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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...

RN Clinical Appeals Nurse 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...

Provide high-quality clinical services within scope of practice and infection control standards. Coordinate care with other members of the patient/client's care team from admission to discharge. Complete clinical nursing assessments per federal/state...

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...

Employment Type Full time Shift Description: RN Case Manager, Full-time About The Job Our RN Case Manager in collaboration...

A healthcare organization is seeking an RN Clinical Manager in Washington to oversee a team of nurses and ensure effective clinical operations. The role involves managing performance metrics, providing guidance, and developing the clinical staff...

Quality Assurance Position Contract-to-hire details and pay: $34/hr for a 520-hour contract-to-hire, long term opportunity. Compensation: listed below, fixed rates (no opportunity for negotiation). Training schedule: MondayFriday, 46...

Overview Mount Carmel Behavioral Health is hiring Admissions RN's! Available Shifts and Hours: 7p-7a with rotating weekends Sign on Bonus:...

Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...

Take advantage of flexible schedules and get paid up to $68 an hour as a Registered Nurse (RN) in Westerville, Ohio, and surrounding areas. Nursing...

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...

Psychiatric Nurse Practitioner (PMHNP-BC) $135k - $160k/year Position Requirement: Full-Time FLSA Status: Exempt Location: Glendale, California Salary: 135K - 160K+ Work from Home! Competitive, negotiable...

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...

A healthcare organization is seeking a Recovery Audit Contractor (RAC) Coordinator (RN) to manage denial and recovery audit requests. This role involves coordinating approvals and denials and ensuring proper policy implementation. The ideal...

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...

Jackson Nurse Professionals is seeking a travel nurse RN Case Management for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift:...

Job Description PMHNP NEEDED - New Graduates Welcome to apply!!! Board Certified PMHNP needed in Columbus, OH to provide psychiatric mental health services to residents in long term care and skilled nursing facilities. Must have...

A prominent educational institution in Phoenix seeks a Recruitment and Engagement Specialist to manage admissions processes for nursing programs. This role involves proactive outreach to prospective students, organizing events, and building...

A leading health solutions company seeks an Associate Manager for Clinical Health Service in Hartford, CT. The role involves overseeing healthcare management services, implementing clinical policies, and ensuring compliance with standards.

A leading healthcare provider is seeking a dedicated pediatric nurse to provide and supervise in-home care for children with complex conditions. Candidates must have at least three years of acute care experience and be skilled in administering...

What You'll Do: Plans psychiatric care of patient/offenders based on need and/or problems identified in patient/offender assessment Writes measurable goals and plans interventions specific to patient/offender...

A healthcare organization in Damariscotta is seeking a Telehealth Registered Nurse. This remote role requires the RN to be the primary point of contact for patients with clinical inquiries. Qualifications include a nursing degree, state licensure,...

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 leading risk management firm is seeking a Telephonic Case Manager in Washington, DC. This role involves developing case management strategies to aid injured workers in their recovery. Ideal candidates will hold an RN license and have experience...