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Clinical Appeals Nurse (RN) The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory...

Review provider post-service appeals for Medicare and Retirement. Gather clinical information including medical records and coverage criteria as it pertains to Medicare guidelines. Discuss cases with medical directors when applicable. Ability to...

Job Description: Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven...

The overall purpose of the Wellness Nurse position is to provide Person-Centered Care consistent with accepted standards and expectations of Sunshine Retirement Living and state regulations. The Wellness Nurse's responsibilities include, but are not...

What You Should Know About the RN Admission Care Liaison Role: * This is a part time DRIVING position serving the Central Ohio Region (Newark, Columbus, Marysville, Lancaster, etc.) * The hours are 11a-7p with any every 4th weekend and...

About this job Using your knowledge and experience, you'll be working directly in your area of care. Prepare to hit the ground running with a great attitude and let your professional skills shine! Duties &...

ORGANIZATION INFORMATION: Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its expanded mission has made it one of...

Hospital At Home Virtual RN We are seeking a tech-savvy and compassionate Registered Nurse (RN) to join our Hospital at Home program as a Virtual Nurse. This position supports acute care delivery in the patient's home through virtual...

Insight Global is seeking a Registered Nurse (RN) Home Health for a nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Home...

Registered Nurse (RN) - Remote Pine Park Health is a value-based primary care practice revolutionizing healthcare for senior living community residents. We empower seniors to get healthy, stay healthy, and lead lives they love through a...

Cynet Health is seeking an experienced Ambulatory Care Registered Nurse for an exciting Travel Nursing job in Columbus, OH. Shift: 5x8 hr days Start Date: 01/05/2026 Duration: 13 weeks Pay: $2137 / Week About Cynet Health: Ranked...

Description & Requirements Maximus is currently hiring for an Appeals Nurse to join our State East team. This is a remote opportunity. The Appeals Nurse is responsible for facilitating the review portion of the case. They will...

...Nursing Assistant, Certified Nursing Assistant, Nursing, Assistant, Property Management, Healthcare, Certified...

Independently evaluates basic to complex medical claims and/or appeal cases and associated records by applying clinical, regulatory, and policy and procedures knowledge and experience to assess the appropriateness of service provided, length of stay...

JOB DESCRIPTION Job Summary The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance...

For training and educating Registered Nurses on medical devices primarily used for vascular access and blood collection. What you will be doing in the role:Your primary focus will be in-servicing and education only; no sales responsibilities, and no...

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...

The Clinical Coordinator works under the direction of the Manager in support of Patient Care Services and unit specific goals. They are responsible for assisting with the coordination of patient care and providing support and directions for staff in...

...Nursing Assistant, Certified Nursing Assistant, Nursing, Assistant, Property Management, Healthcare, Certified...

What You Should Know About the RN Admission Care Liaison Role: This is a part time DRIVING position serving the Central Ohio Region (Newark, Columbus, Marysville, Lancaster, etc.)The hours are 11a-7p...

McPherson Health and Rehab in McPherson, KS is looking to hire a full-time Director of Nursing (DON) to join our team. Are you looking for a career with a health care company that will value you? Do you want to be part of a dynamic and caring...

What You'll Do: In this position you will be responsible for coordinating, conducting, and maintaining the Ohio Department of Health (ODH) continuing education (CE) programs and assuring continued state and national approval. You will also...

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ChenMed is seeking a Registered Nurse (RN) Home Health Case Management for a nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Case...

Position Type: Student Support Services/School Nurse Date Posted: 7/1/2024 Location: Groveport Madison Schools Date Available:...