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

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at...

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...

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 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...

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 leading healthcare organization is seeking a Utilization Management Nurse in Hartford, Connecticut. This hybrid position involves coordinating care and benefits for members, requiring an Associates degree and RN license with 3 years of acute...

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...

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 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...

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...

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...

A workforce and talent solutions leader is seeking an experienced Registered Nurse (RN) in Alexandria, Virginia. The role involves conducting in-home assessments for adults and children applying for Medicaid Long-Term Services. Ideal candidates...

Description Providence Health Plan caregivers are not simply valued – they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care...

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 with the care, pharmacy benefits, data...

Clinical Appeals Rn For Uhc Clinical Services 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...

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...

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...

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,...

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

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...

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...

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...