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Outpatient Scrub RN - OR The Ohio State University Wexner Medical Center's mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The team provides patient care and...

Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...

Registered Nurse - Case Review Specialist STGi is currently seeking a Registered Nurse-Case Review Specialist. The position is remote and open to candidates nationwide. Job Summary: Provides direct support...

Registered Nurse Case Review Specialist Position is Remote/Nationwide Job Summary STGi is currently seeking a Registered Nurse Case Review Specialist. The position is remote and open to candidates nationwide. Provides direct...

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic...

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in...

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...

Want to make an impact? I Am Boundless is hiring for a Registered Nurse! Boundless is a non-profit organization specializing in assisting individuals with I/DD and has been serving Ohio for over 40 years. At I Am Boundless, we're...

Senior Clinical Admin Nurse 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...

Description Location: UCHealth UCHlth Memorial Hosp Central, US:CO:Colorado Springs Department: MHS C Mother Baby Care Unit Work Schedule: Part Time, 48.00 hours per pay period (2 weeks) Shift: Nights Pay: $35.29 - $54.71 / hour. Pay is dependent...

Clinical Member Services Reviewer Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance...

Serenity Behavioral Health Services is seeking a highly skilled and compassionate outpatient Psychiatric Nurse Practitioner to join our team. As an outpatient Psychiatric Nurse Practitioner, you will play a crucial role in providing specialized...

A leading healthcare organization in California is seeking a Registered Nurse, Out-Patient Case Manager. This role involves coordinating care for patients with chronic diseases and leading a team of case managers. Candidates should have a valid RN...

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...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

CVS Health Aetna Case Manager RN 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...

A healthcare management firm is seeking a detail-oriented Utilization Management Reviewer for a fully remote position. The role includes reviewing care based on evidence-based guidelines, ensuring quality and compliance while upholding medical...

Urgent Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...

Registered Nurse Job Type: Full Time/Parttime Shift: Nights ONLY 36 hour weeks (12...

About BlueSky: We are a clinician-led, patient-centered, collaborative behavioral health company of mental health professionals committed to improving access to extremely high-quality mental health care! Each clinician is...

RN Healthcare Advocate Solace is a healthcare advocacy marketplace that connects patients and families to experts who help them understand and take charge of their personal health. About the Role As an RN Healthcare...

A healthcare provider is seeking a part-time Registered Nurse for remote work. The role involves client assessments, modifying treatment plans, and preparing families for discharge. Candidates should have an ADN or BSN and active RN Licensure,...

Medical Edge Recruitment, LLC is seeking a local contract nurse Correctional for a local contract nursing job in Lancaster, Ohio. Job Description & Requirements Specialty: Correctional Discipline:...

Supplemental Health Care is seeking a travel nurse RN Home Health for a travel nursing job in Dublin, Ohio. Job Description & RequirementsSpecialty: Home...

Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...