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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...

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 As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Collects data pertinent to the healthcare consumer's health or the situation from telephonic contacts and/or related EMR information available. Analyzes the data to determine the issues and available resources to seek effective resolution.

Quality Assurance Position Pay: $34/hr Contract Details + Contract Duration: 520-hour contract-to-hire, long term opportunity Compensation: listed below, fixed rates (no opportunity for negotiation) Training Schedule:...

Description Location: UCHealth Anschutz Inpt Pavilion - Aurora Department: Virtual Health Center - The centralized sitter RN role is a new, innovative role, to support system oversight of in person and virtual sitters The role will involve...

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 company, we reach millions of...

Registered Nurse Job Type: Full Time NIGHT SHIFT ONLY Columbus Springs East is part of Lifepoint Health, a diversified healthcare delivery network with facilities...

Overview Position: Registered Nurse (RN) Location: Select Specialty Hospital - Columbus South Schedule: PRN / 12-hour Shifts / DaysCompensation: $50 per...

Description Paid Time Off • Health Benefits Day One • 401K Match • No Travel At Bath & Body Works, everyone belongs. We are committed to creating a culture of belonging focused on delivering exceptional...

A leading health insurance provider is seeking a Managed Care Coordinator I to evaluate medical or behavioral eligibility for benefits. This entry-level position involves clinical assessments, coordination of services, and patient support. The...

A leading healthcare institution in Kansas City is seeking a Utilization Management Nurse RN to collaborate with healthcare teams and ensure optimum delivery of patient services. The role requires strong clinical background, excellent...

A leading healthcare organization in Stratford, Connecticut, is seeking a Nurse Home Visitor to provide home visiting services to families with newborns. The role involves health assessments, supporting parents with community resources, and...

Registered Nurse (RN) | Labor & Delivery Location: Columbus, OH Agency: GetMed Staffing Pay: $2,013 per week Shift Information: Nights - 3 days x...

Job Description Salary Range: $40 - $42/Hourly Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty-one that blends clinical expertise with deep human connection?

Medical Edge Recruitment, LLC is seeking a local contract nurse Correctional for a local contract nursing job in Lancaster, Ohio. Job Description & Requirements Specialty: Correctional Discipline:...

A leading health solutions company is seeking a fully remote Case Manager - Registered Nurse (RN) to join their National Medical Excellence team. The position involves assessing and coordinating care for members to enhance overall wellness.

Soleo Health is seeking a Part-time Infusion Nurse to support our infusion patients in Gahanna, OH and surrounding areas . Join us in Simplifying Complex Care! ** Please review...

A healthcare provider located in Atlanta, GA is seeking a Home Infusion Registered Nurse. This fully remote role involves providing infusion therapies in patients' homes, allowing nurses to create one-on-one relationships with their patients.

A major health insurance provider is seeking a qualified health professional for a remote Prior Authorization Management role. The candidate will ensure timely completion of authorization requests and manage various clinical processes. Successful...

RN Triage Nurse - Remote job at Get It - Healthcare. Location: Charlotte, NC Job Description: Are you an experienced RN with pediatric and adult care expertise? Do you thrive in fast-paced environments and enjoy...

Perform telephonic outreach to members identified by the Advance Practice Clinician for specific referral related issues. Ensure member has scheduled appointment with Primary Care Provider (PCP)/specialty provider; help scheduling appointment, if...

A healthcare service provider is seeking a part-time nurse to join its team in Burlington, Vermont. The ideal candidate will utilize clinical skills to assess patient needs, qualify care advice, and promote efficient treatment solutions,...

This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

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...