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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...

Job Description: Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven...

JOB DESCRIPTION Job Summary The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance...

Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health...

Registered Nurse (Vaccination Support) Location: Multiple Locations across Massachusetts Estimated Length of Assignment: 3+ Months (The dates provided are only an estimate and not a guarantee) Est. Pay Range (hourly):...

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...

For training and educating Registered Nurses on medical devices primarily used for vascular access and blood collection. What you will be doing in the role:Your primary focus will be in-servicing and education only; no sales responsibilities, and no...

Provides routine, standardized nursing care for patients under the supervision of the physician. Essential Functions. All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with...

Description & Requirements Maximus is currently hiring for an Appeals Nurse to join our State East team. This is a remote opportunity. The Appeals Nurse is responsible for facilitating the review portion of the case. They will...

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...

What you'll do at DBH: As a Mental Health/Psychiatric RN you will: * Serve in a fundamental role as an interdisciplinary treatment team member for psychiatric patients creating and executing treatment plans * Observe, evaluate,...

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...

Registered Nurse (RN) - Remote Pine Park Health is a value-based primary care practice revolutionizing healthcare for senior living community residents. We empower seniors to get healthy, stay healthy, and lead lives they love through a...

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...

Description Company Overview: For over 30 years, The IMA Group has been dedicated to enhancing the livelihood and productivity of individuals and organizations navigating challenging periods of health, work and...

ChenMed is seeking a Registered Nurse (RN) Home Health Case Management for a nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Case...

What You'll Do: In this position you will be responsible for coordinating, conducting, and maintaining the Ohio Department of Health (ODH) continuing education (CE) programs and assuring continued state and national approval. You will also...

What You Should Know About the RN Admission Care Liaison Role: * This is a part time DRIVING position serving the Central Ohio Region (Newark, Columbus, Marysville, Lancaster, etc.) * The hours are 11a-7p with any every 4th weekend and...

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...

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 &...

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...

What You Should Know About the RN Admission Care Liaison Role: This is a part time DRIVING position serving the Central Ohio Region (Newark, Columbus, Marysville, Lancaster, etc.)The hours are 11a-7p...

ORGANIZATION INFORMATION: Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its expanded mission has made it one of...

Review provider post-service appeals for Medicare and Retirement. Gather clinical information including medical records and coverage criteria as it pertains to Medicare guidelines. Discuss cases with medical directors when applicable. Ability to...

Join Our Team At Ohio State University Physicians Looking to join a dynamic team at Ohio State University Physicians where excellence meets compassion? With over 100 cutting-edge outpatient center locations,...