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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...

Description Introduction Do you have the PRN career opportunities as a Registered Respiratory Therapist PRN you want with your current employer? We have an exciting opportunity for you to join Rio Grande Regional Hospital which is part of the...

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...

To be eligible to enlist in the U.S. Navy, candidates must be between the ages of 18-34 The greatest reward for nearly every nurse is the joy of serving others. But in the Navy Nurse Corps, when you...

A company is looking for a Utilization Management Nurse. Key Responsibilities:Initiating the continuum of care process for neonatal admissionsInteracting with hospital staff to collect clinical information for newborns...

American Medical Staffing is seeking a local contract nurse RN Psychiatric for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

Luxury Assisted Living Jobs - Resident Caregivers & CNAs Offering full-time and part-time positions at large assisted living company in America.Rated as top place to work!Looking to join a leader in Assisted Living to grow your career?We...

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best,...

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...

Mount Carmel Behavioral Health is hiring Admissions RN's! Available Shifts And Hours 7p-7a with rotating weekends Sign On Bonus Full Time Night:...

We offer a great FULL TIME benefits and perks package! Company Paid Benefits: Short Term Disability (Guardian)-for employee only, benefit percentage 60% of salary! Long Term Disability...

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...

Care Manager Rn Job Responsibilities: The care manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and...

Additional Information About the Role Additional $5/hr Barnes-Jewish Hospital Med/Surg Nurse Differential 3 - 12hr shifts Work Every 3rd Weekend Flexible Scheduling Great medical benefits Tuition assistance and continuing education 401(k) and...

A nonprofit health plan is seeking a Quality Outreach Case Manager to improve healthcare outcomes for members through proactive engagement and care coordination. This remote position involves conducting outreach to address member needs, providing...

City/State Dumfries, VA Work Shift First (Days) Overview: Sentara Home Care is seeking to hire a qualified individual to join our team as an RN. Position Status: Full Time - Day Shift Position Location: Woodbridge, VA Pay Range: $38.66 - $64 We...

Registered Nurse Career Opportunity Encompass Health: Where Nursing Meets Heart, Home, and Healing Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass...

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 pediatric hospital in Colorado is seeking a Clinical Nurse II to deliver compassionate and coordinated care to patients and families. The role emphasizes collaboration within inter-professional teams and integrates evidence-based...

Job Type Contract Description Heartline Staffing, in partnership with Purple Cow Recruiting, is seeking an experienced Travel Registered Nurse for a Mother-Baby / Postpartum unit at a large academic medical center in...

A leading kidney care provider is seeking a Registered Nurse for a hybrid role in Springfield, IL. The RN will coordinate care for ESRD and CKD patients within a collaborative healthcare team. Responsibilities include assessing patient needs and...

Remote Registered Nurse (RN) Case Manager Join to apply for the Remote Registered Nurse (RN) Case Manager role at PharmaCord We are looking for dedicated nurses to provide patient support services from the comfort of...

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...

A prominent health care organization is seeking an RN Triage Nurse for a Per Diem role in Holyoke, Massachusetts. This position involves patient navigation and triage within a contact center. Applicants must have a Massachusetts RN license, at...

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...