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Clinical Appeals Nurse 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...

About the Role As a Registered Nurse (RN), you'll play a vital role in providing compassionate and high-quality care to patients. You'll work in a variety of healthcare settings, such as hospitals, clinics, and nursing homes, assessing patient...

The Patient Care Assistant (PCA) I performs duties to enhance patient experience while maintaining patient comfort and a safe patient environment. All care is provided based on the concepts inherent in the model of care for TCH which promotes an...

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 further to help...

Screening and reviewing prospective, concurrent, and retrospective referrals and authorizations for medical necessity and appropriateness of service and care and discussing with Medical Directors. Coordinate health care services with appropriate...

Overview Remote Registered Nurse (RN) – Nurse Triage Position Summary The RN – Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role is100% hands-on, responsible...

This Job at a Glance Job Reference Id: ORD-203557-NP-OHTitle: NPDates Needed: November - OngoingShift Type: Day ShiftAssignment Type: InpatientCall Required:...

About this job Using your knowledge and experience, you'll be working directly in your area of care. Prepare to hit the ground running with a great attitude and let your professional skills shine! Duties &...

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's...

Job Title Home Infusion Registered Nurse Location Columbus, OH, USA Additional Location(s) Employee Type Employee Working Hours Per Week 24 Job...

Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Part- time and will work 8-hour, Day shifts. Providence Holy Cross Medical Center is...

We have exciting opportunities for qualified Chemotherapy Infusion Nurses. Due to our growth, we are actively searching for talented team members. Columbus Oncology and Hematology Associates operates Monday-Friday - no weekends, no holidays, no...

Prime Staffing is seeking a travel nurse RN Clinic for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Clinic Discipline: RN Start Date: 12/15/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours Employment...

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...

Independently evaluates basic to complex medical claims and/or appeal cases and associated records by applying clinical, regulatory, and policy and procedures knowledge and experience to assess the appropriateness of service provided, length of stay...

JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...

Become a part of our caring community and help us put health first We are seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a Care Manager, Telephonic...

RELOCATE TO VIRGINIA OPPORTUNITY Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research,...

Overview $10,000 Sign on Bonus Full-time days Are you looking for a rewarding career in homecare? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health...

Workers' Compensation Case Manager - RN - Fully Remote in the US WorkCare, Inc. is seeking a full?time RN to serve as Workers' Compensation Case Manager, supporting our occupational health initiatives across the United States.

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The overall purpose of the Wellness Nurse position is to provide Person-Centered Care consistent with accepted standards and expectations of Sunshine Retirement Living and state regulations. The Wellness Nurse's responsibilities include, but are not...

The CommunityOversight RN ensures RN delegation and community compliance is achieved forassigned communities. The Community Oversight RN has the responsibility to understand the rules for delegating tasks of nursing care and achieve the competence to...

Applying to this posting will allow you to be considered for multiple Clinical Research Nurse opportunities within the Comprehensive Cancer Center. Positions may be available across various locations, including the OSU Main Medical Campus, James...

American Traveler is seeking a travel nurse RN Med Surg for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Med...