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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 appropriate clinical...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

A healthcare solutions company is seeking a Clinical Guide Population Health RN to provide care coordination, clinical triage, and education to members. This role involves engaging with high-risk patients, assisting them in navigating the...

Overview OhioHealth Rehabilitation Hospital Joint venture with Select Medical Position: Registered Nurse (RN) Location: Columbus,...

Registered Nurse The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing...

JOB DESCRIPTION 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...

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,...

Overview Remote Registered Nurse (RN) - Nurse Triage Position Summary The RN - Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical...

Job Description: The RN Transition and Triage Care Manager offers comprehensive, time-limited services to patients and their families, ensuring continuity of care as they move across healthcare settings and clinicians. This role aims to...

A leading healthcare organization is looking for a DRG/CVA Validation Auditor RN to audit inpatient claims by validating coding and reimbursement methodologies. The role offers flexibility to work remotely, requiring an Associates degree and...

Company : Allegheny Health NetworkJob Description : GENERAL OVERVIEW: The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for...

A major healthcare provider is seeking a Clinical Advisor, RN for a remote position. This role involves analyzing population health data, delivering impactful presentations to clients, and making strategic recommendations to improve healthcare...

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is...

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...

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...

Overview Certified Nurse Midwife in Columbus, OH! Responsibilities We have an exciting opportunity for an experienced and dynamic Certified Nurse Midwife to join our new OB Hospitalist program...

Job Description Critical Care Virtual Registered Nurse - located in Big Flats, NY! This position is per diem night shift. Position Details: The Virtual Critical Care Registered Nurse works from the...

A growing healthcare provider in Texas is seeking a compassionate Registered Nurse (RN) to provide after-hours triage support for hospice patients. This remote role requires an active multistate RN license, with preference for candidates...

Overview: This position is M-F during typical School hours (7-4pm). There are three options for FTE in this position. Option 1: 0.8 FTE works 5 days a week during the school year with summers off. Option 2: 0.8 FTE...

A local medical group is seeking Registered Nurse (RN) candidates to join their Primary Care team for Family Medicine and Internal Medicine. This full-time position offers a competitive pay range and benefits, including medical, dental, vision,...

Department: 02240 GCMG Neurology Administration: Corporate - Neurology Status: Part time Benefits Eligible: Yes Hours Per Week: 24 Schedule...

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow...

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...

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and...

Overview Are you a compassionate, self-motivated registered nurse with top-notch critical thinking and clinical skills? Seeking a challenging yet remote registered nurse position that keeps your abilities sharp?