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Department: 39733 Enterprise Corporate - Care Transitions Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional...

Job Description Job Summary Join our team as a Clinical Review Nurse, where you will play a crucial role in supporting the review of medical claims and appeals. You will ensure compliance with state and federal...

City/State Norfolk, VA Work Shift First (Days) Overview: Integrated Care Manager RN -Days As an integrated care manager, specializing in Utilization review, the registered nurse will be responsible for utilization review services within the scope...

Registered Nurse (RN) | Pediatric Intensive Care Unit Location: Columbus, OH Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 3/2/2026...

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LRS Healthcare - Nursing is seeking an experienced Pediatric Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Columbus, OH. Shift: Inquire Start Date: 02/16/2026 Duration: 13 weeks Pay: $2506 / Week Ready to start your next...

Job Title RN - PreOp/PACU - Outpatient Surgery Center Dublin Department Ambulatory Services | Dublin Endoscopy Scope of Position: The Ohio State University Wexner Medical Center's mission is to...

What You'll Do...* Administers medication (e.g., oral intramuscular and intravenous) and monitors patient medication compliance* Performs treatments and performs or assists with nurse's sick call* Assists with doctor's sick call* Performs or...

Medical Solutions is seeking a local contract nurse RN Post Partum for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Post...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

Job Description Summary Certified Diabetes Care and Education Specialist reports to the Ambulatory Manager of Operations. Under general supervision and in collaboration with the interdisciplinary team, this role coordinates and...

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. Come build the health care...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

A healthcare provider is seeking a compassionate On-Call Registered Nurse (RN) to offer clinical support after hours, ensuring clients receive expert care when the office is closed. This role requires a valid RN license in Florida, Georgia, or New...

Mother-Baby / Couplet Care / Post Partum Registered Nurse Join our dedicated healthcare team as a Mother-Baby / Couplet Care / Post Partum Registered Nurse and make a meaningful difference in the postpartum journey of mothers and their...

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...

Cardiology Clinic Patient Care Assistant 24 hrs per week, Monday - Friday (three 8-hr shifts) Will not float | No weekends or holidays Minimum pay- $19.10 per hr PCA tasks- vitals, manual BP checks, specific reading, EKGs, place...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

A leading healthcare organization is looking for a DRG/CVA Validation Auditor RN to audit inpatient claims by validating coding and reimbursement methodologies. The role offers flexibility to work remotely, requiring an Associates degree and...

Clinical Member Services Reviewer Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance...

RN - Utilization Review Nurse | 3+ Years of Experience | Remote in IL | Contract Walker Healthforce is seeking a RN - Utilization Review Nurse with 3+ Years of Experience to support a Healthcare Payor Client based out of IL.

Who We Are Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care,...

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

A growing healthcare provider in Texas is seeking a compassionate Registered Nurse (RN) to provide after-hours triage support for hospice patients. This remote role requires an active multistate RN license, with preference for candidates...

Job Summary Provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical...