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Medical Claims Review Support Provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically...

Description Home Search Jobs Job Description RN Utilization Management (REMOTE butNV License) Remote: Las Vegas, Nevada, US Salary Range: 42.00 - 43.00 | Per Hour...

The candidate for this role must live in these states: TX, LA, WA, FL or GA. At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical documentation. This...

Nurse (RN) At ComForCare Home Care we value our nurses like family and invite you to become a part of our team. We celebrate success and have fun! If you are an RN/LPN and have a background in geriatric care management, consider working...

Benefits: 401(k) Bonus based on performance Employee discounts Flexible schedule Paid time off Wellness resources Benefits/Perks A...

A Field Nurse is a registered nurse (RN) who provides healthcare services to patients in non-traditional settings, such as in their homes, schools, or other community locations. The RN will assess, plan, implement, and evaluate individualized care...

Job Title: RN Utilization Review City: Torrance State: CA Job Type: Travel Discipline: RN Speciality: Utilization Review...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an...

Job Description Scope of Position: 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...

Start Your Career with Help at Home - Now Hiring Registered Nurses! Make a Lasting Impact in Your Community - Apply Today! Why Choose Help at Home? At Help at Home, we are a...

Do good. Be great as a nurse. Are you a Registered Nurse, Nurse Practitioner or Registered Mental Health Nurse seeking professional growth, flexible working and a better work-life balance? About the role As a Nurse...

Job Description The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

Employment Type: Full time Shift: Description: Home Care Registered Nurse (RN) Mount Carmel Home Care Make a meaningful...

Job Title: Utilization Management NurseJob Description As a Utilization Management Nurse - Post Acute, you will be responsible for reviewing and documenting prior authorization and concurrent stay requests, as...

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic...

About the Job THIS IS PER DIEM - NOT FULL/PART TIME. Flexible Schedule! Chose your own hours! Quest Diagnostics is a leading provider of worksite wellness screenings and health improvement programs.

Anticipated End Date: 2026-02-12 Position Title: LPN/LVN 100% Virtual, CareBridge Job Description: Carebridge LPN/LVN CareBridge Health is a proud member of the Elevance...

20200-50064-002095 (RN Virtual Clinical Nurse) Virtual Nurse - Luminis Health Position Objective: Contributes to the provision of high-quality, cost-effective healthcare as a provider of...

Position Overview: We are currently seeking experienced and compassionate Registered Nurses (RNs) to join our network of healthcare professionals. As a Registered Nurse contracted through Alto Health Care Staffing, you will have the...

HEDIS Nurse Abstractor Location: Remote About Us: Known for "Delighting the Client" through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT...

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...

Department: Clinical Manager Title: Director of Team Nursing FLSA Status: Non-exempt Job Summary: Provides and coordinates high-quality, patient and family...

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 for the...

PURPOSE OF YOUR JOB POSITION: The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision...