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

*Employment Type:* Full time *Shift:* Rotating Shift *Description:* *Position Purpose: * The Surgery department at Mount Carmel Grove City has 9 operating rooms and averages 20 cases per day. The Registered Nurse would expect to see patients...

Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or...

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...

Supplemental Health Care is seeking a travel nurse RN Home Health for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Home...

Overview Remote Registered Nurse (RN) – Nurse Triage Position Summary The RN – Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role is100% hands-on, responsible...

Planet Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Home...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover...

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...

Clinic RN - Swedish Centralized Triage Full Time, Monday to Friday 8 to 5 Location: Hybrid-remote but may require you to work onsite around Seattle, Washington Job description: As a Centralized Triage Nurse, you'll be the...

ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With a...

Planet Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Case...

Description The on-call HEDIS Clinical Audit Coordinator is responsible for conducting clinical quality audits for the Quality Department. The auditor identifies and coordinates clinical audits to determine potential areas...

ScopeofPosition TheOncology ClinicalNurseSpecialist (CNS)has aunique Advanced Practice Nursing(APN)rolethat integrates care across the *cancer continuum through three spheres of influence:patient, nurse and system. Theprimary...

Become a part of our caring community and help us put health first The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and billing for services rendered is complete,...

We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - UT Position Overview: The role is to act as the in-office clinical liaison that represents the agency via...

Utilization Review - Fully Remote This role involves performing precertification and medical necessity reviews for designated referrals and targeted outpatient procedures, services, and inpatient admissions. The position requires...

Vivian is looking for Travel Hospice RNs in Columbus, Ohio paying up to $2,141/week At Vivian, we ensure your next step is a step forward. That's why we built a jobs marketplace that serves healthcare professionals first. It's easy...

Overview $10,000 Sign on Bonus Full-time days Are you looking for a rewarding career in homecare? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health...

Overview RN Case Manager / MLTC / NYC / Remote with one day a week in the field. Multiple positions available. We are hiring multiple RN Case Managers to join a leading MLTC organization, with opportunities available in Bronx, Brooklyn,...

RELOCATE TO VIRGINIA OPPORTUNITY Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research,...

Job Opportunity: RN - Rehabilitation\n\nPosition Details\nSpecialty: RN - Rehabilitation\nLocation: Columbus, Ohio\nFacility: Atlas MedStaff\nEmployment Type: Temporary\nContract Length: 13 weeks\n\nJob Description\nCoordinates total nursing care for...

Nightingale Nurses is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: PCU -...

Position Overview We are seeking a compassionate and skilled Registered Nurse (RN) to join the Oncology Ambulatory Care team at The Ohio State University Wexner Medical Center. The RN will deliver comprehensive nursing care for patients undergoing...

Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Part- time and will work 8-hour, Day shifts. Providence Holy Cross Medical Center is...