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Job Description Job Summary 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...

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.

RN Team Lead-IDD Full Time No weekends A Great Opportunity The RN Team Lead is responsible for leading a team of registered nurses in providing high-quality patient care in a healthcare...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because...

*Employment Type:* Full time *Shift:* 12 Hour Day Shift *Description:* Qualified applicants may submit a resume to Senior Talent Acquisition Partner, Tonya Globlek at ...@mchs.com for expedited consideration.*Position Purpose: * The Accountable...

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...

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 healthcare organization is seeking a Utilization Manager Registered Nurse to join their team in Massachusetts. The role involves conducting clinical reviews for service authorizations and ensuring compliance with regulatory standards. Candidates...

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. Come build the health care system...

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...

Job Title: Care Management Coordinator/RN Pay rate: $45/HR W2 Duration: 3 months contract-to-hire 100% Remote Job Description: Position is remote -...

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...

Caring. Connecting. Growing Together. 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...

Join us as a Registered Nurse (RN) - Quality Coordinator RN position at Lower Keys Medical Center Unit: Quality Coordinator RN (2+ years of quality experience preferred) Shift: Remote or onsite Mon-Fri 8AM-4:00...

A leading healthcare organization is seeking a qualified RN for a role that involves auditing medical records and communicating clinical findings. The position requires an undergraduate degree or equivalent nursing experience, along with a current...

Description The Clinical Staff Supervisor is critical in coordinating and managing the clinical support team, as well as overseeing clinical workflows and activities in the clinic. As a key member of the clinic leadership, this role...

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...

Position Summary: The ANM assists with the planning, organization, direction and evaluation of patient care operations for a designated area(s) on a 24-hour basis. The ANM is key in operationalizing the Medical Centers mission, vision,...

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...

Our Company ResCare Community Living Overview 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...

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...

Binding Minds is seeking a local contract nurse RN OR Circulate for a local contract nursing job in Westerville, Ohio. Job Description & RequirementsSpecialty: OR...

A leading healthcare organization seeks an experienced individual to manage utilization review processes remotely. This role requires a Registered Nurse with leadership experience to oversee operations and collaborate with medical teams to ensure...

Remote Registered Nurse (RN) Case Manager Join to apply for the Remote Registered Nurse (RN) Case Manager role at PharmaCord. Important Notice Due to an increase in hiring scams, please be aware that if you...

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...