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Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

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...

Quality Assurance (2 Openings) Responsibilities: Perform quality assurance review of peer review reports, correspondences, addendums, or supplemental reviews. Ensure clear, concise, evidence-based rationales are...

A prominent medical institution is seeking a Nurse Rev II to conduct clinical assessments and evaluations for individuals in nursing facilities. This hybrid role includes statewide travel and offers flexible scheduling with no weekends or...

Company: OhioHealth at Home At OhioHealth Hospice together with Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance...

Perform medical reviews on provider inquiries and member appeals. Works within Department of Labor and State guidelines. Adherence to all confidentiality regulations and agreements. Reviews and interprets Plan language appropriately. Utilizes...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

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...

Location: Lee Memorial, Cape Coral, Gulf Coast Medical Center, HealthPark Medical Center Work Type:Full Time/ Part Time/PRN Shift: 1st and 3rd Shift Available Minimum to Midpoint Pay Rate:$30.27 - $40.86 /...

Details Client Name James Cancer Hospital and Research Job Type Travel Offering Nursing Profession RN...

American Medical Staffing is seeking a local contract nurse RN Psychiatric for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

RN Medical Review Nurse Remote at Molina Healthcare in Boise, Idaho, United States Job Description Job Description Job Summary The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment...

A healthcare company is seeking a part-time RN Triage Nurse to join their remote team in Charlotte, NC. Candidates should have at least 5 years of experience in nursing, ideally within emergency departments or triage settings, and possess strong...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

1st Timer/ RN - Oncology Ambulatory Care - 5x8s Shift: 8:00 AM - 4:30 PM Years of Experience: 2 years Required Documentation System: EPIC Provider Support: Interpretation Services, Pharmacy, Phlebotomy, Social Services, Unit Secretary Patient...

A healthcare solutions provider is seeking a Payment Integrity RN to conduct claim reviews and ensure compliance with medical policies. Ideal candidates should have a degree in healthcare and 3 years of relevant experience, particularly in...

Start your career today with Prime Home Care, a Help at Home company. Now hiring Registered Nurses looking for part-time, flexible hours. Candidates will enjoy a fun, motivated, team environment. Prime Home Care is a widely-recognized...

Overview Contract role - 8/8/23-12/31/23, with possible extension Pay rate: $50-$65 Hourly Location: Remote IL Required License: RN, LCSW, LCPC Basic function: This position is responsible for discharge care...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

**Employment Type:** Full time **Shift:** Day Shift **Description:** + This position will be based at Mount Carmel East working on Day Shift. + Interested candidates are welcome to send resume to Laura Mangia, Senior...

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...

Details Client Name Ohio State University James Hospital Job Type Travel Offering Nursing Profession RN...

Binding Minds is seeking a local contract nurse RN OR Circulate for a local contract nursing job in Westerville, Ohio. Job Description & RequirementsSpecialty: OR...