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Quality Assurance (2 Openings) Responsibilities: Perform quality assurance review of peer review reports, correspondences, addendums, or supplemental reviews. Ensure clear, concise, evidence-based rationales are...

A leading healthcare organization is seeking an experienced RN for a remote position focusing on utilization review. Candidates must have 2 years of RN and UR experience, an active RN license, and reside within one hour of St. Louis. 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...

Start your career today with Prime Home Care, a Help at Home company. Now hiring Registered Nurses looking for part-time, flexible hours. Candidates will enjoy a fun, motivated, team environment. Prime Home Care is a widely-recognized...

CommuniCare - JobID: R-000####### [CNA / Health Aide] As a Certified Nursing Assistant at CommuniCare, you'll: Assist patients with daily activities; Monitor vital signs and report any changes to medical staff; Provide emotional support to...

The Ohio Hospital for Psychiatry is hiring Admissions Registeres Nurses! Shift: Days or Nights Schedule: PRN Pay Range: $36.00 to $40.00 per hour Ohio Hospital for Psychiatry is an acute inpatient & outpatient treatment center for...

Employer Industry: Healthcare Services Why consider this job opportunity Opportunity for career advancement and growth within the organization Work remotely, with flexibility in scheduling Engage in...

The Student Nurse is responsible for providing a variety of direct and indirect patient care activities as supervised and directed by the Registered Nurse. Care is provided in collaboration with the patient, family, and other members of the patient...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

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...

Perform medical reviews on provider inquiries and member appeals. Works within Department of Labor and State guidelines. Adherence to all confidentiality regulations and agreements. Reviews and interprets Plan language appropriately. Utilizes...

American Medical Staffing is seeking a local contract nurse RN Psychiatric for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

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...

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 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...

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 company is seeking a part-time RN Triage Nurse to join their remote team in Charlotte, NC. Candidates should have at least 5 years of experience in nursing, ideally within emergency departments or triage settings, and possess strong...

Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Case...

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...

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

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...

Description Location: This position is located at...

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...

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! AccessNurse...

Join to apply for the RN Call Assist Remote in PST role at Optum 1 day ago Be among the first 25 applicants Join to apply for the RN Call Assist Remote in PST role at...