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Job Title: Prior Authorization NurseJob Description The Prior Authorization Nurse plays a critical role in analyzing prior authorization requests to determine the medical necessity of services and the appropriate level of care. This position...

Prime Staffing is seeking a travel nurse RN Interventional Radiology for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Interventional RadiologyDiscipline:...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

iDEAL Hire is seeking a travel nurse RN CVOR for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: CVOR Discipline: RN Start Date: 01/12/2026 Duration: 13 weeks 40 hours per week Shift: 10 hours, days Employment...

ORGANIZATION INFORMATION: Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its expanded mission has made it one of...

ProKatchers is seeking a travel nurse RN Med Surg for a travel nursing job in Glens Falls, New York. Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 01/22/2026 Duration: 13 weeks 36 hours per week Shift: 12 hours,...

Care Career is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: PACU - Post Anesthesia Care Discipline: RN Start Date: 01/26/2026 Duration: 13 weeks 36...

Description Location: UCHealth UCHlth Leprino Building AMC, US:CO:Aurora Department: CTRC Outpatient FTE: Full Time, 0.9, 72.00 hours per pay period (2 weeks) Shift: Days Pay: $33.61 - $52.10 / hour. Pay is dependent on applicant's relevant...

A leading healthcare provider is seeking a Governmental Audit Reviewer to handle clinical documentation audits and appeals processes remotely. The ideal candidate will have an Associates degree in Nursing, LPN licensure, and at least one year of...

Registered NurseFull TimeColumbus, OHAndHealth is a healthcare technology company created to help people reverse chronic disease. We are driven by the goal of making world-class specialty care accessible and affordable to all. We partner with...

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...

Home Health RN SME 3 - Day Workshop Ready to share your expertise and make an impactwithout leaving home? If youre a skilled Home Health RN looking for a unique opportunity to apply your knowledge in a new and rewarding way, this...

City/State Williamsburg, VA Work Shift First (Days) Overview: SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER WILLIAMSBURG, VIRGINIA TRAVEL REGISTERED NURSE Inpatient Surgical DAYS $65/HR 14 WEEK TEMP ASSIGNMENT NO BENEFITS Education RN Degree from...

Overview Mount Carmel Behavioral Health is hiring Admissions RN's! Available Shifts and Hours: 7p-7a with rotating weekends Sign on Bonus:...

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...

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...

Focus Staff is seeking a travel nurse RN Rehabilitation for a travel nursing job in Dublin, Ohio. Job Description & Requirements Specialty: Rehabilitation Discipline: RN Start Date: 01/19/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours,...

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...

A healthcare management firm is seeking a Medical Review and Appeals RN. This remote role involves reviewing and authorizing medical service requests, ensuring compliance with regulations, and implementing discharge planning. Candidates must have...

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...

A healthcare organization in California is seeking an RN, Clinical Care Manager I to enhance member care through assessment and coordination. Applicants should have a Bachelor's Degree in a health-related field and an active RN license. The role...

Travel PACU Registered Nurse - $2,092 per week at GHR Healthcare summary: This role is for a travel Registered Nurse specializing in Post Anesthesia Care Unit (PACU) responsible for providing nursing care following anesthesia. The position...

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...

A leading health care provider is seeking a Care Manager III based in Chicago, Illinois. This full-time position involves providing care coordination to members through telephonic and field-based management. Candidates must possess a valid nursing...

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...