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We are more than a health system. We are a belief system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

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Description Location: UCHealth UCHlth Leprino Building AMC, US:CO:Aurora Department: CTRC Outpatient FTE: Full Time, 0.9, 72.00 hours per pay period (2 weeks) Shift: Days Pay: $33.61 - $52.10 / hour. Pay is dependent on applicant's relevant...

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...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

Current Employees and Students: If you are currently employed or enrolled as a student at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Position...

Registered Nurses are encouraged to consider a part-time remote Nurse Reviewer position with Liberty Healthcare Corporation. Liberty Healthcare operates a statewide program in Idaho which assesses children and adults who are living with...

Pre-Access Utilization Management Registered Nurse Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance clients. This person will be responsible for...

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...

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...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

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 regulations...

Description Location: UCHealth UCHlth Leprino Building AMC, US:CO:Aurora Department: CTRC Outpatient FTE: Full Time, 0.9, 72.00 hours per pay period (2 weeks) Shift: Days Pay: $33.61 - $52.10 / hour. Pay is dependent on applicant's relevant...

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...

Responsibilities Part time: 24 Hours Per week (Sat & Sun) 8am-8pm MST. The Phone Triage Registered Nurse provides skilled nursing telephone triage for participants experiencing medical concerns during...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...

divh2RN Care Review Clinician/h2pThe RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...

*Employment Type:* Full time *Shift:* 12 Hour Night Shift *Description:* Qualified applicants may submit a resume to Senior Talent Acquisition Partner, Tonya Globlek at ...@mchs.com for expedited consideration.*Position Purpose: * The...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

Description Introduction ⭐$3,000 Sign on Bonus for New Employees ⭐ THIS IS NOT REMOTE Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Registered Nurse with Care of Women you can be a...

Building Location: Building B - St Marys Medical Center Department: 1005100 NURSING ADMINISTRATION - EH SS Job Description: The System Nurse...

The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position. ESSENTIAL...

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...

Registered Nurse (RN) Cadence Health is seeking a dedicated Registered Nurse (RN) to join our team. If you are passionate about providing exceptional patient care, we encourage you to explore this opportunity with us. The ideal...

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...