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Business (Non-Clinical) General Summary: Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. Combines clinical, business,...

Job Description Nurse Supervisor Career Opportunity Leading with Heart: Your Journey Starts Here Seeking a career that's both personally enriching and professionally rewarding,...

Description “After spending 14 years in healthcare, I finally found my home with Arrow Senior Living. It's home-like environment is not just for the residents but for the team members as well. From day one you embrace the core...

Nursing Manager / RN Required Join a team of passionate and caring clinicians who make a difference in people's lives. Our nursing group focuses on compassion and meeting the needs of our clients in a variety of settings such as Home...

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...

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...

Job Details Job Location Carriage Court of Grove City - Grove City, OH Position Type Full Time Salary Range $36.06 - $36.54 Hourly...

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...

Scope of Position: The Associate Director of Nursing for Ambulatory Services provides strategic and operational leadership for Non-Oncology Infusion Services, Clinical Research Center, and McCampbell Hall OBGYN clinics and associated...

Community RN - Part Time ComForCare Home Care ComForCare Home Care is a premier in home care agency in the Marion, Polk, Linn/Benton county areas. We are looking for a self-motivated, friendly, positive nurse who enjoys working with...

Nurse Manager Piketon, OH Nuclear Care Partners is seeking a dynamic and experienced Nurse Manager (RN) to lead our clinical team in Ohio and uphold our standards of excellence in home...

Clinical Claims Review 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.

We Are More Than A Health System We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care...

Nurse Manager, Periop- Post Anesthesia Care Unit- The James James | Ambulatory Surgical Unit Scope of Position The Ohio State University Medical Center's mission is focused on integrating quality patient care, education,...

Utilization Review - Fully Remote This role involves performing precertification and medical necessity reviews for designated referrals and targeted outpatient procedures, services, and inpatient admissions. The position requires...

Description Company Overview: For over 30 years, The IMA Group has been dedicated to enhancing the livelihood and productivity of individuals and organizations navigating challenging periods of health, work...

Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and...

Description Clinical Program RN at Providence St. Joseph Hospital Orange in Orange, CA. This position is Full- time and will work 8-hour, Day shifts. St. Joseph Hospital is four-time designated for...

Nurse Case Manager II Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. The...

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...

2536 Remote?: 0 Highlights (Bonus, shift, relocation, info for job): Monday through Friday, 8-5 with hour lunch, no weekends, no on-call, with paid holiday time off and paid...

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...

Anticipated End Date: 2025-12-02 Position Title: Nurse Care Manager II - Incident Management Reporting, Ohio Job Description: Nurse Care Manager II Location: Ohio ...

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...

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...