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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...

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...

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:...

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...

Vetted is seeking a RN - Ambulatory Care for a travel job in Columbus, Ohio. The job was posted 14 days ago. The assignment starts on Jan 19 and is 13 weeks long with 8 hour shifts 5 days a week.You must live 60 miles away from the facility in order...

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...

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! AccessNurse...

Assessor Reviewer RN - Durango, CO (Remote work) 4 weeks ago be among the first 25 applicants This position is responsible for conducting face?to?face assessments of members who may need skilled nurse assessment services. The...

*Employment Type:* Part time *Shift:* 12 Hour Day Shift *Description:* *Registered Nurse RN* * Interested candidates are welcome to send resume to Laura Mangia, Senior Talent Acquisition Partner to [...@mchs.com](mailto:...@mchs.com). ...

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...

A leading healthcare provider is seeking a Clinical Documentation Integrity Specialist to ensure the accuracy of clinical documentation. This remote position requires strong RN skills and experience, and offers a competitive benefits package...

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...

*Employment Type:* Full time *Shift:* 12 Hour Night Shift *Description:* *Registered Nurse RN* * Interested candidates are welcome to email Laura Mangia, Senior Talent Acquisition Partner, at [...@mchs.com](mailto:...@mchs.com) *Position...

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...

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...

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...

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...

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...

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...

Overview: We are looking for dynamic and compassionate Registered Nurses to join our TEAM in Columbus, OH! Are you looking for a rewarding nursing career serving patients with substance use...

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,...

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...

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:...

RELOCATE TO VIRGINIA OPPORTUNITY Join our esteemed team of healthcare professionals committed to...

A-Line is seeking 25 Registered Nurses to assist with the COVID-19 Response. These positions are at a pharmaceutical retail location inside a clinic. We are looking to get candidates in and started ASAP. I have listed all the details below for you...