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A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

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...

Registered Nurse (RN) - Remote Care Team Location: ME, NH or VT Hours: Full time, 37.5hrs/week, hourly (Non-Exempt) position Union Membership: This position is represented by AFT union in NH/VT & MSEA union in ME...

Clinical Appeals Nurse The Remote Clinical Denials/Appeals Nurse will be directly responsible for securing pre-service approvals, and reviewing pre/post service denials, medical necessity review and completing appeals and/or coordinating...

A healthcare organization in Damariscotta is seeking a Telehealth Registered Nurse. This remote role requires the RN to be the primary point of contact for patients with clinical inquiries. Qualifications include a nursing degree, state licensure,...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities, ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

A leading healthcare provider in Virginia is seeking a Registered Nurse Case Manager (RN) to join the team. The role is full-time, focusing on patient discharge planning, data analysis for care continuity, and collaboration with healthcare...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

Clinical Appeals Rn 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...

A leading healthcare provider is seeking a Clinic Registered Nurse (RN) for their urology team in Omaha, Nebraska. This hybrid role allows for remote work after training. The RN will collaborate with a multidisciplinary team to provide...

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...

WellMed, part of the Optum family of businesses, is seeking a RN, Clinical Quality Consultant to join our team in San Antonio, TX. Optum is a clinician‑led care organization that is changing the way clinicians work and...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

A healthcare staffing company is seeking a Registered Nurse for a contract position based in Madison, WI. The role involves working in diverse settings such as community immunization clinics and providing quality care to a broad population. Ideal...

A healthcare services provider is seeking a remote provider relations specialist in Columbia, SC. This role requires effective communication with providers about Medicare coverage and documentation. The ideal candidate must have relevant nursing...

Care Manager Rn Job Responsibilities: The care manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and...

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...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

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 of...

A leader in medical examination services is seeking a Remote Clinical Quality Assurance Nurse Auditor. This role requires a Registered Nurse with critical care and ER experience. Responsibilities include evaluating clinical information, performing...

A healthcare services provider is seeking an energetic RN Clinical Compliance Partner to join their Compliance Team. This full-time position is focused on supporting compliance in the Hospice environment, performing crucial audits, and analyzing...

A leading health services provider is seeking an Integrated Nurse Case Manager for a remote position in Virginia Beach, VA. The role includes performing clinical assessments and managing care for members with chronic illnesses. Candidates must...

Clinical Appeals Rn 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...