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Shift: Night Working Hours: 6:30p-7a Summary: The Admission/Discharge Registered Nurse (RN) is a member of the Nursing Care Team and is responsible for collaboration, communication & facilitation of optimal provision of...

Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key role in collaborating with our Medical Director...

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of...

Job Type Full-time Description Join our team and earn a $4,000 sign-on bonus! | No Nights | No Weekends | Paid Holidays | | Competitive Pay | Bonus Potential | Generous Benefits/Retirement...

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately...

Job Description Job Description Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal...

Job Description Salary Range: $40 - $42/Hourly Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty-one that blends clinical expertise with deep human connection?

Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. - Issue approvals, denials or...

Employment Type: Full time Shift: Day Shift Description: NEW PAY RATES! Nurse - RNII -Cardiology Office - Phone Triage - Albany, NY -...

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Care Management - Nurse,...

Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...

Make a Meaningful Impact with a Hospice Team That Truly Cares Capital City Hospice is proudly Ohio-made and deeply rooted in the communities we serve. Every decision we make centers on compassion, dignity, and supporting families through...

UM Review Nurse - LVN Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To:...

Deep Roots. Solid Growth. Caring People. Rooted in Wyoming! We are Blue Cross Blue Shield Wyoming: a not-for-profit health insurer with offices throughout the state. Ever since a small group of caring,...

MDS Coordinator Registered Nurse | Licensed Practical Nurse Altercare Canal Winchester Canal Winchester, OH $5000 Bonus - Full Time Altercare Canal Winchester is currently...

About Curative Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0...

Responsive recruiter Benefits: Competitive salary Flexible schedule Opportunity for advancement Training & development RN Home Assessment (Per-Case...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

Find your calling at Mercy! Must live within the Mercy footprint Missouri, Arkansas, Oklahoma and/or Kansas. Delivers and coordinates the standardized new hire Nursing orientation program for licensed and...

Job Type Full-time Description Gentell is one of the largest vertically integrated wound care companies in the world. Based in Yardley, PA and with offices, distribution centers and manufacturing plants around the world,...

Details Client Name Ohio State University Hospital Job Type Travel Offering Nursing Profession RN Specialty...

Description Who we are Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity...

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! Are you looking for an...

Join a specialized and rewarding field in dialysis where you can build meaningful, long-term relationships with your patients while developing highly sought-after clinical skills 💙 This is a great opportunity to be part of a supportive,...

We have exciting opportunities for qualified Chemotherapy Infusion Nurses. Due to our growth, we are actively searching for talented team members. Columbus Oncology and Hematology Associates operates Monday-Friday - no weekends, no holidays, no...