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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...

Registered Nurse (RN) - Ohio Center of Pediatrics The Registered Nurse (RN) or Licensed Practical Nurse (LPN) provides both administrative and clinical support to ensure efficient primary care delivery while fostering a smooth,...

Job Description Salary Range: $40 - $42/Hourly Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty-one that blends clinical expertise with deep human connection?

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 system...

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...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect...

Change Lives With Recovery Innovations! Our Mission is to empower people on their journey to recovery, helping them achieve their goals, rediscover meaning and purpose in life, and reconnect with themselves and their communities. Our...

Description RN Utilization Review at Irvine, CA. This position is Full- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our...

Remote Hospice Triage RN PT Weekend Only 7:30a-4p CST We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after?hours support, triaging hospice patients and family needs...

Position Type:PRN, exempt Compensation: Up to $165,000 annually Job Location: In person Job Highlights 6-Hour Shifts Daily:...

A healthcare organization in California is seeking an RN, Clinical Care Manager I to enhance member care through assessment and coordination. Applicants should have a Bachelor's Degree in a health-related field and an active RN license. The role...

CVS Health Aetna Case Manager RN 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...

Care Manager Rn Job Responsibilities: The care manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and...

NCH ENT Clinic Registered Nurse Position will float between all NCH ENT Clinic locations. Some evening shifts are available (approximately 7pm end time). Regular shift is 8am-4:30pm M-F Starting pay is $34.14/hr, can be more based...

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...

UW Health is seeking a Registered Nurse (RN) Nurse Navigator for a nursing job in MADISON, Wisconsin. Job Description & Requirements Specialty: Nurse Navigator Discipline: RN Duration: Ongoing Employment Type: Staff Description: Work Schedule:...

Do you want to make a difference every day? Are you passionate about providing excellent customer service and patient care? PrimaryOne Health is dedicated to improving quality of life though providing access to the highest possible quality...

Job Description Scope of Position: The Ohio State University Wexner Medical Center?s mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The team provides patient care and...

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...

Utilization Review RN The Utilization Review RN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. This position functions as a part of a multidisciplinary team,...

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...

A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...

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...

Description: Nurses – are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates! ABOUT US: Hines is a nationwide, independent leader...

Part-Time Utilization Review Nurse Remote (Nevada License Required) Location: Remote (Reporting to Carson City, NV) Schedule: MondayFriday, 8:00 AM12:00 PM PST Compensation: $40,000$45,000 annually (part-time, 20 hours/week)...