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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...

Baptist Health is the regions largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward...

University Overview The University of Pennsylvania, the largest private employer in Philadelphia, is a world-renowned leader in education, research, and innovation. This historic, Ivy League school consistently ranks among the top 10...

A healthcare institution is seeking a Clinical Documentation Specialist RN to enhance the quality and completeness of clinical documentation. The role requires collaboration with physicians and nursing staff to analyze medical records, ensure...

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...

ChenMed is seeking a Registered Nurse (RN) Educator for a nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: EducatorDiscipline:...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the...

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to...

Building Location: Brainerd Clinic Department: 1006090 POPULATION CARE MANAGEMENT - EH SS Job Description: A Registered Nurse MSHO Care Coordinator...

Christie Clinic's department of Value-Based Care is seeking a full-time RN at the University clinic in Champaign from Monday-Friday 8:00am-5:00pm. with no night or weekend requirements. This position will allow for remote work following the...

Job Description Our client in Columbus OH has a 8HR DAY travel position for an RN traveler with current Clinic - experience. The ideal candidate must have at least 2 years of experience, with active RN license and...

POSITION SUMMARY: The Population Health Care Coordinator works in collaboration and partnership within an interdisciplinary team to manage chronic healthcare conditions for patients with two or more chronic conditions and...

JOIN TEAM TRILOGY: At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of...

Job Description Registered Nurse - Full Time - Home Health (Florence County) *$15,000 with 2 years commitment Sign On Available! Responsibilities ...

Registered Nurse Career Opportunity Encompass Health: Where Nursing Meets Heart, Home, and Healing Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass...

Job Title: Care Management Coordinator/RN Pay rate: $45/HR W2 Duration: 3 months contract-to-hire 100% Remote Job Description: Position is remote -...

SUMMARY: Reports to the Director of Care Management or designee. Conducts surveillance over medical necessity of patient care records. In collaboration with the physician of record and the Utilization Review Committee physician ensures the...

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.

JOIN TEAM TRILOGY - At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and...

This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...

Provide high-quality clinical services within scope of practice and infection control standards. Coordinate care with other members of the patient/client's care team from admission to discharge. Complete clinical nursing assessments per...

Provide holistic (RN) nursing care to patients in a correctional setting. Assess physical, psychological, and social dimensions of patients; obtain health history and provide a written assessment of patients upon admission. During custody and upon...

Home Infusion / IVIG RN - Rapidly Expanding Market Fully remote and autonomous position providing infusions in the home setting for patients in the Columbus, OH area. As a Home Infusion IVIG Registered Nurse (RN) you will work outside the walls of a...

A community health organization in Norridge is seeking a Registered Nurse to provide specialized care to older adults. This role involves building strong, loving bonds with residents and contributing to a positive community culture. Candidates...

A healthcare innovator in California is seeking a Registered Nurse to provide remote care as part of a telehealth team. Responsibilities include conducting assessments, educating patients, and ensuring compliance with healthcare regulations.