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RN Clinical Appeals Nurse 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,...

Join to apply for the RN | Pre-Admission Testing (PAT) role at Memorial Health Ohio. We are looking for an RN to join our Pre-admission Testing team! In this position, you will have the opportunity to learn how to do the...

We are looking for an RN to join our Pre-admission Testing team! In this position, you will have the opportunity to learn how to do the clinical and clerical pieces of patient care to better support the patient's experience. In this role you will:...

Registered Nurse As a Registered Nurse, you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Staff Nurse (RN) Emergency Department, Observation Unit, University Hospital Department: University Hospital | Emergency Department Job Description: The Ohio State University Wexner Medical Centers mission is to improve health in...

Details Client Name Ohio State University Comprehensive Cancer Center - Arthur G. James Cancer Hospital Job Type Travel Offering Nursing...

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...

A healthcare organization located in Marlton, New Jersey is looking for a qualified RN to ensure compliance for medical necessity through effective communication and documentation. The ideal candidate will have a minimum of three years of clinical...

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

Pickerington OH 43147 Adult, Jtube, Trach Monday-Friday 7a-3p Day Shift Maxim Healthcare Services is seeking a Registered Nurse (RN) to assume responsibility and accountability for the application of the nursing process and the delivery of...

A healthcare company is seeking a part-time RN Triage Nurse to join their remote team in Charlotte, NC. Candidates should have at least 5 years of experience in nursing, ideally within emergency departments or triage settings, and possess strong...

Location: REMOTE - Must Work EST ( Required: NC license or Compact license ) SHIFT: Monday-Friday 8 am-5pm EST; No OT expectations Duration: 1 year (Possible contract to Hire) Job Description: Process authorization requests for TP product, will...

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...

Job Opportunity: Registered Nurse Schedule: Monday to Friday - Eastern Time Location: Remote About the Role As a Registered Nurse, you will make an impact by performing advanced level work related to clinical denial...

A leading healthcare organization is seeking a Utilization Management Registered Nurse 2 to support medical services coordination. This remote position requires a valid RN license, with preference for candidates with 3+ years in skilled nursing...

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...

JOIN TEAM TRILOGY:What You will be Doing: ...

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 millions of...

About this job Using your knowledge and experience, you'll be working directly in your area of care. Prepare to hit the ground running with a great attitude and let your professional skills shine! Duties &...

Job Title: Nurse Case Manager II Location: Remote Field Visit (Cook, Lake, Will, Kane, Winnebago, Rock Island County- IL) Duration: 3 months (possible extension) Schedule: 40hr/ per week and 5 days week. Pay Rate: $39.32 hr. on w2. Job Summary:...

Registered Nurse Job Type: Full Time/Parttime Shift: Nights ONLY 36 hour weeks (12...

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...

Pediatric Registered Nurse Arcadia Homecare and Staffing is searching for Pediatric Registered Nurses. The schedule is Monday-Friday 8am to 5pm. Here are some of the benefits of working for Arcadia Home Care: Health,...

A health services provider is seeking a full-time remote Registered Nurse (RN) for a contract position in Chicago. The role involves validating medical necessity and appropriateness of treatment plans, focusing on claims review for medical...

RN Clinical Appeals Nurse 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...