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Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...

Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...

A healthcare provider is seeking a Utilization Management Clinical Manager for analyzing medical service requests. The ideal candidate will possess an RN license and extensive experience in prior authorization in managed care. Responsibilities...

Explore Opportunities With Agency Name As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each...

A healthcare provider located in Atlanta, GA is seeking a Home Infusion Registered Nurse. This fully remote role involves providing infusion therapies in patients' homes, allowing nurses to create one-on-one relationships with their patients.

A leading health care provider is seeking a Care Manager III based in Chicago, Illinois. This full-time position involves providing care coordination to members through telephonic and field-based management. Candidates must possess a valid nursing...

Job Title: Prior Authorization NurseJob Description The Prior Authorization Nurse plays a critical role in analyzing prior authorization requests to determine the medical necessity of services and the appropriate level of care. This position...

Registered Nurse (RN) Cadence Health is seeking a dedicated Registered Nurse (RN) to join our team. If you are passionate about providing exceptional patient care, we encourage you to explore this opportunity with us. The ideal...

Include the following, other duties may be assigned: Provides health education to families through workshops, parent meetings, handouts, etc. Utilizes and inputs data in Child Plus or designated HS software program. Documents all communication with...

Registered Nurse (RN) | Mother Baby Location: Columbus, OH Agency: Revolution Healthcare Services Pay: $1,913 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 2/23/2026 About the Position Job Opportunity...

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...

The overall purpose of the Wellness Nurse position is to provide Person-Centered Care consistent with accepted standards and expectations of Sunshine Retirement Living and state regulations. The Wellness Nurse's responsibilities include, but are not...

*Employment Type:* Full time *Shift:* 12 Hour Night Shift *Description:* Qualified applicants may submit a resume to Senior Talent Acquisition Partner, Tonya Globlek at ...@mchs.com for expedited consideration. *Position Purpose: * The...

Supplemental Health Care is seeking a travel nurse RN Hospice for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: HospiceDiscipline: RNStart Date:...

Job Description Scope of Position: The Ohio State University Wexner Medical Center?s mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The team provides patient care...

Temporary Remote Weekend Position Temporary remote weekend position every Friday, Saturday, and Sunday 3p-11p. $30.01/hr plus $3.00 shift differential for weekend hours. LumiLink Registered Nurse Responsibilities...

Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and...

A national home care company is seeking skilled Registered Nurses to act as Subject Matter Experts for a 3-day remote workshop. This role requires expertise, particularly in home health, to discuss and develop assessments in healthcare.

RN Healthcare Advocate Solace is a healthcare advocacy marketplace that connects patients and families to experts who help them understand and take charge of their personal health. About the Role As an RN Healthcare...

A healthcare organization is seeking an experienced Quality Program Nurse, RN, responsible for implementing Quality Management policies and ensuring compliance with regulatory requirements. The ideal candidate must have a strong background in...

Quality Assurance Position Pay: $34/hr Contract Details + Contract Duration: 520-hour contract-to-hire, long term opportunity Compensation: listed below, fixed rates (no opportunity for negotiation) Training Schedule:...

Collects data pertinent to the healthcare consumer's health or the situation from telephonic contacts and/or related EMR information available. Analyzes the data to determine the issues and available resources to seek effective resolution.

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...

A healthcare organization in Washington, DC, is seeking a qualified nurse for clinical review and care coordination. This role requires evaluating medical services and ensuring effective patient care while maintaining communication with various...

Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...