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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...

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,...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

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 healthcare provider is seeking a Clinic Registered Nurse (RN) for their urology team in Omaha, Nebraska. This hybrid role allows for remote work after training. The RN will collaborate with a multidisciplinary team to provide...

A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...

Job Description Join a global community of talented professionals to shape the future of AI. Earn up to $15 USD/hr and additional rewards based on quality of submission.Outlier is committed to improving the intelligence & safety of AI models.

Clinical Appeals Rn 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. Come...

Providence Health Plan Caregiver Opportunity Providence Health Plan caregivers are invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding,...

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 national health organization is seeking a clinical professional to perform concurrent reviews and evaluate member health. This remote position requires a Nevada LPN or RN license and offers a pay range of $26.50 - $47.59 per hour, along 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...

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...

Additional Information About the Role Part time position (2) 12 Hour Day Shift - 6:00 am to 6:30pm Located at BJC Commons Minimum of 2 -5 plus years of RN experience needed Recent bedside RN experience in Acute Med/ Med Surg needed We are seeking...

Join a global community of talented professionals to shape the future of AI. Earn up to $15 USD/hr and additional rewards based on quality of submission. Outlier is committed to improving the intelligence & safety of AI models.

A nonprofit senior care organization is seeking an experienced RN for remote after-hours support in Edina, MN. Responsibilities include triaging emergency calls and coordinating care with clinical staff, hospitals, and families. Essential...

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 service provider is seeking a compassionate registered nurse (RN) to provide after-hours triage support for hospice patients in a remote role. Candidates should hold an active multistate RN license and have preferred experience in...

A regional health insurance provider is seeking an Inpatient Utilization Management Clinician to evaluate inpatient treatments for medical necessity and facilitate discharge planning. This is a fully remote position requiring strong clinical...

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 prominent healthcare organization located in New York is looking for a Clinical Documentation Specialist to enhance patient documentation accuracy. Candidates should possess an RN license and significant nursing experience. This position allows...

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 healthcare provider in New Jersey seeks a tech-savvy Registered Nurse (RN) for a Virtual Nurse role in their Hospital at Home program. This remote position emphasizes virtual care delivery, requiring collaboration with in-home clinical...

A healthcare organization is seeking a skilled Transitional Care Management Registered Nurse (RN) in Boston, MA to manage patient transitions from hospital to home. The ideal candidate will possess a current RN license, strong clinical and...

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...