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Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities, ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age specific components. Assumes responsibility for the coordination...

A leading health services provider is seeking an Integrated Nurse Case Manager for a remote position in Virginia Beach, VA. The role includes performing clinical assessments and managing care for members with chronic illnesses. Candidates must...

RN Case Manager - Remote Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the...

Nurse Practitioner | Nurse Practitioner Location: Stevens Point, WI Employer: Rhino Medical Pay: Competitive weekly pay (inquire for details) Contract Duration: 2 Weeks Start Date: ASAP About the Position LocumJobsNetwork is working with Rhino...

Role Overview Summary of Job: Come join NorthStar Anesthesia in beautiful Gahanna, Ohio at Central Ohio Urology Surgery Center! Located less than 9 miles from the heart of downtown Columbus is the perfect full time position. With a...

A leading healthcare organization is seeking a qualified RN for a role that involves auditing medical records and communicating clinical findings. The position requires an undergraduate degree or equivalent nursing experience, along with a current...

GHR Healthcare - PH Division is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: OR -...

Description Location: This position is located at...

locations Family Medicine, Women's Health, and Pediatrics time type Full time posted on Posted Today job requisition id R529 Southwest Care Center employees can answer yes to these 3 questions: 1. Do you want to make a...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because...

A leading healthcare organization in Alexandria, VA is hiring an Integrated Nurse Case Manager for a full-time role. This work-from-home position involves conducting home visits and providing case management for members with complex conditions.

At CVS Health, weu2019re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nationu2019s leading health solutions company, we reach...

A healthcare service provider is looking for a Medical Field Case Manager in Fort Lauderdale, Florida. This full-time role requires URAC Certification and involves regular local travel for patient appointments. You will create treatment plans and...

Clinical Appeals Nurse The Remote Clinical Denials/Appeals Nurse will be directly responsible for securing pre-service approvals, and reviewing pre/post service denials, medical necessity review and completing appeals and/or coordinating...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Opportunity for a Nurse Practitioner in Columbus, Ohio. The NP will manage the care and treatment of patients as indicated in the professional scope of practice. Receive 3-4 months of training.

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! AccessNurse...

Summary Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age specific components. Assumes responsibility...

Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

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...

COMMUNITYAs the state Capital of Ohio, Columbus and its surrounding suburban communities offer fine dining, culture & entertainment for the entire family. Home to NCAA sports at Ohio State University and 6 Fortune 500 company headquarters, its strong...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

Registered Nurse, Care Line We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do...