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Manager II Grievance/Appeals-RN Location: Ohio-Cincinnati, Columbus, Mason, or Seven Hills (Must be within commutable distance to one of the listed locations.) Hybrid 1: This role requires associates to be in-office 1 - 2 days per...

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...

Position Summary: The ANM assists with the planning, organization, direction and evaluation of patient care operations for a designated area(s) on a 24-hour basis. The ANM is key in operationalizing the Medical Centers mission, vision,...

Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us. Make an...

RN Utilization Management MCHP RN Utilization Management MCHP is responsible for the coordination of the medical care provided to Plan members with Plan providers, the member's family and other resources as appropriate. Assist in the...

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...

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...

Location: Lee Memorial, Cape Coral, Gulf Coast Medical Center, HealthPark Medical Center Work Type:Full Time/ Part Time/PRN Shift: 1st and 3rd Shift Available Minimum to Midpoint Pay Rate:$30.27 - $40.86 /...

Our Company ResCare Community Living Overview Join a team of passionate and caring clinicians who make a difference in people's lives. Our nursing group focuses on compassion and meeting the needs of our clients in a variety of...

Management And Oversight Of Clinical Operations Management and oversight of clinical operations in both the Sexual Health & Women's Health and Wellness Centers, including supervision of clinical support staff members, direct patient...

RN Utilization Management MCHP RN Utilization Management MCHP is responsible for the coordination of the medical care provided to Plan members with Plan providers, the member's family and other resources as appropriate. Assist in the...

Overview OhioHealth Neuro Transitional Center A Joint Venture between Select Medical Position: Residential Manager (RN) Location: Dublin,...

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're growing - Join our award winning culture as we serve members in your area! The position will work with members in the WI Rapids, Stevens Point and Marshfield areas.

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...

Become a part of our caring community and help us put health first Clinical call center. High volume. Fast paced. Shift/Availability Requirements: This is a part time position,...

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 company, we reach millions of...

Job Description Registered Nurse - House Supervisor Job Type: Full Time Shift: Days 40 hour weeks (Monday - Friday 7 am - 3:30...

Description Location:...

RN Case Manager – Home Health Toledo, OH | Competitive Pay $52-55/HR | Full-Time Join our team in Toledo, OH, a vibrant city known for its rich history and welcoming community. We're seeking a compassionate RN Case Manager to...

Vetted is seeking a RN - Case Management for a travel job in Columbus, Ohio. The job was posted 3 days ago. The assignment starts on Jan 14 and is 13 weeks long with 8 hour shifts 5 days a week.You must live 60 miles away from the facility in order...

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...

Binding Minds is seeking a local contract nurse RN OR Circulate for a local contract nursing job in Westerville, Ohio. Job Description & RequirementsSpecialty: OR...

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...