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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...

JOIN TEAM TRILOGY:At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of...

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...

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,...

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...

Pyramid Consulting (Travel) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40...

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! AccessNurse...

UW Health is seeking a Registered Nurse (RN) Nurse Navigator for a nursing job in MADISON, Wisconsin. Job Description & Requirements Specialty: Nurse Navigator Discipline: RN Duration: Ongoing Employment Type: Staff Description: Work Schedule:...

Job Title: Health Plan Nurse CoordinatorJob Description The Health Plan Nurse Coordinator is a Registered Nurse assigned to various Health Services operational units. These units include Utilization Management, Case Management, Enhanced Care...

Mount Carmel St. Anns Academic Accountable Care Unit Registered Nurse The Academic Accountable Care Unit at Mount Carmel St. Ann's is a 35-bed intermediate care unit. The Registered Nurse would expect to see a mixture of medical/surgical,...

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...

RN Medical Review Nurse Remote at Molina Healthcare in Boise, Idaho, United States Job Description Job Description Job Summary The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment...

Staff Nurse-B - Department:James | Post Anesthesia Care Unit. Scope of Position. The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institutes (OSUCCC-James) mission is to improve health in Ohio and...

At CVS Health, weu2019re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nationu2019s leading health solutions company, we reach...

Rolling Hills Health and Rehab in Wichita, KS is looking to hire a PRN, Part-Time and Full-Time NIGHT Registered Nurse (RN) to join our team. Are you looking for a career with a health care company that will value you? Do you want to be part of a...

This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

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...

A healthcare services company is seeking an RN Clinical Compliance Partner to join their Compliance Team. This remote role involves conducting compliance audits in hospice agencies, analyzing audit data, and ensuring adherence to regulatory...

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...

Apidel Technologies is seeking a local contract nurse RN Clinic Case Management for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

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...

CommuniCare - JobID: R-000####### [CNA / Health Aide] As a STNA Nursing Assistant at CommuniCare, you'll: Assist patients with daily living activities; Monitor and record vital signs; Provide emotional support to patients and families; Assist...

LPN Clinical Scheduling Coordinator The LPN Clinical Scheduling Coordinator is responsible for ensuring that each care area within the community is appropriately staffed to meet resident care needs and maintain compliance with Senior...

A leading health care organization is seeking a Clinical Quality Consultant to enhance Stars ratings and drive quality improvement initiatives. The ideal candidate will be a Registered Nurse with over four years of experience in the health care...

Health Services Quality Coach (Remote Eligible / RN Required) Full-time Department: Clinical | Health Networks | Provider Support Work Environment: Remote Eligible *see job footer for more info Pay Grade: 20...