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**Job Description** **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

Supplemental Health Care is seeking a travel nurse RN Psychiatric for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

***Now Offering DailyPay*** *OVERVIEW* *NEW HIGHER WAGES* Otterbein Granville, a 5STAR Rated Life Plan Community is looking for skilled *Licensed Practical Nurses (LPNs)* who desire a career that matters in a company that values their...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization. Accountable for panel metric performance in admission prevention, readmission...

Job Summary This is a work on site position located in Danville, Pennsylvania. The Clinical Documentation Improvement Program (CDI) is designed to improve the physician's documentation in the patient's medical record, supporting the appropriate...

Location: MetroHealth Rehabilitation Institute- Old Brooklyn Bi-weekly Hours: 72.00 Shift: 7a-7:30p; rotating weekends, rotating holidays Up to $10,000 sign on bonus for RNs with qualifying experience For nearly two centuries, MetroHealth's mission...

Description Location: UCHealth Med Ctr of the Rockies, US:CO:Loveland Department: MCR Care Management Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant...

DEPARTMENT: 18400 - Medical Staff LOCATION: 350 7th Street North, Naples, FL, 34102 WORK TYPE: Full Time WORK SCHEDULE: 8 Hour Day ABOUT NCH NCH is an...

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...

Position Title: Care Manager (RN) Work Location: Montgomery, Greene, Clark Assignment Duration: 6 Months with a potential of extension or conversion...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Job Description: Position Summary: The Community Clinical Liaison performs a key role in the generation of referrals to HSL Home and Community Based Services with primary focus on Home Health and Hospice referral...

Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of...

City/State Fairfax, VA Work Shift First (Days) Overview: Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN. This is a remote position; however,...

Vetted is seeking a RN - Progressive Care Unit for a travel job in Columbus, Ohio. Must have 2+ years of experience. This contract pays approximately...

Job Summary As a Clinical Review Nurse, you will play a crucial role in ensuring that our members receive the medically necessary services they need while adhering to established clinical guidelines. Your expertise will help integrate...

We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only). Our Department of Defense contract requires US citizenship and a...

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic...

Description As a Hospice Registered Nurse Case Manager (RN) you will be called to care when you're needed most. As part of Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our...

SummaryWe are hiring for an RN Case Manager in HospiceThis is a PRN/Per Diem position doing Home Visits for Hospice.* Home Health or Hospice experience required.* Home Care Home Base EMR experience required.At Caretenders Hospice, in Columbus, OH...

Job Posting No RTO will be accepted between 2/15/26 through 2/28/26. Shift: 3x12 Night Coverage: Every other weekend Psychiatric experience required. Certs Required: BLS Epic is required. Required to float within units of equivalent or...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

Overview: Advance Hospice Care. Lead Clinical Excellence. Inspire...