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Find your calling at Mercy! Job Summary: As the critical gateway to our health system, the Throughput RN plays a pivotal role in shaping first impressions and delivering a brand-defining experience for patients, their families, and healthcare...

Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including...

Clinical Liaison RN - PAH The Clinical Liaison RN - PAH is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of...

Clinical Content Specialist – Nursing LOCATION: Northeastern U.S. (ME, NH, VT, MA, RI, CT, NY, NJ, PA, MD, DE, OH). Remote position but must reside in a northeastern state. SUMMARY We're seeking a Clinical Content...

Job Description Salary Range: $48 - $51 / Hourly Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty-one that blends clinical expertise with deep human connection?

Part-Time RN Case Manager (Franklin, IN and surrounding area) Position: Part-Time Registered Nurse Case Manager Department: Guardian Health Reports To: Director of Nursing Status: Part-time Hours: Part-Time; schedule...

Clinical Clearance Specialist (RN) Remote, United States Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often,...

Details Client Name Kaiser Permanente Los Angeles Medical Center Job Type Permanent Offering Nursing Profession Nurse...

Company: Providence at Home with Compassus Position Summary The Clinical Liaison RN - PAH is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for...

Come join us for our upcoming virtual hiring event! Event Date & Time: Tuesday, July 14th at 12:00pm EST Florida Care Managers & Care Review Clinicians Virtual Hiring Event Event Date & Time: Thursday, July 23rd at 12:00pm EST Florida...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

Concierge Home Health RN In Los Angeles/Orange County Looking for a rewarding nursing career with independence and flexibility? Join us as a Concierge Home Health RN in Los Angeles/Orange County today! Rates starting at $70/hr...

Traveler RN (Case Management) Traveler RN (Case Management) – Duarte Campus – 3 Needed Experience in California Healthcare System required 1+ years - Our client needs travelers to have a good understanding of health care in California...

Clinical Appeals Specialist The Clinical Appeals Specialist completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Specialist utilizes...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

Job Summary: In addition to the responsibilities below, this position is also responsible for leading the implementation of best practice models; leading the implementation of patient care delivery systems and practice...

Job Details Reviews payor denials and audits for potential lost revenue. Writes comprehensive, factual arguments to present to third-party payers, medical review boards, or other responsible parties applying clinical criteria to establish...

Job Description The RN Utilization Management (RN UM) functions as a support liaison for a variety of UM functions which may include the e‑TAR process, denials management, and the UM process.The RN UM coordinates care submission relating to the...

Job Summary As a Clinical Services Manager - RN Telephonic Case Management, you will ensure optimum recovery on every claim while establishing trust, providing education, delivering information, and care. You will provide case direction to...

Nurse Case Manager II Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. The...

Fully Remote not onsite or hybrid- put city and state on resume can be remote in any state except NY, CA, HI or AK ctive unrestricted Registered Nurse (RN) license in state or territory of the United States. Compact RN license a required...

Clinical Services Supervisor, RN Under the direct supervision of the Health Center Manager and in-direct clinical supervision of Nursing Administration, the Clinical Services Supervisor (CSS) shall perform licensed nursing duties under...

HonorVet Technologies is seeking a travel nurse RN Case Management for a travel nursing job in Santa Monica, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

GLC On-The-Go is seeking a travel nurse RN Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date:...

OverviewJobs for Humanity is partnering with CEDARS‑SINAI to build an inclusive and just employment ecosystem. We prioritize individuals from diverse communities including Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard...