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Your RoleThe Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post service or claim denial. The Medicare Appeals and Grievances RN Lead will...

Nurse Navigator Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

Registered Nurse (RN) On-Call Nights Schedule: Monday-Thursday | 5:00 p.m. – 8:00 a.m. Weekend Hospice Nurse (RN) – Fri - Sun Pilot Mountain and Winston-Salem Service Area Every Patient. Every Family. Every Time.

Bring your passion as a Direct Observation Unit Nurse to a dynamic healthcare team where advanced technology, professional growth, and exceptional outcomes come together to create an exciting career opportunity! An outstanding healthcare...

Physicians Choice Home Health is seeking an experienced RN Clinical Coordinator to help support high-quality patient care across our home health team. In this role, you will partner closely with the Director of Patient Care Services, your RN...

Denials Case Manager, RN The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials,...

JOB DESCRIPTION This position will offer remote work flexibility, but the selected candidate must reside in Michigan. Opportunity for a Registered Nurse who has a US license in good standing to join...

RN Case Management Alhambra, CA About Seen Health At Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, Seen...

General Information Press space or enter keys to toggle section visibility Work Location: Santa Monica, CA, USA Onsite or Remote Fully On-Site Work...

Slate Healthcare is seeking a travel nurse RN Clinic for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...

Summary Proficient in practice based on conscious and deliberate planning. Delivers an understanding of adult learning and a lifelong learner that can adapt or change learning strategies based on the assessment of learning needs within...

Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...

At UK King's Daughters, we're not just a healthcare facility - we're a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We're more than just a place to work; we're a place to...

Please contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Nikhil Jhajharia at email address [email protected] can be reached on # 630-576-1935. We have...

About Us: Tribeca Pediatrics was founded by Dr. Michel Cohen, in 1994, and has grown into New York City's largest and most respected primary care pediatric practice. With over 50 locations in vibrant neighborhoods throughout the New York...

GQR Healthcare is seeking a travel nurse RN Care Manager for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Care...

University of Southern California (USC) affiliated hospital is seeking a Registered Nurse to support patient care teams in acute settings. Responsibilities include applying the nursing process, planning and educating patients, and ensuring safety...

Remote Position This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area away from distractions, and must have their own secure...

Providence Health and Services Anaheim , CANEWPart TimeDescriptionNurse Educator at Providence St. Joseph Hospital Orange in Orange, CA. This position is Part-Time and will work 8-hour Da y shifts.St. Joseph Hospital is four-time designated for...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...

Job Opportunity Title RN Date Opened 03/18/2026 Job Type Local/Travel Contract Industry Health Care Work Experience 1+ year City Northridge State/Province California Country United States...

LanceSoft is seeking a travel nurse RN Med Surg for a travel nursing job in Glendale, California. Job Description & RequirementsSpecialty: Med SurgDiscipline:...

Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $142,166.00 (Max.) Established in...

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow...

" Licensed Psychiatric Nurse Practitioner Wage: Up to $196.58/hour Did you know that you can build a flexible...