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Medical Claim Review Nurse The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit...

Join BoldAge PACE and Make a...

Registered Nurse Job Type: Full Time Shift: Nights 36 hour weeks (12 hour shift 7 -...

Overview Join to apply for the Remote MCO Utilization Review Nurse (RN) IL ONLY role at Anchor Staffing Remote MCO Utilization Review Nurse (RN) IL ONLY $40.00 per hour Schedule: Monday Friday, 8:00 am...

Job post summaryDate posted: November 04, 2025Pay: $2,965 - $3,036 per weekJob description Join our team for an exciting travel nursing...

Medical Claim Review Nurse The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit...

Medical Claim Review Nurse The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit...

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...

Medical Claim Review Nurse The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit...

Summary Nursing Informatics (NI) is the specialty that integrates nursing science - computer science - and information science to manage and communicate data - information - knowledge and wisdom in nursing practice. Nursing informatics...

Build your own schedule. Take control of your career. Looking for RN jobs that fit your life? If you're tired of having no control over your schedule or just want to earn more money, PRN shifts could be what you're looking for! ShiftKey...

Medical Claim Review Nurse The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local to New...

Registered Nurse Career Opportunity Day Shift 7:00a to 7:30p Night Shift 7:00p to 7:30a Baylor/Weekend Option Program full-time (Friday, Saturday and Sunday) and part-time (Saturday and...

$10,000 sign on bonus for full-time hires! Shifts Available: Days (7am - 7pm) Weekends Only Nights (7pm - 7am) Weekends Only Are you a critical thinker, a skilled communicator and passionate about caring for...

Travel Nursing: Oncology Columbus, OH Location: Columbus, OH Start Date: 12/15/2025 Shift Details: 12H Nights (7:00 PM-7:00 AM) 36 hours per week Length: 16 WEEKS 16 weeks Apply for specific facility...

JOIN TEAM TRILOGY: At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of...

Reynoldsburg OH 43068 G/T Flexible days, 1-2 evening shifts/week AND weekend days Days, evenings Maxim Healthcare Services is seeking a Registered Nurse (RN) to assume responsibility and accountability for the application of the...

Description At Bath & Body Works, everyone belongs. We are committed to creating a culture of belonging focused on delivering exceptional fragrances and experiences to our customers. We focus on recruiting, retaining, and...

Description Location: This position is located at our Dublin, OH campus. Who we are Founded in 1999 and headquartered in Central Ohio, w e're a privately-owned , independent healthcare navigation organization . We believe...

Biometric Data Collection & Monitoring: Collects and reviews patient biometric data to identify changes in health status and activate appropriate care management resources. Clinical Assessment & Education: Conducts skilled telephonic assessments...

Job Opportunity at Highmark Inc. Job Summary: This job implements effective utilization management strategies including: review of the appropriateness of health care services, application of criteria to ensure appropriate resource...

The Clinical Services Auditor performs auditing of clinical staff in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM) and monitors key clinical staff for...

Perform an initial assessment review of appeals, medical records, and CMS/ State Policies to determine if care/services provided meets coverage and billable criteria to be paid. Identify if additional information is required to process an appeal.

Employment Type Full time Shift Description: RN Case Manager, ED The RN Case Manager in collaboration with other internal and external disciplines...