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Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

A leading health solutions company in New Jersey seeks a Registered Nurse for a case management role focusing on dual eligible populations. This work-from-home position requires 25-50% travel within Passaic County. Responsibilities include...

A healthcare organization in Duluth is seeking a Sepsis Program Coordinator responsible for developing and implementing sepsis initiatives. The ideal candidate will have 3-5 years of clinical experience and a Bachelor's degree in Nursing, with a...

Overview Valid Ohio driver's license and proof of auto insurance is required by hospital policy. Must pass a motor vehicle background inspection, insurance eligibility, driving qualifications and training set forth by...

Description: Nurses – are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates! ABOUT US: Hines is a nationwide, independent leader...

Detox Nurse Requirements Normal 0 false false false EN-US X-NONE X-NONEGraduate of an accredited school of nursing required.Licensed as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the State of Ohio...

A healthcare organization is seeking a Full-Time RN Case Manager to support patients with chronic illnesses in the Vallejo and Fairfield areas. The role includes coordinating care, assessing patient needs, and maintaining flexible work...

Job Title Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where...

A leading healthcare company seeks a Qualified Rehabilitation Consultant RN in Saint Paul, MN. This full-time role involves providing case management services for workers' compensation. Key qualifications include 3+ years of case management...

A leading risk and claims administration company is seeking a part-time nurse to join their team in Annapolis. This role involves triaging medical calls to assess needs and offering appropriate care solutions. The ideal candidate should hold a...

Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Case ManagementDiscipline:...

Description RN Utilization Review at Irvine, CA. This position is Full- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our...

Utilization Review RN The Utilization Review RN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. This position functions as a part of a multidisciplinary team,...

Nursing Position 0.9FTE, 36 hours per week. Night shift, 7p-7:30a; every third weekend; holiday rotation Assists patients to move rapidly, uneventfully, and as effectively as possible through their episode of care while...

Health & Clinical Services Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of health ranging...

Remote HEDIS Nurse Consultant Description HEDIS work typically includes requesting records, abstracting/overreading medical records, performing claims research, preparing medical records for the NCQA HEDIS Auditor, etc. Abstracts...

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Travel Nurses, Inc. is seeking a travel nurse RN Clinic Oncology for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: OncologyDiscipline: RNStart Date:...

CommuniCare - JobID: R-000####### [CNA / Health Aide] As a STNA Nursing Assistant at CommuniCare, you'll: Assist patients with daily living activities; Monitor and record vital signs; Provide emotional support to patients and families; Assist...

A leading health care company is seeking a Bilingual Case Manager, RN focused on maternal health. The role involves comprehensive care coordination for Medicaid members who are pregnant or recently pregnant. Responsibilities include engaging...

A leading healthcare organization is hiring an Integrated Nurse Case Manager for a full-time remote position. This role requires managing care for members with chronic conditions in the Alexandria/Woodbridge areas. Key responsibilities include...

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...

Unit Description: The Primary Nurse in Ambulatory Oncology serves as a pivotal member of the patients' multidisciplinary team, coordinating care across the continuum. Key aspects of this role include telephone triage of acute illness, ongoing...

JOB DESCRIPTION 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...

Mount Carmel Behavioral Health is hiring Admissions RN's! Available Shifts And Hours 7p-7a with rotating weekends Sign On Bonus Full Time Night:...