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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 healthcare service provider is seeking a Registered Nurse - Case Review Specialist to provide remote support in reviewing cases for Federal Occupational Health. The ideal candidate will have at least 5 years of Nursing experience, a valid RN...

Cvs Health Rn 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...

Job Description Job Description Job Title : Registered Nurse (RN) Disease Manager Job Overview : The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of...

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...

A leading health care provider in Virginia is seeking a qualified RN Director Clinical Practice to oversee home health operations. This role requires at least 8 years of nursing experience, with significant expertise in home health care and strong...

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 healthcare provider is seeking a Case Management Coordinator for their Home Health division. This role involves functioning as a clinical liaison with managed care customers, collaborating with external case managers, monitoring service...

A leading home health care provider is seeking a Compliance RN Home Health Clinical Partner in Nashville, TN. This full-time position involves conducting clinical audits, performing HIPAA checks, and providing compliance education. Ideal...

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...

ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With 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...

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 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...

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...

The Ohio Hospital for Psychiatry is hiring a Nurse Manager! Shift: Day Schedule: Full Time Pay Range: $45 to $49 per hour (dependent on years of experience) Sign On Bonus: $7,500 Ohio Hospital for Psychiatry is an...

Manager II Grievance/Appeals-RN Location: Ohio-Cincinnati, Columbus, Mason, or Seven Hills (Must be within commutable distance to one of the listed locations.) Hybrid 1: This role requires associates to be in-office 1 - 2 days per...

What You'll Do... * Administers medication (e.g., oral intramuscular and intravenous) and monitors patient medication compliance * Performs treatments and performs or assists with nurse's sick call * Assists with doctor's sick call...

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...

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...

Take advantage of flexible schedules and get paid up to $68 an hour as a Registered Nurse (RN) in Westerville, Ohio, and surrounding areas. Nursing...

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...

A leading healthcare organization is looking for a Nurse Reviewer I to conduct preauthorization and appropriateness of treatment reviews for diagnostic imaging services. The role supports remote work and requires an associate degree in nursing...

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...