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A nonprofit senior care organization is seeking an experienced RN for remote after-hours support in Edina, MN. Responsibilities include triaging emergency calls and coordinating care with clinical staff, hospitals, and families. Essential...

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...

Quality Assurance (2 Openings) Responsibilities: Perform quality assurance review of peer review reports, correspondences, addendums, or supplemental reviews. Ensure clear, concise, evidence-based rationales are...

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.

Job Opportunity: RN - Clinical\n\nPosition Details\nSpecialty: RN - Clinical\nLocation: Columbus, Ohio\nFacility: Pulse Healthcare Services\nEmployment Type: Temporary\nContract Length: 13 weeks\n\nJob Description\nCoordinates total nursing care for...

Nurse Appeals RN Location : Ohio-Cincinnati, Columbus, Mason, or Seven Fields (Must be within commutable distance to the listed locations.) Virtual: This role enables...

Overview Contract role - 8/8/23-12/31/23, with possible extension Pay rate: $50-$65 Hourly Location: Remote IL Required License: RN, LCSW, LCPC Basic function: This position is responsible for discharge care...

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...

A national health organization is seeking a clinical professional to perform concurrent reviews and evaluate member health. This remote position requires a Nevada LPN or RN license and offers a pay range of $26.50 - $47.59 per hour, along with...

Caring. Connecting. Growing Together. 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...

Become a part of our caring community and help us put health first The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments are varied and frequently require interpretation and...

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...

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...

Clinical Claims Review At UnitedHealthcare, we are 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.

Job Title: Registered Nurse - Outpatient Clinic Location (Onsite, Remote, or Hybrid?): Columbus, OH (ONSITE) Contract Duration: 13 weeks Working Hours: Day 5x8-Hour (08:00 - 17:00) Total Weekly Hours: 40 hrs Job Timer/RN Outpatient Clinic - GI Onc -...

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...

Registered Nurse, Care Line We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do...

Quality Assurance (2 Openings) Responsibilities: Perform quality assurance review of peer review reports, correspondences, addendums, or supplemental reviews. Ensure clear, concise, evidence-based rationales are...

Triage RN - Medical Communication Center - Work From Home Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Nebraska...

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

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect...

A prominent medical institution is seeking a Nurse Rev II to conduct clinical assessments and evaluations for individuals in nursing facilities. This hybrid role includes statewide travel and offers flexible scheduling with no weekends or...

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...