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Midwest StartupsColumbus,OH
Company Overview: Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...
Remote StaffingColumbus,OH
Cvs Health Care 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...
Atrium HealthColumbus,OH
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...
Molina HealthcareColumbus,OH
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...
EngageconsultingpartnersColumbus,OH
Overview Job Type Contract Engage Consulting is seeking an experienced Clinical Nurse Consultant-RN for a 1099 contract to support an interim project in the post-acute care space. The ideal candidate will live near any of...
TelligenColumbus,OH
This position is responsible for conducting face-to-face assessments of members who may need skilled nurse assessment services. The incumbent completes all assessments using a skilled care acuity tool and provides a recommendation for services...
Wisconsin StaffingColumbus,OH
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...
Trinity HealthColumbus,OH
Employment Type: Full Time Shift: Evening Shift Description Must be within a 50 mile radius of Livonia, MI Work shift Monday through Friday 12:30pm 9:00pm Will work a weekend rotation, one every 6 weeks...
Hireops Staffing LlcColumbus,OH
Overview Contract role - 8/8/23-12/31/23, with possible extension Pay rate: $50-$65 Hourly Location: Remote IL Required License: RN, LCSW, LCPC Basic function: This position is responsible for discharge care...
CVS HealthDelaware,OH
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...
Utah StaffingColumbus,OH
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...
HumanaColumbus,OH
A healthcare provider in Salt Lake City seeks an experienced RN to join their team. This role involves collaborating with healthcare professionals to review medical care and services, emphasizing a commitment to excellent patient service.
AmTrust FinancialColumbus,OH
A growing commercial insurance company is seeking a Clinical Review Nurse to assess medical necessity and appropriateness of treatments for Workers' Compensation claimants. This role involves collaboration with claims adjusters and conducting...
HireOps Staffing, LLCColumbus,OH
Overview Contract role - 8/8/23-12/31/23, with possible extension Pay rate: $50-$65 Hourly Location: Remote IL Required License: RN, LCSW, LCPC Basic function: This position is responsible for discharge care...
StrykerColumbus,OH
At CVS Health, were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nations leading health solutions company, we reach millions...
Zurich Insurance CompanyColumbus,OH
A leading insurance firm is seeking a Medical Bill Review Senior Nurse in Schaumburg, IL. The role involves reviewing complex medical bills for compliance, managing litigation issues, and ensuring customer satisfaction. Candidates must have at...
Naven HealthColumbus,OH
A nationwide home infusion company is seeking a Quality Assurance Chart Review Nurse. This role involves reviewing clinical records for compliance and accuracy. Candidates should have a nursing degree, an active license, and experience in home...
CircleLink HealthColumbus,OH
This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...
Nevada StaffingColumbus,OH
Clinical Claims Review At UnitedHealthcare, we are 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.
Wyoming StaffingColumbus,OH
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...
Florida StaffingColumbus,OH
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...
HumanaColumbus,OH
A leading health insurance provider is seeking a Utilization Management Nurse 2 to support coordinated care for members healing at home. The ideal candidate will have an Associate Degree in nursing, a valid RN license, and at least three years of...
The Hospice of DaytonColumbus,OH
What You Should Know About the RN Admission Care Liaison Role: * This is a part time DRIVING position serving the Central Ohio Region (Newark, Columbus, Marysville, Lancaster, etc.) * The hours are 11a-7p with any every 4th weekend and...
Washington StaffingColumbus,OH
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...
IntelycareColumbus,OH
Now you can make as much as $68 per hour as a Registered Nurse (RN) in Reynoldsburg, Ohio (and facilities throughout the greater Columbus area), and...

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