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

A senior care organization is seeking an experienced Registered Nurse (RN) to support RN Directors of Health Services in Assisted Living Senior Communities. This remote, part-time role involves triaging emergency calls from clinical staff and...

The Ohio State University Wexner Medical Center's mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The team provides patient care and supportive services directed towards...

Job Type Contract Description Job Type Contract Description Clinical Nurse Consultant-RN Engage Consulting is seeking an experienced Clinical...

A leading healthcare organization is seeking a Utilization Management Registered Nurse 2 to support medical services coordination. This remote position requires a valid RN license, with preference for candidates with 3+ years in skilled nursing...

Job Opportunity: Registered Nurse Schedule: Monday to Friday - Eastern Time Location: Remote About the Role As a Registered Nurse, you will make an impact by performing advanced level work related to clinical denial...

Nurse Consultant - LEGAL Opening available for a Full time Legal Nurse Consultant in our Columbus office. Position offers opportunity to collaborate with attorneys and contribute to legal team in the area of defense...

Registered Nurse (Specialty Phone Triage) - Remote Opportunity Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with...

Full-Time Rn Case Manager (Rn) In El Paso, Tx DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) in El Paso, TX. As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you will support some...

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Telephonic Case Manager 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...

Description The on-call HEDIS Clinical Audit Coordinator is responsible for conducting clinical quality audits for the Quality Department. The auditor identifies and coordinates clinical audits to determine potential areas...

A leading healthcare provider in Winston-Salem is seeking a Telehealth Nurse to provide nursing services remotely. Applicants should have a valid RN license and at least 3 years of clinical experience, preferably in telephone triage. Strong...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest,...

A leading health insurance company is seeking a Quality Improvement Senior Clinical Professional (RN) to oversee the Medicare Stars Program in the West Coast Tampa region. This remote role, which involves provider engagement and quality...

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...

Liberty Healthcare seeks an experienced Registered Nurse leader for an anticipated Clinical Director opening. This is a newly created remote position which will allow you to work from your home office in Massachusetts (residency in...

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

JOIN TEAM TRILOGY Do you have excellent clinical skills and a commitment to customer service? We offer an exciting opportunity to use your skills in a purpose-focused and rewarding environment. The Area Assessment Support provides...

A leading care provider is seeking a Registered Nurse - Quality Assurance to oversee audits and ensure high-quality standards in care. The ideal candidate will hold a valid RN licensure, have at least two years of nursing experience, and possess...

What You'll Do: The Bureau of Infectious Diseases is seeking an Immunization Nurse Consultant to serve as the statewide expert on immunizations & vaccine-preventable diseases. This position will monitor & evaluate...

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Nationwide Therapy Group is seeking a local contract nurse RN PCU - Progressive Care Unit for a local contract nursing job in Columbus, Ohio. Job Description &...

Applying to this posting will allow you to be considered for multiple Clinical Research Nurse opportunities within the Comprehensive Cancer Center. Positions may be available across various locations, including the OSU Main Medical Campus, James...

Host Healthcare is seeking a local contract nurse RN Hospice for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...