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Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

Location: Avera McKennan Hospital Worker Type: Regular Work Shift: Rotating days/evenings ights/weekends/holidays (United States of America) Pay Range: The pay range for...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

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 every patient helped is because of...

Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...

Schedule: PRN - as needed coverage No set hours or consistent days This position is fully remote, however the selected candidate must reside in a state that Rogers currently operates in - (WI, MN, IL, PA, TN, FL, GA, CO, CA, WA,...

Entity: Owensboro Health Regional Hospital | Department: Virtual Care | Work Hours: 7P - 7:30A | Weekend Requirements: One | 0.9 FTE Job Summary: Provides direct nursing care in accordance with established policies,...

Shift: Night Working Hours: 6:30p-7a Summary: The Admission/Discharge Registered Nurse (RN) is a member of the Nursing Care Team and is responsible for collaboration, communication & facilitation of optimal provision of...

Summary As a leader in eldercare for nearly 70 years, we are always looking for qualified people to join the Stella Maris team. Unique opportunity to join the dynamic, collaborative and well-established Admissions...

Summary Independently plans and provides excellent professional nursing care for patients in accordance with physician orders, established hospital and departmental policies and procedures, American Nurses Association Standards of...

Job Description Description: Work Schedule: Day/evening, you will work five10-hour shifts per pay period including every other weekend. Holiday rotation required. Hours are based...

JOB DESCRIPTION Job Summary Provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for...

Job Summary: The Remote On-Call Nurse (RN) ensures member safety and clinical continuity during after-hours by providing real-time clinical assessment, triage, and care coordination remotely. Utilizing strong clinical judgment, the RN...

Job Description The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families...

Registered Nurse (RN) | Progressive Care Unit Location: Columbus, OH Agency: Care Career Pay: $2,467 per week Shift Information: Nights - 3 days x...

About Lower Lights Christian Health Center Lower Lights Christian Health Center (LLCHC) is a mission-driven, faith-based Federally Qualified Health Center (FQHC) that provides whole-person, high-quality, and accessible...

We are hiring for: RN / Registered Nurse / ACTT Type: Regular If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with...

Requisition number: 2352912 Job category: Nursing Optum WA, (formerly The Everett Clinic) is seeking a RN Call Us First to join our team in Everett, WA. Optum is a clinician-led care...

About Us: Tribeca Pediatrics was founded by Dr. Michel Cohen, in 1994, and has grown into New York City's largest and most respected primary care pediatric practice. With over 50 locations in vibrant neighborhoods throughout the New York...

Summit Medical Group is recruiting for a Remote Patient Monitoring Registered Nurse position. This is a full time hybrid position that allows work from home, with minimum office hours quarterly upon successful...

Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. - Issue approvals,...

Description 1 years of recent registered nurse experience in any of the following Echocardiography/ICU/Telemetry/EP/Cath Lab/I.R. strongly preferred. Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department: Stress Testing Work...

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...

RN Health Care Facility Surveyor - All States - Remote (#1131) Medical, Dental, and Vision insurance Flexible Spending Account Paid...

UTILIZATION REVIEW NURSE HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than...