hiring Admissions RN's! Available Shifts and Hours: 7p-7a with rotating weekends Sign on Bonus:...

Pluto Healthcare is seeking a travel nurse RN Outpatient Infusion for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

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...

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...