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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...

Description Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide...

Job Summary: The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach activities...

Hourly Rate: $38.34 Plus More For Related Experience We're looking for a Registered Nurse Consultant to join our team! The RN Consultant provides consultative services to assist people with intellectual and/or...

About Us: Tribeca Pediatrics was founded by Dr. Michel Cohen, in 1994, and has grown into New York City's largest and most respected primary care pediatric practice. With over 50 locations in vibrant neighborhoods throughout the New York...

Position: Clinical Supervisor (RN) Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is one of the largest private-duty nursing companies in the...

Immediate need for a talented Registered Nurse Utilization Review - Onsite-Santa Clara, CA.This is a 03+ months contract opportunity with long-term potential and is located in U.S(Remote). Please...

Job Description Are you a registered nurse ready to take your career in an exciting new direction-one where your expertise truly makes a difference? Join Pennsylvania's premier Quality Improvement Organization and step into a...

Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...

Salary: $33.98 - $44.44 Hourly Location : Milaca, MN Job Type: Full-time Remote Employment: Flexible/Hybrid Job Number: 00871...

Summary As a leader in eldercare for nearly 70 years, we are always looking for qualified people to join the Stella Maris team. Unique opportunity to join the dynamic, collaborative and well-established Admissions...

We are more than a health system. We are a belief system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...

POSITION SUMMARY: The Triage RN is responsible for assessing patient needs over the phone, providing medical advice, and directing patients to appropriate care based on their symptoms. This role involves critical thinking,...

20 miles from Boston - surrounding areas (Only QUALIFIED Healthcare Professionals accepted) Case Manager - Are you ready to make a real difference in people's lives while enjoying a schedule that suits your lifestyle? We're on the lookout...

SkyBridge Healthcare Home Health & Hospice is seeking a travel nurse RN Hospice for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

Carries out communicable disease surveillance, prevention, and control measures for the City of Boston. Investigates reports of communicable diseases including pathogens of public health importance, reported outbreaks, or other...

Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.

Description Director of Nursing ...

A leading health care provider in Houston is seeking a Nurse Clinician for their Hospital at Home program. This full-time role requires a Bachelor's degree in Nursing, Texas RN license, and a minimum of 2 years of experience. Responsibilities...

Description As a Hospice Registered Nurse Case Manager (RN) you will be called to care when you're needed most. As part of Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our...

Introduction Are you an experienced Registered Nurse looking to make a difference in the lives of individuals with disabilities? If so, we invite you to take this opportunity to join our team!

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

Host Healthcare is seeking a local contract nurse RN PACU - Post Anesthesia Care for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

**Must reside in the WNY region Job Summary Triage nurse is responsible for working with orthopaedic physicians and surgeons to provide telephonic nursing support to surgical and non-surgical patients.