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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...

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 company, we reach millions of...

A nationwide home infusion company is seeking a Quality Assurance Chart Review Nurse. This role involves reviewing clinical records for compliance and accuracy. Candidates should have a nursing degree, an active license, and experience in home...

Company Overview: Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

A state government agency in Florida is seeking a Registered Nurse Specialist to support foster children with complex medical needs. The role involves conducting assessments, home visits, and collaborating with caregivers and healthcare teams.

A leading health company is seeking a Telephonic Nurse Case Manager II responsible for managing care for members with chronic needs. The position requires a BA/BS in a health-related field, a current RN license, and five years of clinical...

Consistently exhibits behavior and communication skills demonstrating Optum's commitment to superior customer service, including quality, care, and concern with every internal and external customer. Performs comprehensive telephonic patient...

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...

Mercy East Region Throughput Center Rn Find your calling at Mercy! The East Region Throughput Center RN serves as the clinical expert for the unit. There are three main focuses of this position: to be the first point of contact for...

We're looking for Neonatal Intensive Care Unit RNs for an immediate travel nurse opening in Columbus, OH. The right RN should have 1-2 years' recent acute care experience. Read below for more requirements. As a NICU RN, you'll provide...

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...

Join to apply for the RN Call Assist Remote in PST role at Optum 1 day ago Be among the first 25 applicants Join to apply for the RN Call Assist Remote in PST role at...

A national health organization is seeking a clinical professional to perform concurrent reviews and evaluate member health. This remote position requires a Nevada LPN or RN license and offers a pay range of $26.50 - $47.59 per hour, along with...

Triage Staffing is seeking a travel Respiratory Therapist for a travel job in Columbus, Ohio. Job Description & RequirementsSpecialty: Respiratory...

Planet Healthcare is seeking a travel nurse RN NICU - Neonatal Intensive Care for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: NICU - Neonatal Intensive Care Discipline:...

Clinical Claims Review At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.

Fusion Medical Staffing-Nursing is seeking a travel nurse RN NICU - Neonatal Intensive Care for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: NICU - Neonatal Intensive Care...

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...

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...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

A leading healthcare company seeks a Remote Tele-Health Nurse to provide telephonic support to patients and caregivers. This role involves coordinating clinical data, ensuring compliance, and applying behavior modification techniques to enhance...

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable...

The Patient Care Assistant (PCA) II supports patient care by ensuring comfort and safety, following the model of care at TCH, which emphasizes collaboration between patients, families, and healthcare teams. Care is culturally sensitive and...

A fast-growing insurance company is seeking a Clinical Review Nurse to assess medical necessity for Workers' Compensation claims. This role offers a remote or office location option and requires an active RN license along with 5+ years of related...

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...