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A leading healthcare provider in Boston is seeking a Staff Nurse for their Anticoagulation Management Services. The successful candidate will collaborate with the healthcare team to enhance patient care, monitor medications, and provide education...

Become a part of our caring community and help us put health first Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against...

Management and oversight of clinical operations in both the Sexual Health & Womens Health and Wellness Centers, including supervision of clinical support staff members, direct patient care, outreach, and community education. The Sexual Health and...

Details Client Name Critical Illness and Rehab Ohio Health Rehabilitation Hospital Job Type Travel Offering Nursing Profession...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

Summary We are hiring for an RN Case Manager in Hospice This is a Full Time position doing Home Visits for Hospice. At Caretenders Hospice, in Columbus, OH a part of LHC...

Description Providence Health Plan caregivers are not simply valued – they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care...

RN Case Manager - Senior Home Care Location: Visiting Angels Columbus, Ohio Position Type: Full-Time, in person Compensation: $75,000 - $80,000/yr. Plus...

Description Location: This position is located at our Dublin, OH campus with hybrid flexibility. Rotating work from home days. No no weekends or holidays Who we are Founded in 1999 and headquartered in...

Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and...

Why Suncrest At Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff...

Capital City Hospice is proud to be Ohio-made. Every decision we make about hospice care is made with patients and families in mind. Our team is rooted in the communities we serve and are dedicated to delivering the highest quality of care for our...

Clinical Appeals Nurse (RN) The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements,...

Description Role Snapshot Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses...

Overview Sanctuary Hospice is thrilled to announce our expansion into the Columbus, OH market with the opening of a new location! With nine successful locations across Ohio and Illinois, we are excited to bring our...

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 build the health care system...

Business (Non-Clinical) General Summary: Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. Combines clinical, business,...

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...

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...

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...

Join to apply for the PRN - Remote ENT Utilization Review Work role at Medical Review Institute of America Flexible Independent Contractor (1099) Opportunity FOR PHYSICIANS ONLY Current Unrestricted MINNESOTA,...

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...

Nurse Manager The Ohio State University Medical Centers mission is focused on integrating quality patient care, education, and research; the Nurse Manager leads a team of professional health care providers cultivating collaboration,...

Clinical Appeals Nurse (RN) The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements,...

This position is responsible for conducting face-to-face assessments of members who may need skilled nurse assessment services. The incumbent completes all assessments using a skilled care acuity tool and provides a recommendation for services...