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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...

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and...

RN - Utilization Review Nurse | 3+ Years of Experience | Remote in IL | Contract Walker Healthforce is seeking a RN - Utilization Review Nurse with 3+ Years of Experience to support a Healthcare Payor Client based out of IL.

Job Type Full-time Description WESTSIDE IS LOOKING FOR A NURSE / RN TO JOIN THE VIRTUAL NURSE TEAM! SIGN ON BONUS OFFERED! LOAN PAYOFF PROGRAMS...

Registered Nurse Explore opportunities with LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best,...

We are looking for a Nursing Student Extern to join our collaborative team at Memorial Health! What You'll Do: Collect and document vital signs, basic assessments, and patient data. Assist with ADLs, mobility, hygiene, feeding, and positioning.

Overview: 0.6-0.9 fte available (24-36 hours/week) Night shift Every other weekend Job Description Summary: Performs basic supportive care to specified patients and families under the direction...

A medical center in Columbus, Ohio, has an opening for a CRNA to assist their team. Target Start Date 5/1/2024 Target End Date 9/30/2024 Opportunity...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect...

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best,...

The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position. ESSENTIAL...

Who We Are: At Neurocrine Biosciences, we pride ourselves on having a strong, inclusive, and positive culture based on our shared purpose and values. We know what it takes to be great, and we are as passionate about our...

Job Description: • Participates in the development and ongoing implementation of QM Work Plan activities. • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet...

Educates health care professionals, patients, and families about home care services. Develops and maintains relationships with key referral sources, such as hospitals, nursing homes and physician offices to generate leads. Coordinates patient...

Research Nurse (Per Diem) - Lexington, MA Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile research...

Job Description: NonCNA/NonSTNA Lincoln Village Columbus, OH PRN 7am or 7pm start Lincoln Village, located in Columbus, OH, is an...

Are you an infusion center or oncology nurse looking for a flexible side gig? Are you a critical care RN or ER nurse interested in taking care of patients outside of the hospital? We are here for YOU! Float...

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...

Description Join PeaceHealth in advancing compassionate, mission-driven care from wherever you are. PeaceHealth is looking for a skilled and motivated Registered Nurse Utilization...

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...

Our people are the difference. Transitions Care is a leading hospice organization that has changed the hospice experience for patients, families, and team members. Imagine a healthcare company that provides 24/7 access to services in the comfort of...

Up to $50K Sign On Bonus - Dublin, OH - Seeking CRNAs Become a Valued Member of Your Anesthesia Team As a CRNA, you play a critical role in our mission to improve lives in anesthesiology...

Company:OhioHealth at Home At OhioHealth Hospice together with Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and...

Certified Registered Nurse Anesthetist | Anesthesiology - General/Other Location: Beaverdam, OH Employer: CompHealth Pay: $300,000 to $400,000 per...

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