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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...

Nurse (RN) At ComForCare Home Care we value our nurses like family and invite you to become a part of our team. We celebrate success and have fun! If you are an RN/LPN and have a background in geriatric care management, consider working...

A leading health services provider is looking for a Clinical Fraud Investigator II to work virtually full-time. The role includes conducting in-depth investigations on healthcare claims, ensuring compliance with guidelines, and collaborating with...

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...

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...

Telephonic Case Manager 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...

Employment Opportunities at Mount Carmel St. Ann's The Pre-Admission Testing (PAT) Department at Mount Carmel St. Ann's takes pre-procedure instruction calls for surgery, endoscopy, radiology, and pain management. Experienced surgical...

A healthcare services provider is looking for a Registered Nurse to conduct member assessments in nursing facilities and community settings in Texas. This role involves providing patient education, medication reviews, and connecting members to...

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...

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...

Registered Nurse Care Manager As an advocate for the patient, the RN care manager will assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet an individual's health needs, using clinical and...

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...

Registered Nurse Job Type: Full Time/Parttime Shift: Nights ONLY 36 hour weeks (12...

Overview The position is work from home with field visits. Job Purpose This position is responsible for conducting medical management and health education programs for customers on government health care programs.

The Patient Care Assistant (PCA) I performs duties to enhance patient experience while maintaining patient comfort and a safe patient environment. All care is provided based on the concepts inherent in the model of care for TCH which promotes an...

Clinical Appeals and Grievances (analyzing, reviewing appeals/grievances)Clinical Interface/ Liaison (clinical problem solver with facilities, providers, resolution of issues concerning members, program definition and clarification)Clinical...

JOIN TEAM TRILOGY:What You will be Doing: Participate in daily nursing report along...

A healthcare provider in Slidell, Louisiana is seeking a dedicated Registered Nurse to provide exceptional patient care using the nursing process. Candidates must be graduates of an accredited nursing school with a current RN license and BLS...

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...

Registered Nurse (RN) | Telemetry Location: Grove City, OH Agency: Epic Travel Staffing Pay: $2,176 per week Shift Information: Days - 3 days x 12...

A health care provider in the United States is seeking a TeleHealth Registered Nurse to triage inbound calls and provide clinical information based on established protocols. The successful candidate will have critical experience in nursing and a...

Registered Nurse (RN) | Labor & Delivery Location: Westerville, OH Agency: KPG Healthcare Pay: $1,996 per week Shift Information: Days - 3 days x...

Registered Nurse - Dialysis Department: East | Nursing Services 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,...

Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Case ManagementDiscipline:...