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Registered Nurse (RN) | Other Location: Columbus, OH Agency: Focus Staff Pay: $1,900 per week Shift Information: Nights - 3 days x 12 hours Start Date: ASAP About the Position Overview Focus Staff is seeking a Long Term Acute Care Registered Nurse...

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...

Providence Health Plan Caregiver Opportunity Providence Health Plan caregivers are invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding,...

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...

Registered Nurse (RN) - Remote Care Team Location: ME, NH or VT Hours: Full time, 37.5hrs/week, hourly (Non-Exempt) position Union Membership: This position is represented by AFT union in NH/VT & MSEA union in ME...

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...

Registered Nurse (RN) | Outpatient Clinic Location: Columbus, OH Agency: TechLink Systems, Inc. Pay: Competitive weekly pay (inquire for details) Shift Information: Rotating - 5 days x 9 hours Contract Duration: 13 Weeks Start Date: 1/12/2026 About...

A leader in medical examination services is seeking a Remote Clinical Quality Assurance Nurse Auditor. This role requires a Registered Nurse with critical care and ER experience. Responsibilities include evaluating clinical information, performing...

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 Virginia is seeking a Registered Nurse Case Manager (RN) to join the team. The role is full-time, focusing on patient discharge planning, data analysis for care continuity, and collaboration with healthcare...

Jackson Nurse Professionals is seeking a travel nurse RN Case Management for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Case...

A healthcare organization is seeking a skilled Transitional Care Management Registered Nurse (RN) in Boston, MA to manage patient transitions from hospital to home. The ideal candidate will possess a current RN license, strong clinical and...

Registered Nurse (RN) | Other Location: Columbus, OH Agency: Focus Staff Pay: $1,900 per week Shift Information: Days - 3 days x 12 hours Start Date: ASAP About the Position Overview Focus Staff is seeking a Long Term Acute Care Registered Nurse for...

Pyramid Consulting (Travel) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40...

Remote Registered Nurse (RN) Case Manager Join to apply for the Remote Registered Nurse (RN) Case Manager role at PharmaCord Remote Registered Nurse (RN) Case Manager 1 month ago Be among...

Triage RN - Medical Communication Center - Work From Home Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Nebraska...

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

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...

Who Is Guidehealth? Guidehealth is a data?powered, performance?driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...

Facility: SRS City San Diego Department Job Status Regular Shift Variable FTE 0.6 Shift Start Time Shift End Time...

A healthcare organization in California is seeking a Case Manager, RN to guide participant care in a collaborative environment. The role focuses on comprehensive care for seniors, requiring a nursing degree and California RN license.

A healthcare staffing company is looking for an RN Health Care Facility Surveyor to conduct on-site surveys for compliance with regulations. This full-time, remote role requires travel up to 75% of the time. Candidate must have a nursing degree...

Similar experience is needed. RN license, required. Position Overview The Home Health RN Document Integrity Specialist is responsible for all quality assurance related external audits in adherence with regulatory standards. Work from home, remote...

A major health services organization is seeking a DRG/CVA Validation Auditor RN to apply expertise in MS-DRG and APR-DRG coding methodologies. This remote position requires effective coding reviews, validating inpatient claims, and composing...

Clinical Appeals Nurse The Remote Clinical Denials/Appeals Nurse will be directly responsible for securing pre-service approvals, and reviewing pre/post service denials, medical necessity review and completing appeals and/or coordinating...