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JOIN TEAM TRILOGY:At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of...

Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...

Clinical Appeals and Grievances (analyzing, reviewing appeals/grievances)Clinical Interface/ Liaison (clinical problem solver with facilities, providers, resolution of issues concerning members, program definition and clarification)Clinical...

A leading healthcare provider is seeking a Registered Nurse for care management, working in both remote and field settings. The RN will conduct assessments and develop care plans for members of the Medicare and Medicaid programs. Key...

Staff Nurse (RN) - New Graduate Perioperative Nurse Residency Program The Ohio State Wexner Medical Center Health System Perioperative Nurse Residency Program provides support for the new graduate nurse as they transition from nursing...

As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for...

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...

Description Location: UCHealth Anschutz Inpatient Pavilion - Aurora Department: Virtual Health Center - Quality program This position is an onsite role and does not offer a hybrid or remote option Work Schedule: Full Time, 72.00 hours per pay...

Nurse (RN) At ComForCare Home Care we value our nurses like family and invite you to become a part of our team. We celebrate success and have fun! If you are an RN/LPN and have a background in geriatric care management, consider working...

To be eligible to enlist in the U.S. Navy, candidates must be between the ages of 18-34 The greatest reward for nearly every nurse is the joy of serving others. But in the Navy Nurse Corps, when you...

Medical Edge Recruitment, LLC is seeking a local contract nurse Correctional for a local contract nursing job in Lancaster, Ohio. Job Description & Requirements Specialty: Correctional Discipline: RN Start Date: ASAP Duration: 13 weeks 36 hours per...

A leading risk management firm is seeking a Telephonic Case Manager in Washington, DC. This role involves developing case management strategies to aid injured workers in their recovery. Ideal candidates will hold an RN license and have experience...

Registered Nurse Career Opportunity Encompass Health: Where Nursing Meets Heart, Home, and Healing Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass Health offers a...

Registered Nurse Job Type: Full Time Shift: Nights 36 hour weeks (12 hour shift 7 - 7:30) Columbus Springs East is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound...

Description Work Type: Per Diem As Needed Summary: CHRISTUS Health is seeking a dedicated and experienced Nurse Practitioner (NP) or Physician Assistant (PA) to join our Telehealth Urgent Care team in New Mexico. This fully remote role serves...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

CommuniCare - JobID: R-000####### [CNA / Health Aide] As a STNA Nursing Assistant at CommuniCare, you'll: Assist patients with daily living activities; Monitor and record vital signs; Provide emotional support to patients and families; Assist...

PURPOSE AND SCOPE:Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining...

Behavioral Health Registered Nurse Are you a dedicated and experienced Registered Nurse with a passion for assisting individuals on their journey towards mental health and recovery? We're seeking a proactive and compassionate RN to join...

A healthcare management firm is seeking a Medical Review and Appeals RN. This remote role involves reviewing and authorizing medical service requests, ensuring compliance with regulations, and implementing discharge planning. Candidates must have...

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...

Description At Bath & Body Works, everyone belongs. We are committed to creating a culture of belonging focused on delivering exceptional fragrances and experiences to our customers. We focus on recruiting, retaining, and...

Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

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

Job Description: I. Position Summary: The Registered Nurse (RN) will utilize the nursing process of assessment, planning, implementation, and evaluation to ensure quality nursing care and to maximize the quality of life for the patients. The RN is...