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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 leading insurance firm is seeking a Medical Bill Review Senior Nurse in Schaumburg, IL. The role involves reviewing complex medical bills for compliance, managing litigation issues, and ensuring customer satisfaction. Candidates must have at...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) 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...

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

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 leading health insurance provider is seeking a Utilization Management Nurse 2 to support coordinated care for members healing at home. The ideal candidate will have an Associate Degree in nursing, a valid RN license, and at least three years of...

Shift: Part-Time Nights: 24-hour week (7pm-7am) Unit/Location: Precision Abdominal Surgery - 8ab - Good Samaritan Hospital Up to a $2,500.00 sign on bonus The Abdominal Unit at Good Samaritan Hospital is a 25-bed unit specializing in the...

Remote Registered Nurse (RN) Nurse Triage The RN Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role is 100% hands-on, responsible for assessing patient symptoms,...

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic...

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 growing commercial insurance company is seeking a Clinical Review Nurse to assess medical necessity and appropriateness of treatments for Workers' Compensation claimants. This role involves collaboration with claims adjusters and conducting...

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...

*Contract Details* * *Contract Duration:* 520-hour contract-to-hire, long term opportunity * *Compensation:* listed below, Fixed rates (no opportunity for negotiation) * *Training Schedule:* Monday-Friday, 4-6 weeks; between 8 AM-5...

Join to apply for the RN Call Assist Remote in PST role at Optum 1 day ago Be among the first 25 applicants Join to apply for the RN Call Assist Remote in PST role at...

Clinic RN - Swedish Centralized Triage Full Time, Monday to Friday 8 to 5 Location: Hybrid-remote but may require you to work onsite around Seattle, Washington Job description: As a Centralized Triage Nurse, you'll be the...

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...

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...

Join Ochsner Health 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...

Provides advanced critical care nursing to patients with life-threatening medical conditions. Monitors vital signs, administers medications, and operates life-support equipment. Collaborates closely with physicians and the healthcare team to...

Clinic Nurse - Outpatient Procedure Clinic 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...

Job Description Job Description Job Title : Registered Nurse (RN) Disease Manager Job Overview : The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of...

Summary Central Ohio VA Health Care System is seeking a RN that will serves to support delivery of high quality, timely care to the Veteran receiving services in the community. Assumes responsibility for the coordination of care focused on patient...

TNAA TotalMed Case Management is seeking a travel nurse RN Case Management for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Case...

A leading healthcare company is seeking a Tele-Health Nurse to provide support to patients and caregivers through telephonic interactions. This remote position requires a Registered Nurse licensure and is ideal for those with a passion for...

Registered Nurse (RN) - Remote Care Team Location: ME, NH or VT Hours: Full time, 37.5hrs/week, hourly (Non-Exempt) position Union Membership: This position is represented by AFT union in NH/VT & MSEA union in ME...