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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...

A leading consulting firm is seeking a Clinical Denial RN responsible for facilitating pre-service approvals, managing medical necessity reviews, and completing appeals. Ideal candidates will have a current nursing license, a Bachelors degree, and...

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...

A leading health solutions company seeks a Nurse Case Manager in Alexandria, Virginia. This full-time role involves assessing and coordinating case management activities to support member wellness. Applicants must have an unrestricted RN license...

The Ohio Hospital for Psychiatry is hiring Admissions Registeres Nurses! Shift: Days or Nights Schedule: PRN Pay Range: $36.00 to $40.00 per hour Ohio Hospital for Psychiatry is an acute inpatient & outpatient treatment center for...

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...

A healthcare company is seeking a Preservice Review Nurse RN in Massachusetts to evaluate home health services for appropriateness of care. This role involves collaborating with a team, ensuring quality standards, and determining service...

Providence Health Plan Caregiver Opportunity Providence Health Plan caregivers are invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding,...

Part-Time Utilization Review Nurse Remote (Nevada License Required) Location: Remote (Reporting to Carson City, NV) Schedule: MondayFriday, 8:00 AM12:00 PM PST Compensation: $40,000$45,000 annually (part-time, 20 hours/week)...

Clinic Nurse-Pacemaker Device Clinic Department: Ross | Electrophysiology Lab Scope of Position: The Ohio State University Wexner Medical Centers mission is to improve health in Ohio and across the world through innovation in...

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...

Health & Clinical Services Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of health ranging...

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...

A compassionate healthcare organization is seeking a Registered Nurse Case Manager to provide hospice care. This role involves planning and directing patient care, completing assessments, and developing care plans in collaboration with patients...

Job Summary 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. The Care ManagerRegistered Nurse is a key member of...

Social Worker Position We are looking for a Social Worker to join our amazing team. Ohio Hospital for Psychiatry, is a 130 bed treatment center providing services to adults and seniors on both an inpatient and outpatient...

Nursing Home Biller We are a dedicated team committed to delivering top-tier support to long-term care facilities across the country. As part of our growing remote operations, we're seeking a proactive, detail-oriented Nursing Home Biller...

North Community Counseling Centers, Inc. is searching for qualified and dedicated PRN residential care staff members to provide exceptional in-house care to the clients of our Next Generation Program. We are looking for an individual who will work...

The Buckeye Ranch is seeking a Registered Nurse (RN) to join our Residential Treatment Program. The Residential Nurse performs nursing procedures for the comfort and well-being of clients, including giving prescribed medications...

A leading healthcare organization seeks an experienced individual to manage utilization review processes remotely. This role requires a Registered Nurse with leadership experience to oversee operations and collaborate with medical teams to ensure...

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has...

Remote Hospice Triage RN PT Weekend Only 7:30a-4p CST We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after?hours support, triaging hospice patients and family needs...

**JOB DESCRIPTION** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations -...

PRIDE Health is seeking a travel nurse RN Psychiatric for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

A nonprofit health plan is seeking a Quality Outreach Case Manager to improve healthcare outcomes for members through proactive engagement and care coordination. This remote position involves conducting outreach to address member needs, providing...