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Job Summary and Responsibilities We are currently offering a 10% sign-on bonus for experienced Labor and Delivery (L&D) Registered Nurses with two or more years of experience. As a Labor & Delivery Nurse at Glendale...

Pre-Payment Review Nurse Consultant- Wisconsin It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible.

Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests...

RequirementsHigh school diploma or GEDSuccessful completion of a certified nursing assistant programFingerprint clearance and negative TB skin test or chest x-rayMinimum one (1) year of documented experience is requiredResponsibilitiesProvide...

Ocean State Job Lot is seeking an RN for Utilization Management in Los Angeles, CA. This role involves coordinating care submissions and documentation for patient admissions, focusing on high-quality care and efficiency. Candidates must hold an...

Nurse Reviewer At Commence, we're the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient processes to program and patient health. We combine quality data-driven solutions that...

To support healthcare revenue solutions, the full-time Remote Clinical Review Nurse will analyze denied insurance claims, draft persuasive appeal letters, and collaborate with legal teams to optimize patient care revenue without direct patient...

Description Location: UCHealth Medical Center of the Rockies: Loveland, CO Department: MCR Rad Nursing Work Schedule: Full Time, 64.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant...

Amergis is hiring a Certified Nurse in El Monte, CA. This role involves assisting with IEPs, providing health office support, and delivering direct nursing care to students.Responsibilities also include collaborating with school staff to promote...

Great opportunity to join a rapidly growing National Women's Healthcare Platform in Los Angeles, CA - looking for a Women's Health Nurse Practitioner who has experience in an office based procedural setting. Board Certified Women's...

City/State Newport News, VA Work Shift Multiple shifts available Overview: Sentara Health Plans is currently hiring an Integrated Nurse Case Manager in the Hampton and Newport News area of...

Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary Responsibilities The Utilization Management Nurse will determine the...

Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We...

The RN staff nurse under the direction of and in accordance with the physician's orders administers skilled nursing care to...

Requisition number: 2368763 Job category: Nursing Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team...

Job Title This is a remote position but will need onsite training in Mishawaka Indiana. Shift: PRN/Days - 8 hr shift Considering local candidates only!!! Why Choose Saint Joseph Health System? At Saint Joseph Health...

Nurse Navigator 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...

MSA Nurse Reviewer We are seeking a MSA Nurse Reviewer with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation for medical...

Nurse Reviewer – State of Illinois Location: Remote with on-site visits across Illinois We are currently seeking Nurses who reside in Central Illinois - preferably in McLean and Sangamon Counties. Position Overview...

Clinical Documentation Improvement Specialist - RN Job Category: Outpatient Nursing Requisition Number: CLINI017160 Full-Time Remote Hourly Range: $28.71 USD to $40.19 USD Description Job Overview: Day-to-day...

Need Work? Want to help people? Become a Senior Caregiver We recognize that many individuals have been laid off due to the coronavirus or may be seeking additional hours.We can help connect you to immediate caregiving opportunities with...

Salary : $50,376.00 - $53,184.00 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: Y5100U Department: HEALTH SERVICES...

About the Job ABOUT US: All Care Home Health is "Committed to Caring." The company provides home care and hospice care services to the Los Angeles and Orange County areas. Founded in 1995, All Care has...

Utilization Review Registered Nurse Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. Make It Happen At Hopkins! Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...