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Job Description Job Summary 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...

Austin Regional Clinic Nursing Position Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with 35+ locations and we are...

A leading health company is seeking a Telephonic Nurse Case Manager II responsible for managing care for members with chronic needs. The position requires a BA/BS in a health-related field, a current RN license, and five years of clinical...

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...

A healthcare service provider is seeking a Registered Nurse - Case Review Specialist to provide remote support in reviewing cases for Federal Occupational Health. The ideal candidate will have at least 5 years of Nursing experience, a valid RN...

A state government agency in Florida is seeking a Registered Nurse Specialist to support foster children with complex medical needs. The role involves conducting assessments, home visits, and collaborating with caregivers and healthcare teams.

Staff RN- Surgical Urology- Night Shift 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,...

A leading home health care provider is seeking a Compliance RN Home Health Clinical Partner in Nashville, TN. This full-time position involves conducting clinical audits, performing HIPAA checks, and providing compliance education. Ideal...

A talent marketplace for AI research is seeking experienced Registered Nurses to work remotely on innovative projects. You will create and review deliverables that contribute to advancing AI research. Ideal candidates should have over 4 years of...

A healthcare solutions company seeks a Medical Field Case Manager for a full-time role in Fort Lauderdale, FL. The candidate will manage cases to help injured individuals return to work, collaborating closely with physicians and employers.

Company Overview: Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

UnitedHealthcare Health Care Reviewer 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...

A healthcare organization is seeking a qualified professional to perform medical record reviews and enhance documentation accuracy. The ideal candidate should be a graduate of an accredited nursing school with at least three years of clinical...

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...

Now you can make as much as $68 per hour as a Registered Nurse (RN) in Reynoldsburg, Ohio (and facilities throughout the greater Columbus area), and...

$35 - $40/ Hour The School Registered Nurse oversees the application of the nursing process and the delivery of student care in a school setting. The School RN supports the physical, mental and emotional well-being of students within the...

AI Trainer - Registered Nurses (Remote) Prolific is building the biggest pool of quality human data in the world. Over 35,000 AI developers, researchers, and organizations use Prolific to gather data from paid study participants with a...

Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective complimentary utilization and case management strategies for an assigned member panel.

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...

Offering a competitive sign on bonus to the hired candidate. Please discuss with the hiring manager or recruiter for more details. The RN is responsible for providing clinical support to providers and patients in Clinical Practice Group (CPG)...

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...

HonorVet Technologies is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Med Surg /...

A fast-growing insurance company is seeking a Clinical Review Nurse to assess medical necessity for Workers' Compensation claims. This role offers a remote or office location option and requires an active RN license along with 5+ years of related...

Optum CA is seeking a RN Call Center Nurse to join our team in Torrance, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, youll be an...