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Provide support to all units within Claims to ensure all clinical components are met for CMS, NCQA, URAC, DOL, DOI, and all other State and Federal entities. Identify business priorities and necessary processes to triage and deliver work. Use...

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...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

A leading health company is seeking a Telephonic Nurse Case Manager II responsible for managing care for members with chronic needs. The position requires a BA/BS in a health-related field, a current RN license, and five years of clinical...

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...

At CVS Health, were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nations leading health solutions company, we reach millions...

" Licensed Psychiatric Nurse Practitioner Wage: Between $89-$203 an hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse...

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...

Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

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- Float Team - Hybrid/Partially Remote The RN is responsible for providing clinical support to providers and patients in Clinical Practice Group (CPG) office. These duties may include: patient care,...

Registered Nurse – General / Dialysis / Mental Health Location: Columbus, OH Contract Type: Travel Duration: 26 weeks Shift: 5×8 Days Pay: $2,524/week Completion Bonus: $2,500...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

Psychiatric Nurse Practitioner (PMHNP-BC) $125k - $145k/year Position Requirement: Full-Time FLSA Status: Exempt Location: Euclid, Ohio Salary: 125K - 145K+ Work from Home! Competitive, negotiable salary!

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...

Thriveworks is currently seeking Psychiatric Mental Health Nurse Practitioners in Oregon. Clinicians need to be licensed and living in the state in which they will be practicing. Compensation: This is a Fee for Service (W2) position, the range for...

Telephonic Case Manager At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions...

Eastway Behavioral Healthcare is hiring for a Psychiatric Mental Health Nurse Practitioner (PMHNP). This position will support our kids who are in residential care with us in both Columbus and Washington Court House, Ohio. Job Description: *...

Employment Type: Full Time Shift: Evening Shift Description Must be within a 50 mile radius of Livonia, MI Work shift Monday through Friday 12:30pm 9:00pm Will work a weekend rotation, one every 6 weeks...

A regional healthcare provider in Virginia Beach is seeking a Certified Diabetes Care and Education Specialist to serve as an expert resource for patients managing diabetes. The ideal candidate will have over 2 years of diabetes education...

Supplemental Health Care is seeking a LPN / LVN Psychiatric for a travel job in Orient, Ohio. Job Description & RequirementsSpecialty:...

Remote PMHNP (1099 Contractor) About the Opportunity We are seeking a licensed and passionate Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our network as a 1099...

Overview Are you a dedicated and experienced Licensed Practical Nurse with a passion for assisting individuals on their journey towards mental health and recovery? We're seeking a proactive and compassionate LPN to join our...

A leading insurance firm is seeking a Medical Bill Review Senior Nurse in Schaumburg, IL. The role involves reviewing complex medical bills for compliance, managing litigation issues, and ensuring customer satisfaction. Candidates must have at...

This position is responsible for conducting face-to-face assessments of members who may need skilled nurse assessment services. The incumbent completes all assessments using a skilled care acuity tool and provides a recommendation for services...