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A healthcare company is seeking a Preservice Review Nurse RN in Massachusetts to evaluate home health services for appropriateness of care. This role involves collaborating with a team, ensuring quality standards, and determining service...

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 with the care, pharmacy benefits, data...

A leading academic medical center in Miami is seeking an experienced Oncology Prior Authorization Case Manager to work remotely. The role involves conducting utilization reviews and coordinating patient care to ensure efficient healthcare...

Spinal Cord Injuries And Disorders Registered Nurse Central Ohio VA Health Care System is seeking a RN to manage a specialized caseload of veterans with Spinal Cord Injuries and Disorders. This position also manages the patients with ALS...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Overview: Schedule: Monday- Friday (8a-4:30p), 40 hrs/week. Job Description Summary: Performs basic supportive care to specified patients and families under the direction and supervision of an RN or Care...

Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans. This role requires a strong...

Applying to this posting will allow you to be considered for multiple Clinical Research Nurse opportunities within the Comprehensive Cancer Center. Positions may be available across various locations, including the OSU Main Medical Campus, James...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people...

We are hiring for a Registered Nurse . $7,500 Sign-On Bonus available At Caretenders Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for...

Details Client Name The James Cancer Hospital and Solove Research Institute Job Type Travel Offering Nursing Profession RN...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Primary Care Nurse Rn Or Lpn Hybrid Remote Find your calling at Mercy! Position details: additional job description primary care nurse rn or lpn hybrid remote - mercy clinic primary care, crimson spire monday-friday, 40 hours per week...

A leading healthcare organization seeks an experienced individual to manage utilization review processes remotely. This role requires a Registered Nurse with leadership experience to oversee operations and collaborate with medical teams to ensure...

Job Opportunity Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations...

Overview Mount Carmel Behavioral Health Hospital is hiring Registered Nurses! Available Schedules: Full Time Night PRN Day Pay Range:...

Who Is Guidehealth? Guidehealth is a data?powered, performance?driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...

Clinic Nurse-Palliative Care. Department:James | Cancer Support Services Nursing. Scope of Position. The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institutes (OSUCCC-James) mission is to improve...

Utilization Review Case Manager The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts...

Details Client Name James Cancer Hospital and Research Job Type Travel Offering Nursing Profession RN...

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...

RELOCATE TO VIRGINIA OPPORTUNITY Join our esteemed team of healthcare professionals committed to...

Clinical Appeals Rn At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come...

Triage RN - Medical Communication Center - Work From Home Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Nebraska...