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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...

Pediatric Cancer Cellular Therapy (CCT) Research Nurse 2 (Hybrid) The Stanford Cancer Institute (SCI) is one of an elite number of National Cancer Institute-Designated Comprehensive Cancer Centers in the country, and is a...

Become a part of our caring community and help us put health first Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior...

Adecco Medical & Science is hiring Clinical Research RNs to support a multi-site study. Please read below and apply with an updated resume for consideration. Study Overview & Travel Multi-site...

Remote Clinical Review Nurse – Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are seeking an experienced Registered Nurse to join our team...

Where You'll Work St. Elizabeth Community Hospital provides state-of-the-art health care to the North State communities. This award-winning facility is a member of the Dignity Health system of health care providers and is a...

A leading healthcare solutions company seeks a Care Manager-Registered Nurse in New York. This role involves coordinating care for members with chronic conditions and implementing individualized care plans. Candidates must hold a current New York...

A healthcare organization in Washington, DC, is seeking a qualified nurse for clinical review and care coordination. This role requires evaluating medical services and ensuring effective patient care while maintaining communication with various...

Salary: $70,779.53 Annually Location : Homebased, GA Job Type: Full-Time Salaried Job Number: 2020-02252 Division: Healthcare Facility Regulation...

Job Description Summary Scheduled Work Hours/Shift: Day Job Summary/Purpose: Under general supervision, the Registered Nurse II provides individualized, goal-directed patient care to families and patients at the competent level...

Job Title: Nurse RN 3 - Triage & Utilization Management Nurse RN Location: Remote Shift/Weekly Hours : 8 hr Day (09:00:AM - 05:00:PM PST) Weekly Hours : 40 hrs. Duration :...

Remote Registered Nurse (RN) Pine Park Health is a value-based primary care practice revolutionizing healthcare for residents of senior living communities across Arizona, California, and Nevada. We empower seniors to get healthy, stay...

Talent4Health is seeking a travel nurse RN OR Scrub RN for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: OR Scrub RNDiscipline: RNStart Date:...

Overview OhioHealth Rehabilitation Hospital Joint venture with Select Medical Position: Registered Nurse (RN) Location: Columbus, OH...

Introduction Are you a current DDS employee seeking your next opportunity? If this sounds like you, we encourage you to apply! The State of Connecticut, Department of Developmental Services (DDS) has...

Scope of responsibilities and accountability: Practices within the scope of the Ohio Nurse Practice Act and approved Center policies and procedures. Provides complete documentation in all areas...

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to...

TPAPT is seeking dedicated and knowledgeable Nursing School Admissions Coaches to help aspiring nursing students navigate the admissions process for competitive nursing programs. You will work one-on-one with students to provide...

Job Description Overview Lightship is the virtual-first provider that is perfecting the way clinical trials get executed. Because clinical research plays such a vital role in bringing life-enhancing and...

ChenMed is seeking a Registered Nurse (RN) Educator for a nursing job in Columbus, Ohio. Job Description & Requirements Specialty: EducatorDiscipline: RNDuration:...

UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Reporting To:...

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This...

Remote Neuro Nurse Practitioner (1099) -- CA, OR, NY, AZ, TX, WI, or PA -- $130k-$170k+ FTE Equivalent Work 100% remote delivering focused neuro care - with predictable pay, zero admin hassle, and your choice of hours.

Clinical Appeals and Grievances (analyzing, reviewing appeals / grievances)Review of coding edits and reimbursement issues. Works with less structured, more complex issues. Solves moderately complex problems and / or conducts moderately complex...

Job Details RN Senior Clinical Documentation Specialist Day Shift (Hours: M-F 8 hours) Hybrid position with onsite requirements. No Weekends or Holidays! Newark, DE Christiana Care Hospital is...