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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...

Our client is building the world's first proactive healthcare system, starting with neurodegenerative diseases like Alzheimer's. Partnering with leading neurologists and clinics, our client delivers continuous, personalized care through PCM and...

Entity: Owensboro Health Regional Hospital | Department: Virtual Care | Work Hours: 7P - 7:30A | Weekend Requirements: One | 0.9 FTE Job Summary: Provides direct nursing care in accordance with established policies,...

A leading risk management company is seeking a Remote Triage Nurse to triage catastrophic injury referral calls. Candidates must have a BSN and an active RN license, along with six years of experience in Field Case Management or related clinical...

$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...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

A leading pediatric hospital in Colorado is seeking a Clinical Nurse II to deliver compassionate and coordinated care to patients and families. The role emphasizes collaboration within inter-professional teams and integrates evidence-based...

Sentara Health is currently hiring for a Utilization Review Nurse- Remote in VA! Status: Full-time, permanent position (40 hours)Standard working hours: 8 am to 5 pm EST, M-F. Location: Remote in Virginia. Job responsibilities:RN Clinician...

Travel Registered Nurse - Oncology Clinic Jobs in Columbus, Ohio Advance your nursing career as a Travel Registered Nurse (RN) in the Endocrine Oncology Clinic located in Columbus, OH 43210. This is an excellent opportunity for...

Care Advocate (RN) - Florida 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...

Discover. Achieve. Succeed. #BeHere Location: US:WI:MENOMONEE FALLS at our CP-NORTH HILLS HEALTH CENTER facility. This job is ON - SITE. FTE: 0.400000 Standard...

Overview As an employer, MJHS attracts individuals who see their work as a calling as well as a job. Professionals in every job category have cited that they appreciate being left to make their own decisions, are encouraged...

Scope of Work With principal investigator oversight, prepares, evaluates and implements research studies to enhance the advancement of clinical practice. Serves as primary coordinator / project manager on a variety of...

Registered Nurses are encouraged to consider a part-time remote Nurse Reviewer position with Liberty Healthcare Corporation. Liberty Healthcare operates a statewide program in Idaho which assesses children and adults who are living with...

Summary Job Description: Baptist Health Louisville is hosting a Virtual Interview Day on December 22 for New Grad RNs. Baptist Health Louisville has wonderful opportunities for new graduate nurses. New...

Welcome to GSC! About Us At Geriatric Specialty Care of Reno, we're expanding our model for caring for seniors that provides high-quality, comprehensive in-home...

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...

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 Join TriHealth as a Clinical Documentation Specialist and partner with interdisciplinary teams to improve documentation accuracy, support quality outcomes, and elevate patient care. Work...

Job Description The registered nurse (RN) is accountable for the coordination of nursing care, including direct patient care, patient/family education and transitions of care. The RN supports professional nursing practice...

Concentric is currently seeking candidates in Registered Nurse profession with focus in Registered Nurse (Clinic) for a week contract in the Dublin, OH area. Concentric is a premier staffing firm dedicated to matching outstanding talent with...

Amergis Healthcare Staffing, Inc. is seeking a travel nurse RN Clinic for a travel nursing job in Palo Alto, California. Job Description & Requirements Specialty: Clinic Discipline: RN Start Date: 02/16/2026 Duration: 26 weeks 40 hours per week...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families,...

About the job Registered Nurse - Remote Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our...

Work Location: Virtual This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This...