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Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we...

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...

Provide support to all units within Claims to ensure all clinical components are met for CMS, NCQA, URAC, DOL, DOI, and all other State and Federal entities. Identify business priorities and necessary processes to triage and deliver work. Use...

A growing commercial insurance company is seeking a Clinical Review Nurse to assess medical necessity and appropriateness of treatments for Workers' Compensation claimants. This role involves collaboration with claims adjusters and conducting...

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 a forward-thinking healthcare technology firm as a Nurse Consultant, where your clinical expertise will drive improvements in patient care and cost efficiency. You'll play a vital role in analyzing patient data, fostering relationships with...

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...

American Traveler is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Med Surg /...

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...

A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...

Full-Time Rn Case Manager (Rn) Opportunity DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) to join us in Fresno, CA. As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you will...

Posting Job Description ChristianaCare is currently seeking a full-time Registered Nurse for The Holloway Program at the Milford, DE office. As needed coverage to include Smyrna and Wilmington locations. WORK...

Overview: The Legacy nursing philosophy focuses on patients and their families. Our nurses embody this philosophy in everything they do, as advocates, communicators, problem-solvers and caregivers. Their expertise is sought after and respected by...

A leading health insurance provider is seeking a Utilization Management Nurse 2 to support coordinated care for members healing at home. The ideal candidate will have an Associate Degree in nursing, a valid RN license, and at least three years of...

GLC On-The-Go is seeking a travel Registered Respiratory Therapist for a travel job in Columbus, Ohio. Job Description & RequirementsSpecialty: Registered Respiratory...

Inpatient Registered Nurse Department: East | Tower 8 Medical/Surgical/Urology/Nephrology Unit Job Description Scope of Position: The Ohio State University Wexner Medical Center's mission is to improve health in Ohio and across the...

RN Transition Of Care Coach The RN Transition Of Care Coach provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings.

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...

Battelle delivers when others can't. We conduct research and development, manage national laboratories, design and manufacture products and deliver critical services for our clients-whether they are a multi-national corporation, a small start-up...

A Quality Improvement Consulting Company is seeking a RN Health Care Facility Surveyor. This is a 100% remote position requiring up to 75% travel. Responsibilities include conducting compliance surveys at healthcare facilities nationwide,...

Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a...

Job Description The Clinic Nurse is responsible for managing and providing care to the patient and his/her family, and for directing and supervising nursing care provided by other members of the patient care team. The Clinic Nurse is...

Overview Looking to join a dynamic team at Ohio State University Physicians where excellence meets compassion!? Who we are With over 100 cutting-edge outpatient center...

Care ManagerRegistered Nurse 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...

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...