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Clinical Appeals and Grievances (analyzing, reviewing appeals/grievances)Clinical Interface/ Liaison (clinical problem solver with facilities, providers, resolution of issues concerning members, program definition and clarification)Clinical...

Description Paid Time Off • Health Benefits Day One • 401K Match • No Travel At Bath & Body Works, everyone belongs. We are committed to creating a culture of belonging focused on delivering exceptional...

A leading risk management firm is seeking a Telephonic Case Manager in Washington, DC. This role involves developing case management strategies to aid injured workers in their recovery. Ideal candidates will hold an RN license and have experience...

Join to apply for the RN | Pre-Admission Testing (PAT) role at Memorial Health Ohio. We are looking for an RN to join our Pre-admission Testing team! In this position, you will have the opportunity to learn how to do the...

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...

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...

Bilingual RN Care Manager (Remote Flexible - Spanish Speaking) At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we...

Inpatient Registered Nurse 2 The Patient Care Coordinator - Registered Nurse (PCC-RN) is responsible for managing care to the patient and family, and for directing and supervising the other members of the patient care team. He/she is...

A healthcare services provider is looking for a Registered Nurse to conduct member assessments in nursing facilities and community settings in Texas. This role involves providing patient education, medication reviews, and connecting members to...

A leading home health service provider in Massachusetts is seeking a Registered Nurse (RN) for home care services to manage clinical operations, develop care plans, and supervise nursing staff. Candidates must have an active RN license and 2-3...

A leading healthcare company is seeking an Operations Support Leadership Specialist (RN) to provide on-site and remote support. This role involves educating staff on operational processes and collaborating with teams to ensure effective training.

Registered Nurse (RN) Dublin Post Acute Care Dublin, OH Are you a compassionate and dedicated nurse looking to make a meaningful impact in long-term care? Dublin Post Acute Care is seeking a Registered Nurse (RN) to join our team on the...

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...

Registered Nurse (RN) Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our...

Reynoldsburg OH 43068 G/T Flexible days, 1-2 evening shifts/week AND weekend days Days, evenings Maxim Healthcare Services is seeking a Registered Nurse (RN) to assume responsibility and accountability for the application of the...

A leading health organization is seeking a RN Coordinator for Utilization Management in Wisconsin. This full-time position involves reviewing authorization requests for medical necessity and collaborating with various departments. Applicants...

Clinical Nurse Liaison, RN 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...

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your lifes best work.(sm) The Nurse Case Manager II (NCM) is...

A leading healthcare staffing provider is seeking a full-time RN Case Management Consultant for a remote role servicing Minnesota. The ideal candidate will hold an unrestricted RN license and have a minimum of two years clinical experience,...

Care Advocate (RN) - Florida Papa is a new kind of care built on human connection. Across the country, health plans and employers look to Papa to provide vital social support by pairing older adults and families with Papa Pals, trained...

Employment Type: Full time Shift: Day Shift Description: Position Purpose: The Pre-Admission Testing (PAT) Department at Mount Carmel St. Anns takes pre-procedure instruction calls...

A leading risk and claims administration partner seeks a part-time RN Clinical Consultation specialist in Salt Lake City, Utah. This role involves triaging calls and providing care advice, supporting employees' recovery from injuries in a remote...

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...

A health-focused organization is seeking a part-time Registered Nurse or board-certified health coach with expertise in nutrition and fitness, particularly for menopausal women. This remote position starts at 20 hours per week with a competitive...

Job Type Contract Description Clinical Nurse Consultant-RN Engage Consulting is seeking an experienced Clinical Nurse Consultant-RN for a 1099 contract to support an interim project in the post-acute care...