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**Job Description** **Job Summary** 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...

TravelNurseSource is working with Accede Solutions Inc to find a qualified Case Manager RN in Columbus, Ohio, 43085! About The Position Registered Nurse/Case Manager: Duration:13 Weeks Shift: Day 5x8-Hour (08:00 - 16:30) Description: Registered...

A healthcare organization is seeking a Field Case Manager in Michigan. This remote position, requiring 25-50% travel, focuses on case management for dual eligible populations. Key responsibilities include home visits, developing care plans, and...

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...

Providence Health Plan Caregiver Opportunity Providence Health Plan caregivers are invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding,...

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...

Clinical Claims Review At UnitedHealthcare, we are 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.

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because...

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...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because...

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...

A leading healthcare provider in Winston-Salem is seeking a Telehealth Nurse to provide nursing services remotely. Applicants should have a valid RN license and at least 3 years of clinical experience, preferably in telephone triage. Strong...

Overview Contract role - 8/8/23-12/31/23, with possible extension Pay rate: $50-$65 Hourly Location: Remote IL Required License: RN, LCSW, LCPC Basic function: This position is responsible for discharge care...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because...

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...

Job Description: Works collaboratively with physicians, interdisciplinary teams, individual patients and families to promote positive patient outcomes. Performs a care continuum process that assesses, plans, implements,...

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...

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...

Description Location: This position is located at our Dublin, OH campus with hybrid flexibility. Rotating work from home days. No weekends...

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. SCHEDULE:...

It's fun to work in a company where people truly BELIEVE in what they're doing! Our intention is to have employees who are passionate about making their personal mission statement come to life each day at work! Be it through providing...

Employer Industry: Healthcare Why consider this job opportunity: Opportunity for career advancement and growth within the organization Work remotely from anywhere within New England Supportive and...

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...

A healthcare organization in Columbus, Ohio is seeking a compassionate Registered Nurse Case Manager. Join a dedicated team where you'll provide home-based nursing care, engage with patients and their families, and manage care plans. Enjoy a...

We are hiring a Patient Care Manager and RN Dual role with Home Health experience. 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:...