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Description: PRIOR CASE MANAGEMENT WORK EXPERIENCE HIGHLY PREFERRED/NEEDED IN THIS POSITION ONSITE LOCATIONS: KPWA RENTON, ST JOE'S TACOMA, ST PETE'S OLYMPIA, ST MICHAEL OLYMPIA, (SACRED HEART SPOKANE REMOTE) MCG CERTIFICATION A PLUS - RN EDUCATOR...

A healthcare management firm is seeking a Medical Review and Appeals RN. This remote role involves reviewing and authorizing medical service requests, ensuring compliance with regulations, and implementing discharge planning. Candidates must have...

Pickerington OH 43147 Adult, Jtube, Trach Monday-Friday 7a-3p Day Shift Maxim Healthcare Services is seeking a Registered Nurse (RN) to assume responsibility and accountability for the application of the nursing process and the delivery of...

A healthcare organization is seeking a Maternity Nurse Navigator for their South Boston location. The role focuses on providing comprehensive care in women's health settings including inpatient and outpatient services. Candidates must have a...

Pyramid Consulting (Travel) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40...

Outpatient Scrub RN - OR 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 and...

Luxury Assisted Living Jobs - Resident Caregivers & CNAs Offering full-time and part-time positions at large assisted living company in America.Rated as top place to work!Looking to join a leader in Assisted Living to grow your career?We...

Care Advocate (RN) - Florida Papa is a new kind of care built on human connection. Across the country, health plans and employers look to Papa to provide vital social support by pairing older adults and families with Papa Pals, trained...

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...

Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department: Emergency Dept Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Nights Pay: $35.29 - $54.71 / hour. Pay is dependent on applicant's...

WCS Healthcare Partners is seeking a local contract nurse RN Ambulatory Care for a local contract nursing job in New York, New York. Job Description & Requirements Specialty: Ambulatory Care Discipline: RN Duration: 13 weeks 40 hours per week...

Make an hourly rate of up to $68 as a Registered Nurse (RN) in Grove City, OH (and the wider Columbus area), with the stability of W2 employment and...

Company Overview: Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

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...

RELOCATE TO VIRGINIA OPPORTUNITY Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research,...

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 - House Supervisor Job Type: Full Time Shift: Days 36 hour weeks (7 am - 7:30...

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...

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 national healthcare organization seeks a Clinical Professional to join its Medical Management team. This fully remote position requires a Registered Nurse with a Compact License and 3+ years of experience in clinical settings. Responsibilities...

Job Title: Nurse Case Manager II Location: Remote Field Visit (Cook, Lake, Will, Kane, Winnebago, Rock Island County- IL) Duration: 3 months (possible extension) Schedule: 40hr/ per week and 5 days week. Pay Rate: $39.32 hr. on w2. Job Summary:...

Clinical Appeals and Grievances (analyzing, reviewing appeals / grievances)Review of coding edits and reimbursement issues. Works with less structured, more complex issues. Solves moderately complex problems and / or conducts moderately complex...

A leading healthcare provider is seeking a telephonic case manager to work remotely. This role requires a Registered Nurse with substantial experience, particularly in a hospital setting. Key responsibilities include managing patient care and...

Registered Nurse Career Opportunity Encompass Health: Where Nursing Meets Heart, Home, and Healing Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass Health offers a...

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