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JOB DESCRIPTION Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically...

Job Type Full-time Description Job Summary The Utilization Review (UR) Nurse is responsible for analyzing medical records for medical-legal reviews and producing high-quality, professional executive...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...

$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...

A leading healthcare staffing company is seeking a Transition of Care Registered Nurse to oversee patient transitions post-hospital discharge. This role involves working closely with healthcare teams to ensure safe and effective care transitions,...

A leading global healthcare service provider is seeking a Remote RN to provide pharmacy utilization management services, focusing on patient safety and quality standards. Candidates should have a Bachelor's degree in Nursing and an active RN...

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...

Description The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare...

Telephonic Case Manager Rn Medical/Oncology Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by...

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...

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 Description - Nursing Assistant Position Overview We are looking for a compassionate and dedicated Nursing Assistant to join our healthcare...

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

Remote Clinical Review Nurse – Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are seeking an experienced Registered Nurse to join our team...

Description At Bath & Body Works, everyone belongs. We are committed to creating a culture of belonging focused on delivering exceptional fragrances and experiences to our customers. We focus on recruiting, retaining, and...

What You'll Do: The Ohio Department of Health / Complex Medical Help program is looking for an experienced nursing leader to oversee statewide public health nursing programs, guide policy development and ensure consistent,...

We are excited to announce our new compensation package! Our Anesthesiologist and CRNA care team model requires CRNAs to function with a high degree of autonomy within a professional working environment where you are valued and respected.

THP Healthcare Staffing is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: PACU - Post Anesthesia Care Discipline:...

Concentric is currently seeking candidates in Certified Nursing Assistant (CNA/ LNA) profession with focus in Certified Nursing Assistant (Clinic) for a week contract in the Columbus, OH area. Concentric is a premier staffing firm dedicated to...

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 company, we reach...

HJ Staffing is seeking a highly detail-oriented HEDIS Data Reviewer to join our team in support of Impresiv Health. Working under the direction of the Manager of Medical Record Review Operations, you...

Job Description Job Summary The Anesthesia Technician supports the anesthesia team in delivering safe and efficient patient care by preparing equipment, assisting with procedures, and maintaining anesthesia...

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...

Location: Avera McKennan Hospital Worker Type: Regular Work Shift: Rotating days/evenings ights/weekends/holidays (United States of America) Pay Range: The pay range for...