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Employment Type: Full time Shift: Day Shift Description: Why MediGold? MediGold ( is a not-for-profit Medicare Advantage insurance plan serving...

Job Description Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and...

Description Who we are ...

Unlock Your Opportunity in Education. This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $80,000 - $85,000 per year A bit about us: Are you in search for your...

Aya Locums has an immediate opening for a locum Certified Registered Nurse Anesthetist (CRNA) job in Columbus, OH paying $200/hour - $215/hour. Job Details: Position: Certified Registered Nurse...

Scope of Work With principal investigator oversight, prepares, evaluates and implements research studies to enhance the advancement of clinical practice. Serves as primary coordinator / project manager on a variety of...

Job Description Physical Therapy Assistant - PRN (As Needed) - Home Health (Horry County) Job Summary Maintains a professional image and exhibits excellent customer...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people...

Are you motivated to be a leader in a skilled nursing community? As a Licensed Nursing Home Administrator (LNHA) with The Laurels of Gahanna, you will manage, lead and insure profitability of the facility while promoting The Laurel Way. Benefits: *...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Description RN Utilization Review at Irvine, CA. This position is Part- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our...

Nurse - Residential Service Program Nurse – Residential Services Program Position Summary The Nurse for the Residential Services Program is responsible for ensuring that all healthcare-related policies, procedures, and practices within the group...

Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower...

Description Care Manager LPN LVN Remote Candidates residing in Oregon are encouraged to apply. The purpose of this position is to provide care coordination services to Providence Health Plans (PHP) members. Care coordination services include:...

Job Title: Utilization Management NurseJob Description As a Utilization Management Nurse - Post Acute, you will be responsible for reviewing and documenting prior authorization and concurrent stay requests, as...

Payrate: $45.00 - $47.00/hr. Summary: The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

At St. Luke's, our dedicated team of Remote Patient Management RNs are critical in providing exceptional, patient-centered care. We strive to foster an environment that embraces our employees' unique strengths, experiences and perspectives which...

Job Title: RN Case ManagerJob Description The RN Case Manager will perform telephonic case management for Medicare Advantage members in Florida. This role involves care coordination activities, developing care plans and assessments,...

Job Summary Provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical...

We are looking for a LPN or Certified Medical Assistant to join our team at the brand-new Memorial Urgent Care location! This role will be an integral part of the patient care team supporting the growing Jerome Village community. What You'll Do: Room...

Care Coordinators (LPN) (LVN) CareHarmony's Care Coordinators (LPN) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed...

Job Description Work Schedule: 100% FTE, Monday - Friday between the hours of 8:00 AM - 5:00 PM. No holidays or call. Hours may vary based on the needs of the department. Be part of...

Salary range: $95,139 - $130,811 annually, based on qualifications. This exempt remote-hybrid position is eligible for a comprehensive benefits package which includes medical, dental, vision, a 403(b) retirement account, and a generous...

Join Our Dayton, Ohio, Team as a Certified Registered Nurse Anesthetist (CRNA) - A Role Designed for You We believe in bringing better to our local community in Dayton-better care,...