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CompanyHighmark Inc.Job SummaryThis job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of...

Description As a Hospice Registered Nurse Case Manager (RN) you will be called to care when you're needed most. As part of Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our...

Job Description Job Description Job Summary Performs focused clinical reviews of inpatient and outpatient claims to verify that coded diagnoses, procedures, revenue codes, and...

Contract - W2 Labor and Delivery Registered Nurse (RN) Job Location: Columbus, Ohio Start Date: April 12, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1824.61 - $1919.61 Duration:13...

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...

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...

Overview 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...

We offer a great FULL TIME benefits and perks package! Company Paid Benefits: Short Term...

Hiring Full-Time Caregivers (PCA/HHA/CNA/Companions) - Flex Schedules Openings for caregivers to work within a home care or assisted living setting.We are an approved training site – welcoming experienced caregivers and individuals with...

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...

Job Title: Research Nurse Location: Columbus, OH Type: Part-time (20 - 30 hrs/week) Compensation: $40-50/hr Contractor Work Model: Remote - offsite The Research Nurse is a specialized hybrid role focused on clinical patient...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone support to...

Description RN Educator - Critical Care, Providence Portland Medical Center. This is a full time position, offering 36 hours per week. The work schedule is Monday-Friday with flexible day shift scheduling, preferably 8am-5pm. This services the...

Utilizes advanced health assessment, knowledge, and decision making skills, works independently and in collaboration with physicians and other health care professionals. Provides health care to individuals and families, emphasizing health...

Medical Review Nurse AnalystOur Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical records to ensure compliance with regulatory and payer guidelines. This analyst ensures that providers are being reimbursed...

remote within IL, TX, TN, NM, OK, MT Registered Nurse responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective use of resources.

BENEFITS: OHP provides a comprehensive package of benefits for our nurses. Current benefits include: Competitive hourly rate with shift differential available Medical, dental, and vision insurance...

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...

Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit...

Description Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise...

Description After spending 14 years in healthcare, I finally found my home with Arrow Senior Living. Its home-like environment is not just for the...

Employment Type: Full time Shift: Description: Hours/Shift: Monday-Friday 9:30 a.m.-6:00 p.m. EST with every other weekend rotation and 3 holidays per...

Need Work? Want to help people? Become a Senior Caregiver We recognize that many individuals have been laid off due to the coronavirus or may be seeking additional hours.We can help connect you to immediate caregiving opportunities with...

Medical Solutions is seeking a local contract nurse RN Labor and Delivery for a local contract nursing job in Grove City, Ohio. Job Description & Requirements Specialty: Labor and Delivery Discipline:...

Department: 05700 GCMG Virtual Critical Care - Virtual Health Status: Part time Benefits Eligible: Yes Hours Per Week: 24 Schedule...