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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...

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...

Job Opportunity: RN - Rehabilitation\n\nPosition Details\nSpecialty: RN - Rehabilitation\nLocation: Columbus, Ohio\nFacility: Atlas MedStaff\nEmployment Type: Temporary\nContract Length: 13 weeks\n\nJob Description\nCoordinates total nursing care for...

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...

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...

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...

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...

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...

Overview Remote Registered Nurse (RN) – Nurse Triage Position Summary The RN – Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role is100% hands-on, responsible...

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...

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...

Become a part of our caring community and help us put health first Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against...

JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living...

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...

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...

Nationwide Therapy Group is seeking a local contract nurse RN Stepdown for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! AccessNurse...

Registered Nurse (RN) - Remote Pine Park Health is a value-based primary care practice revolutionizing healthcare for senior living community residents. We empower seniors to get healthy, stay healthy, and lead lives they love through a...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

St. Luke's Health System is seeking a Registered Nurse (RN) Clinic Educator for a nursing job in Boise, Idaho. Job Description & Requirements Specialty: Educator Discipline: RN Duration: Ongoing 36 hours per week Shift: 12 hours Employment Type:...

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...

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...

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...