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Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Job Summary 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 policies...

Lee Health is seeking a Registered Nurse (RN) Outpatient Manager for a nursing job in Cape Coral, Florida. Job Description & Requirements Specialty: Manager Discipline: RN Duration: Ongoing 40 hours per week Shift: 8 hours, days Employment Type:...

Registered Nurse (RN) Join Team Trilogy at Trilogy, where you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability...

Join Our Team As A Registered Nurse 1 We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the...

Host Healthcare is seeking a local contract nurse RN Hospice for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

St. Luke's Health System is seeking a Registered Nurse (RN) Clinic Educator for a nursing job in Boise, Idaho. Job Description & Requirements Specialty: Educator Discipline: RN Duration: Ongoing 36 hours per week Shift: 12 hours Employment Type:...

Care Navigator Position at Healthmap Solutions Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions...

Overview Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nations leading health care organizations and build your career at one of our 40+ locations throughout Houston.

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...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...

A leading health insurance provider is seeking a Utilization Management Nurse 2 to support coordinated care for members healing at home. The ideal candidate will have an Associate Degree in nursing, a valid RN license, and at least three years of...

A leading health insurance company is seeking a Quality Improvement Senior Clinical Professional (RN) to oversee the Medicare Stars Program in the West Coast Tampa region. This remote role, which involves provider engagement and quality...

Job Opportunity: Registered Nurse Schedule: Monday to Friday - Eastern Time Location: Remote About the Role As a Registered Nurse, you will make an impact by performing advanced level work related to clinical denial...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...

Job Description The Clinic Nurse is responsible for managing and providing care to the patient and his/her family, and for directing and supervising nursing care provided by other members of the patient care team. The Clinic Nurse is...

Business (Non-Clinical) General Summary: Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. Combines clinical, business,...

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...

This position is responsible for conducting face-to-face assessments of members who may need skilled nurse assessment services. The incumbent completes all assessments using a skilled care acuity tool and provides a recommendation for services...

Join Team Trilogy At Trilogy, youll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive...

Employment Type: Full time Shift: 12 Hour Night Shift Description: Qualified applicants may submit a resume to Senior Talent Acquisition Partner, Tonya Globlek at ...@mchs.com for expedited...

Central Ohio VA Health Care System is seeking a RN that will serves to support delivery of high quality, timely care to the Veteran receiving services in the community. Assumes responsibility for the coordination of care focused on patient education,...

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...

Live the Mission FULL TIME DAY SHIFT 7:00 am - 7:00 pm New grads welcomed! Come and grow with us! We are affiliated with Life Care Centers of America, which is a privately owned 47-year industry leader in healthcare with more than 200 locations...

Are you an infusion center or oncology nurse looking for a flexible side gig? Are you a critical care RN or ER nurse interested in taking care of patients outside of the hospital? We are here for YOU! Float...