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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...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because...

Scope of Position The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute's (OSUCCC-James) mission is to improve health in Ohio and across the world through innovation in research,...

*Employment Type:* Full time *Shift:* Rotating Shift *Description:* *Position Purpose: * The Surgery department at Mount Carmel St. Ann's has a total of 12 operating rooms. The Registered Nurse would expect to see cases related to ENT, general,...

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...

Caring. Connecting. Growing Together. 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...

ASC Preop/PACU RN page is loaded## ASC Preop/PACU RNlocations: Columbus, OHtime type: Full timeposted on: Posted 5 Days Agojob requisition id: R2507**Central Ohio Urology Surgery Center**, were not just any ASC; were nationally recognized for...

Concentric is currently seeking candidates in Registered Nurse profession with focus in Registered Nurse (Operating Room) for a 13 week contract in the Columbus, OH area. Concentric is a premier staffing firm dedicated to matching outstanding...

Triage RN - Remote Part Time Job We are hiring for a part-time Triage RN! This is a remote position working 26 hours per week. If you are interested in joining our team, we encourage you to apply today! Must reside in the state of MN, WI,...

Talent4Health is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: OR - Operating...

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...

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...

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...

Licensed Psychiatric Nurse Practitioner Wage: Between $89-$203 an hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse...

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...

Employer Industry: Healthcare Services Why consider this job opportunity Opportunity for career advancement and growth within the organization Work remotely, with flexibility in scheduling Engage in...

A healthcare staffing company is seeking a Registered Nurse for a contract position based in Madison, WI. The role involves working in diverse settings such as community immunization clinics and providing quality care to a broad population. Ideal...

Soleo Health is seeking a Per Diem Infusion Nurse to support our infusion patients in the Sunbury, OH and surrounding areas . Join us in Simplifying Complex Care! **This position...

Triage RN - Medical Communication Center - Work From Home Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Nebraska...

Alerion Healthcare is seeking a travel nurse RN Interventional Radiology for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Interventional...

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...

Job Summary Our client is seeking a part-time Clinical Faculty member to guide nursing students in clinical and lab settings at the Indianapolis campus. This role is ideal for practicing nurses who want to mentor future professionals while...

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...

Our MedTech RN Clinical Educator's experiences a unique opportunity to employ their clinical nursing expertise in a new way outside patient care, while continuing to collaborate with healthcare professionals and advocate for the...

Join UnitedHealthcare 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.