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Job Summary 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 appropriate clinical...

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare...

Join Our Dynamic Team At Ohio State University Physicians Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion? With over 100 cutting-edge outpatient center locations, dedicated to...

A leading health solutions company is seeking a full-time Utilization Management Clinical Consultant. This remote role requires an active Arizona RN license and involves managing cases in a hospital setting. Responsibilities include conducting...

JOIN TEAM TRILOGY: What You will be Doing: Contribute to the assessment of patients in close collaboration with Registered Nurses . Administer medications and observe patients to make sure they don't have adverse reactions to...

A leader in medical examination services is seeking a Remote Clinical Quality Assurance Nurse Auditor. This role requires a Registered Nurse with critical care and ER experience. Responsibilities include evaluating clinical information, performing...

A healthcare company is seeking a Clinical Specialist for Wound Care Supplies RN/LPN in the Nashua area. This remote role requires strong nursing experience in long-term care and a background in wound care. The role involves providing clinical...

Night nurse needed for twins. Must have experience with newborns and be available during nights. Provide nurturing care, feeding, diaper changes, and ensure babies' comfort. Assist with sleep training and establish a routine. Knowledge of soothing...

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...

BSMMHPUSR261258EXTERNALENUS Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared...

A leading health organization in Rancho Cucamonga, CA is seeking a dedicated care management professional to join their team. The role involves providing high-quality care to members, ensuring seamless transitions, and collaborating with...

Full-Time Rn Case Manager (Rn) In El Paso, Tx DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) in El Paso, TX. As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you will support some...

A leading healthcare company is seeking an experienced Registered Nurse for a role primarily supporting Medicare and Medicaid health populations in Cleveland, OH. The RN will be involved in care management, conducting face-to-face assessments, and...

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...

Trustaff is seeking a travel nurse RN Clinic for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Clinic Discipline: RN Start Date: 01/26/2026...

The Registered Nurse - NICU cares for newborn babies who are delivered pre-term or at-term newborns who experience complications at the time of birth. The Registered Nurse - NICU provides intensive around-the-clock care, including both medical...

Overview: 0.6FTE 24 hours per week. Night shift 7p-7a Job Description Summary: Assists patients to move rapidly, uneventfully, and as effectively as possible through their episode of care while maintaining...

About the Job Job Overview This position offers supplemental income as an Independent Contractor. Make your own schedule! Flexibility! QUEST Diagnostics is a leading...

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...

Care Manager Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is...

Nurse Position Summary: As an advocate for the patient, the RN care manager will assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet an individual's health needs,...

POSITION DESCRIPTION JobTitle: Wellness Nurse Supervisor:Health Services Director FLSAStatus:Hourly,...

Position Scope/Summary The James Clinical Call Center Triage RN is responsible to be the primary responder to manage telephone calls within the defined scope of practice as established by the Ohio Board of Registered Nursing for...

Medical Assistant (MA) or Licensed Practical Nurse (LPN) needed to provide direct support and assistance to our primary care prescribers; coordinate and provide patient care, obtain chief complaints, vital signs and other clinical information;...

ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With a...