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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 healthcare provider is seeking a Registered Nurse for Remote Patient Monitoring and Chronic Care Management. This full-time role offers a salary range of $55,000 to $65,000 annually. Responsibilities include welcoming patients into 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...

Performing pre-service clinical coverage review of services (predetermination reviews), using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. Managing clinical Out of...

A healthcare service provider is seeking a Registered Nurse - Case Review Specialist to provide remote support in reviewing cases for Federal Occupational Health. The ideal candidate will have at least 5 years of Nursing experience, a valid RN...

Provide support to all units within Claims to ensure all clinical components are met for CMS, NCQA, URAC, DOL, DOI, and all other State and Federal entities. Identify business priorities and necessary processes to triage and deliver work. Use...

Coast Medical Service is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: ICU -...

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because...

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...

Schedule: Part-time, either 3 (10 hour) shifts or 4 (8 hour) shifts. Day/pm hours available. Every third weekend and holiday rotation. - - Candidate MUST have 2 years' acute care experience (ED, Urgent Care, ICU and some Med/ Surg will be...

Vetted is seeking a RN - Correctional for a travel job in Orient, Ohio. The job was posted about 24 hours ago. The assignment starts on ASAP and is 13 weeks long with 8 hour shifts 5 days a week.You must live 60 miles away from the facility in order...

This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

Unit Description: The Primary Nurse in Ambulatory Oncology serves as a pivotal member of the patients' multidisciplinary team, coordinating care across the continuum. Key aspects of this role include telephone triage of acute illness, ongoing...

This position is located within our Neuro Intensive Care Unit at University Hospital. At the core of our Comprehensive Stroke Center, the NCCU specializes in managing emergency neurological conditions. Our expert team, comprising...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: Aids patients in obtaining the correct level of care with...

GHR Healthcare is seeking a travel nurse RN Float ICU - Intensive Care Unit Med Surg for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

We are currently on a hunt for a young and dynamic Registered Nurse - Critical Care/ICU to join our client in Columbus,OH What you’ll be doing : Collaborates with patient and family to develop and...

A growing commercial insurance company is seeking a Clinical Review Nurse to assess medical necessity and appropriateness of treatments for Workers' Compensation claimants. This role involves collaboration with claims adjusters and conducting...

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...

Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective complimentary utilization and case management strategies for an assigned member panel.

Registered Nurse (Specialty Phone Triage) - Remote Opportunity Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with...

Overview Remote Registered Nurse (RN) – Nurse Triage 16 hours per week Position Summary The RN – Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role...