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Quality Assurance Position Pay: $34/hr Contract Details + Contract Duration: 520-hour contract-to-hire, long term opportunity Compensation: listed below, fixed rates (no opportunity for negotiation) Training Schedule:...

Overview When: Wednesday, January 14th, 10:00am to 3:00pm Appointments Required. This is an invite-only event. For consideration, please apply to this...

JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...

Job Profile Summary Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to...

Registered NurseFull TimeColumbus, OHAndHealth is a healthcare technology company created to help people reverse chronic disease. We are driven by the goal of making world-class specialty care accessible and affordable to all. We partner with...

About Pair Team At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral,...

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We...

Registered Nurse Job Type: Full Time NIGHT SHIFT ONLY Columbus Springs East is part of Lifepoint Health, a diversified healthcare delivery network with facilities...

Position Summary: Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria...

The registered nurse plans, organizes and directs home health care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services...

Nurse Manager Opportunity At The Ohio Hospital For Psychiatry The Ohio Hospital for Psychiatry is hiring a Nurse Manager. Shift: Day Schedule: Full Time Pay Range: $45 to $49 per hour (dependent on years of...

CareHarmony Intake Coordinator CareHarmony's Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced...

This position is available fully remote in Washington state. Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All...

UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Reporting To:...

Clinical Transition Educator With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services...

Make a Difference on Your Own Schedule and Terms! Hiring Registered Nurse Travels in Iowa Additional Job Description Apply Now and Receive up to $6k in Travel Bonuses! (state...

Registered Nurse Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping...

Hospice Clinical Liaison Connect Care. Guide Families. Make Every Day Count. We are seeking an experienced and compassionate Hospice Clinical Liaison to join our team. In this role, you will ensure that intake and referral processes...

A leading pediatric hospital in Colorado is seeking a Clinical Nurse II to deliver compassionate and coordinated care to patients and families. The role emphasizes collaboration within inter-professional teams and integrates evidence-based...

A leading healthcare provider seeks a Clinical Appeals Nurse to research and evaluate member and provider disputes regarding adverse coverage decisions. The role requires 2 years of medical-surgical experience, with RN licensure necessary. Strong...

Day to Day Responsibilities Triage and review cases as needed, working on prior authorisation cases following medical policy utilizing resources as needed Required Skills (top 3 non-negotiables):...

It's fun to work in a company where people truly BELIEVE in what they're doing!Our intention is to have employees who are passionate about making their personal mission statement come to life each day at work! Be it through providing healing,...

Transplant Nurse (PCG) Location: This position is located at our Dublin, OH campus with hybrid flexibility. The Transplant Nurse (PCG) facilitates care coordination for a member with the potential for a transplant, including...

A leading AI talent marketplace is seeking experienced registered nurses to support cutting-edge AI research. This remote position allows you to contribute your expertise while maintaining a flexible schedule. The ideal candidate has over 4 years...

Behavioral Health Senior Clinical Admin RN - Remote at UnitedHealth Group in Boise, Idaho, United States Job Description At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to...