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Job Title: Prior Authorization NurseJob Description The Prior Authorization Nurse plays a critical role in analyzing prior authorization requests to determine the medical necessity of services and the appropriate level of care. This position...

Job Description: Responsible for specialty care management for assigned clinics/geographical areas and other appropriate referrals within the Intermountain system. Assess, plan, educate, and advocate for patients' health...

Registered Nurses are encouraged to consider a part-time remote Nurse Reviewer position with Liberty Healthcare Corporation. Liberty Healthcare operates a statewide program in Idaho which assesses children and adults who are living with...

Overview The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S) outside payers.

Pay: $34/hr *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...

Description & Requirements Be part of something great Maximus is a global organisation that specialises in providing health and employment services to millions of people every year. Here in the UK we employ...

St. Luke's Health System is seeking a Registered Nurse (RN) Telehealth for a nursing job in Boise, Idaho. Job Description & Requirements Specialty: Telehealth Discipline: RN Duration: Ongoing 40 hours per week Shift: 8 hours Employment Type: Staff...

Registered Nurse Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping...

Home Health RN SME 3 - Day Workshop Ready to share your expertise and make an impactwithout leaving home? If youre a skilled Home Health RN looking for a unique opportunity to apply your knowledge in a new and rewarding way, this...

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 solutions company, we reach millions...

RN Clinical Appeals Nurse Job Summary: The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory...

Registered Nurse (RN) | Home Health Location: Dublin, OH Agency: AMN Healthcare Pay: $2,403 to $2,552 per week Shift Information: Days - 5 days x...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

Description ESSENTIAL FUNCTIONS include the following, other duties may be assigned: Provides health education to families through workshops, parent meetings, handouts, etc. Utilizes and...

Overview Mount Carmel Behavioral Health is hiring Admissions RN's! Available Shifts and Hours: 7p-7a with rotating weekends Sign on Bonus:...

Workers' Compensation Case Manager - RN - Fully Remote in the US WorkCare, Inc. is seeking a full?time RN to serve as Workers' Compensation Case Manager, supporting our occupational health initiatives across the United States.

Quality Assurance Position Contract-to-hire details and pay: $34/hr for a 520-hour contract-to-hire, long term opportunity. Compensation: listed below, fixed rates (no opportunity for negotiation). Training schedule: MondayFriday, 46...

A leading health care provider is seeking a Care Manager III based in Chicago, Illinois. This full-time position involves providing care coordination to members through telephonic and field-based management. Candidates must possess a valid nursing...

Quality Assurance Position Pay: $34/hr Contract Details + Contract Duration: 520-hour contract-to-hire, long term opportunity Compensation: listed below, fixed rates (no opportunity for negotiation) Training Schedule:...

A healthcare company is seeking a part-time RN Triage Nurse to join their remote team in Charlotte, NC. Candidates should have at least 5 years of experience in nursing, ideally within emergency departments or triage settings, and possess strong...

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 build the health care system...

TPAPT is seeking dedicated and knowledgeable Nursing School Admissions Coaches to help aspiring nursing students navigate the admissions process for competitive nursing programs. You will work one-on-one with students to provide...

Part-Time Utilization Review Nurse Remote (Nevada License Required) Location: Remote (Reporting to Carson City, NV) Schedule: MondayFriday, 8:00 AM12:00 PM PST Compensation: $40,000$45,000 annually (part-time, 20 hours/week)...

Registered Nurse (RN) | Home Health Location: Dublin, OH Agency: Core Medical Group Pay: $2,160 per week Shift Information:...

Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...