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Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the...

Salary : $53,450.16 - $68,224.32 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: YELVN4 Department: HEALTH SERVICES...

Overview Position eligible for remote work after in house orientation period. Orientation will be located at the Carle Methodist location in Peoria, IL. There will be in person meeting requirements at various times throughout...

Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...

Clinical Auditor Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes.

Overview The Legacy/OHSU Interventional Radiology practice provides services at four locations (EMC, GSMC, MHMC and MPMC) including ambulatory clinics at each site. The IR team cares for both adult and pediatric patients with...

Utilization Management Position Provide health care services regarding admissions, case management, discharge planning and utilization review. Review admissions and service requests within assigned unit for prospective, concurrent...

Job Description UW Medical Center - Montlake has an outstanding opportunity for a Registered Nurse to join our Clinical Research Center team. Our CLINICAL RESEARCH CENTER (7S) is a 15-bed unit (10 in-patient beds, 5...

The Staffing Coordinator will provide support to the Nursing Supervisors, Managers, and Directors during the process of ensuring adequate and appropriate nursing staff for each shift. Will assist in the collection and filing of documentation...

The RN Clinical Educator, Ancillary Services is an advanced clinical expert in Cath Lab and procedural-based services who supports...

Weekend Requirements - UR RN 4 weekend shifts (days) in a six-week period but can be more Job Description • Start date: ASAP • Floating Expectation: No • Ratios: 1:40 • Years of experience REQ: 3-year acute medical...

Complex Medicare Claims Review Complex Medicare claims/prior authorization requests require the review of medical record documentation to determine the reasonableness and necessity of the billed service in accordance with Medicare rules...

Interested in working for the Golden Isles' healthcare provider and employer of choice? Throughout the many locations that make up the Southeast Georgia Health System network, there is a common thread that pulls everything...

Job Title: Permanent -Licensed Vocational Nurses - multiple openings Number of positions: 4 Years of experience: One to three years Shift: Day and Night...

Job Requirements Principal Duties: 1. Provides virtual support with documentation surrounding admissions and discharges. 2. Creates opportunities to decrease the gap in novice and experienced...

Overview We are seeking dedicated and compassionate Intake Counselor Registered Nurse (RN) to join our healthcare team.8 HR SHIFTFULL-TIMENOC shift | PM shiftPay range $46 - $50/hrWhat We Do Charter Oak Hospital offers compassionate and...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

Summary Greater Los Angeles Healthcare System (GLVAHCS) is seeking 1 highly skilled experienced Registered Nurse (RN) for our West Los Angeles Primary Care Unit. Located in Los Angeles, CA. Learn more about this agency...

Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to...

Outpatient Registered Nurse (RN) Inova Anytime Program is looking for a dedicated Outpatient Registered Nurse (RN) to join the team. This role will provide Virtual On Demand care/triage when practices are closed – hours include various...

Nurse Navigator 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...

Mission Statement The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to...

Job Title Job Description Duties include, but are not limited to: Interacts regularly with the Executive Leadership Team to coordinate and plan Clinical Process Improvement. Works with the Quality Chief,...

Medical Review Nurse Analyst Our Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical records to ensure compliance with regulatory and payer guidelines. This analyst ensures that providers are being...