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A healthcare organization is seeking a Recovery Audit Contractor (RAC) Coordinator (RN) to manage denial and recovery audit requests. This role involves coordinating approvals and denials and ensuring proper policy implementation. The ideal...

Description Location: UCHealth Anschutz Inpatient Pavilion - Aurora Department: Virtual Health Center - Quality program This position is an onsite role and does not offer a hybrid or remote option Work Schedule: Full Time, 72.00 hours per pay...

Clinical Nurse Liaison, RN 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 connecting people...

What you'll do at DBH: As a Mental Health/Psychiatric RN you will: * Serve in a fundamental role as an interdisciplinary treatment team member for psychiatric patients creating and executing treatment plans * Observe, evaluate,...

Employment Type: Part time Shift: Rotating Shift Description: Casual Nurse Midwife Position Purpose: This hospital based...

Telephonic Case Manager 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...

Imagine Yourself at Otterbein Join Otterbein SeniorLife a place that ignites your passion. You'll find days filled with opportunities and memorable experiences. Become part of a team dedicated to caring for others. Career opportunities...

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...

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...

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 regulatory requirements, Molina policies...

Senior Care Advocate (LCSW/RN) Papa is a new kind of care built on human connection. Across the country, health plans and employers look to Papa to provide vital social support by pairing older adults and families with Papa Pals, trained...

Weekend Admissions Registered Nurse (RN) Are you a skilled and compassionate Registered Nurse looking for a weekend opportunity with excellent compensation? Join our team as a Weekend Admissions RN and make a difference in patients' lives...

Bilingual RN Care Manager (Remote Flexible - Spanish Speaking) At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we...

Rn Case Manager Urgent hiring for RN Case Manager in Austin, Texas. Must be located in Texas. Job Description: Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to...

A leading home health service provider in Massachusetts is seeking a Registered Nurse (RN) for home care services to manage clinical operations, develop care plans, and supervise nursing staff. Candidates must have an active RN license and 2-3...

RN Clinical Appeals Nurse Remote at Molina Healthcare in Idaho Falls, Idaho, United States Job Description JOB DESCRIPTION Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals...

Details Client Name Ohio State University James Hospital Job Type Travel Offering Nursing Profession RN...

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 regulatory requirements, Molina policies...

Nurse Case Manager Battelle delivers when others can't. We conduct research and development, manage national laboratories, design and manufacture products and deliver critical services for our clientswhether they are a multi-national...

A leading healthcare provider is seeking a Registered Nurse for care management, working in both remote and field settings. The RN will conduct assessments and develop care plans for members of the Medicare and Medicaid programs. Key...

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 regulatory requirements, Molina policies...

Registered Nurse Job Type: Full Time/Parttime Shift: Nights ONLY 36 hour weeks (12 hour shift 7 - 7:30) $10,000.00 sign on bonus...

Outpatient Surgery and Endoscopy or OR and PACU available 1st shift, on call rotation required Full-Time and Part Time Available 10 or 12 hour shifts available Seeking individuals who have Ophthalmology experience What You'll...

Scope of Position The APRN is responsible for providing health care services to patients within the parameters of a standard care agreement with an attending physician member of The Ohio State University Wexner Medical Center.

A leading healthcare staffing provider is seeking a full-time RN Case Management Consultant to focus on enrollment for members losing their U-Care coverage. This remote position involves collaboration with case management teams and a strong...