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Registered Nurse - Case Review Specialist STGi is currently seeking a Registered Nurse-Case Review Specialist. The position is remote and open to candidates nationwide. Job Summary: Provides direct support...

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure...

A healthcare organization in Manchester, NH, seeks a Nursing professional to provide centralized medication access support. Responsibilities include reviewing medication requests, communicating with patients, and adhering to clinical guidelines.

Encode INC is seeking a travel nurse RN Med Surg for a travel nursing job in Belcourt, North Dakota. Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 02/15/2026 Duration: 52 weeks 40 hours per week Shift: 8 hours,...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

A leading healthcare organization is seeking a Clinical Appeals RN to ensure timely resolution of clinical/pharmacy appeals. This role involves collaborating with various teams to analyze clinical cases and provide recommendations. Candidates must...

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 solutions company, we reach millions of...

iDEAL Hire is seeking a travel nurse RN CVOR for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: CVORDiscipline: RNStart Date: 01/12/2026Duration:...

Job Description: • Participates in the development and ongoing implementation of QM Work Plan activities. • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet...

Description & Requirements Maximus is seeking a Registered Nurse, Clinical Assessor to join our growing team. As a Nurse Assessor, you will conduct person-centered assessments in accordance with contract directives,...

Epic Travel Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: PCU - Progressive Care Unit Discipline:...

Review medical records and verify if the requested service meets criteria. Review pre-service appeals for clinical eligibility for coverage as prescribed by the Plan benefits. Review and interpret Plan language. Coordinate reviews with the Medical...

Are you a skilled, compassionate nurse looking for flexible work in clinical research? As a Clinical Research Nurse - Home Visits (PRN), you'll provide high-quality nursing care directly in patients' homes while supporting important research...

Title - Clinical Review Nurse-Concurrent Review Duration - 6 months Shift - Tuesday-Saturday Schedule 8am-5pm CST. Location - Remote TX Job Responsibilities They will be...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

Amergis Healthcare Staffing, Inc. is seeking a travel nurse RN Rehabilitation for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Rehabilitation Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours...

RN Clinical Appeals Nurse 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...

Make an hourly rate of up to $68 as a Registered Nurse (RN) in Grove City, OH (and the wider Columbus area), with the stability of W2 employment and...

Telephonic Case Manager 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 solutions...

Travel Nurses, Inc. is seeking a travel nurse RN OR Circulate for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: OR CirculateDiscipline: RNStart...

Job: Registered Nurse - Clinical Research Nurse (CRN) Job Location: Easton, MD 21601 Profession: Registered Nurse Specialty: Clinical Research Nurse (CRN) Unit: Clinical Research Nurse 2810-10768 Shift: Day...

Supplemental Health Care is seeking a travel nurse RN Hospice for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Hospice Discipline: RN Start Date:...

Concentric is currently seeking candidates in Registered Nurse profession with focus in Registered Nurse (Clinic) for a week contract in the Dublin, OH area. Concentric is a premier staffing firm dedicated to matching outstanding talent with...

Overview Registered Nurse (RN), Clinical Decision Unit Rockville Centre, NY Explore a career with Mercy Hospital, a 375-bed not-for-profit hospital and member...

A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...