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The Ohio Hospital for Psychiatry is hiring Admissions Registeres Nurses! Shift: Days or Nights Schedule: PRN Pay Range: $36.00 to $40.00 per hour Ohio Hospital for Psychiatry is an acute inpatient & outpatient treatment center for...

A healthcare organization in Warrenville, Illinois is looking for a Registered Nurse Triage to provide patient care through inbound and outbound calls. The role requires current Illinois RN licensure and strong interpersonal skills. Ideal...

A leading healthcare organization is seeking a qualified RN for a role that involves auditing medical records and communicating clinical findings. The position requires an undergraduate degree or equivalent nursing experience, along with a current...

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:...

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...

Nurse Appeals Licensed Nurse Location: Ohio, candidates must be residents of Ohio to be considered. Hybrid 1: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing...

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...

Clinical Claims Review 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.

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...

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 At Bath & Body Works, everyone belongs. We are committed to creating a culture of belonging focused on delivering exceptional fragrances and experiences to our customers. We focus on recruiting, retaining, 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...

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...

Scope of Position The Nursing Program Manager will organize and coordinate the day-to-day operations for the Behavioral Economic amp; Staffing Strategies to Increase Adoption of the ABCDEF Bundle in the ICU (BEST-ICU) Grant. Under...

Description This position will be supporting Oregon Home Infusion Pharmacy. The Home Infusion Clinical Liaison position is responsible for creating and maintaining positive referral relationships in order to increase...

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With a...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: Aids patients in obtaining the correct level of care with...

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...

A healthcare services provider is seeking a remote provider relations specialist in Columbia, SC. This role requires effective communication with providers about Medicare coverage and documentation. The ideal candidate must have relevant nursing...

A healthcare institution in Louisiana is seeking qualified professionals with nursing licenses to facilitate the integrity of medical documentation. Responsibilities include reviewing medical records, educating providers, and ensuring compliance...

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...

Company: Compassus Position Summary The Goals of Care Registered Nurse is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using...

A global professional services firm is seeking experienced healthcare consultants to lead transformative projects in clinical operations. The role requires significant expertise in healthcare leadership, clinical outcomes, and regulatory compliance.

Perform medical reviews on provider inquiries and member appeals. Works within Department of Labor and State guidelines. Adherence to all confidentiality regulations and agreements. Reviews and interprets Plan language appropriately. Utilizes...