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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...

Details Client Name Ohio State University James Hospital Job Type Travel Offering Nursing Profession RN...

A healthcare provider is looking for an RN Coordinator Utilization Management to evaluate authorization requests and ensure proper care procedures. The position requires a current nursing license in Wisconsin and a minimum of four years of...

NCH ENT Clinic Registered Nurse Position will float between all NCH ENT Clinic locations. Some evening shifts are available (approximately 7pm end time). Regular shift is 8am-4:30pm M-F Starting pay is $34.14/hr, can be more based...

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 organization is seeking a Recovery Audit Contractor (RAC) Coordinator (RN) to manage denial and recovery audit requests. This role involves coordinating approvals and denials and ensuring proper policy implementation. The ideal...

THP Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Case ManagementDiscipline:...

Pre-Admission Testing Department Position Position Purpose: 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...

ATC Healthcare is looking for Registered Nurses! Registered Nurses provide skilled nursing services to patients in a variety of healthcare settings. The Registered Nurse, or RN, is responsible for working with other...

Registered Nurse Opportunity At Caretenders Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other,...

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...

Advanced Nurse Practitioner (Registered Adult Nurse) Vacancy: Advanced Nurse Practitioner (Registered Adult Nurse) Location: Remote - UK Based Only Contract: Permanent Hours: Part time and Full time hours available...

A healthcare consulting firm is seeking a Clinical Reimbursement Consultant for a unique remote opportunity. The ideal candidate will be a Registered Nurse with at least five years of experience in MDS completion within a Skilled Nursing Facility.

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...

A leading health solutions company located in Columbus, Ohio is seeking a Mid-Senior level Registered Nurse. The role requires 3+ years of clinical experience in adult acute care and effective communication skills. Responsibilities include...

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...

A leading healthcare provider in Virginia is seeking a Registered Nurse Case Manager (RN) to join the team. The role is full-time, focusing on patient discharge planning, data analysis for care continuity, and collaboration with healthcare...

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...

Nurse Case Manager II Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. The...

RN Case Manager – Home Health Toledo, OH | Competitive Pay $52-55/HR | Full-Time Join our team in Toledo, OH, a vibrant city known for its rich history and welcoming community. We're seeking a compassionate RN Case Manager to...

A healthcare organization is seeking an RN Coordinator Utilization Management to evaluate prior authorization requests, ensuring compliance with guidelines while collaborating with healthcare providers. This full-time position requires candidates...

Staff Nurse (RN) Emergency Department, Observation Unit, University Hospital Department: University Hospital | Emergency Department Job Description: The Ohio State University Wexner Medical Centers mission is to improve health in...

CVS Health Aetna Case Manager RN 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...

Host Healthcare is seeking a local contract nurse RN Post Partum for a local contract nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Post PartumDiscipline:...

Benefits: Competitive salary Flexible schedule Paid time off Looking for Nurses (RN and LPN) to join our home care family Description: At...