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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...

Job Description: PG County Cityblock's Transition of Care (TOC) program helps members safely navigate their post-discharge journey from acute care and hospital settings back into the community. The TOC Registered Nurse...

Details Client Name The James Cancer Hospital and Solove Research Institute Job Type Travel Offering Nursing Profession RN...

Overview Hospital Name: OhioHealth Rehabilitation Hospital - DublinJoint venture/Partnership/Affiliation with Select MedicalPosition: Case Manager (Registered Nurse)Location:...

Employment Type: Full time Shift: Day Shift Description: Purpose Work Remote Position (Pay Range: $36.8795-$47.8193) The Nursing...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

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...

Nurse Case Management Senior Analyst | 3+ years of experience | Remote in (IL, TX, NM, OK, MT, or TN) | Contract to Hire Walker Healthforce is seeking a Nurse Case Management Senior Analyst...

No RTO will be accepted between 2/15/26 through 2/28/26. SHIFT: 3x12 Night Coverage: Every other weekend Psychiatric experience required Certs Required: BLS Epic is required Required to float within units of...

Overview Hospital Name: OhioHealth Rehabilitation HospitalJoint venture/Partnership/Affiliation with Select MedicalPosition: Case Manager (RN)Location: Columbus,...

Job Title: Registered Nurse - Assertive Community Treatment (ACT) Job Classification: Non-Exempt Supervisor: Nurse Manager / ACT Supervisor Status: Part-time...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job...

Do good. Be great as a nurse. Are you a Registered Nurse, Nurse Practitioner or Registered Mental Health Nurse seeking professional growth, flexible working and a better work-life balance? About the role As a Nurse...

Employment Type: 5-month contract with possibility of extension Location: Remote (must hold an unrestricted Massachusetts RN license) *Note: Candidate must hold an unrestricted Massachusetts RN license.

Join the Patient Management Unit at a key moment in our history as we strengthen our clinically driven, patient-centered preadmission pathway for DSH patients! Under direction of the Nurse Consultant, Program Review of the Patient...

Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...

Become a part of our caring community Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS...

Site: Martha's Vineyard Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...

Department BSD OBG - Gyn Onc About the Department The Section of Gynecologic Oncology is a part of the Department of Obstetrics and Gynecology. The Section is comprised of 12 faculty physicians, 7 advanced practice...

Description Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise...

Job Type Contract Description About Valor Healthcare Valor Healthcare is a veteran- and physician-led provider of healthcare services for deserving, resilient patriots - including those who serve or...

Build What Matters Most-Families, Futures, and Your Career Enjoy meaningful work while contributing to an organization that changes lives every day. US Fertility, the nation's leading partnership of...

Grow With Us! At Hilb Group, we recognize that our associates are our greatest asset. We promote a service-driven culture of high performance that encourages career and professional development. The Hilb Group is currently seeking a motivated...

Chronic Care Staffing is Hiring a Remote Care Coordinator (LPN)! Employment Type: Full-Time Location: Remote (Work from Anywhere) Pay Range: $21 – $24 per hour...

Details Client Name Stefanie Spielman Comprehensive Breast Cancer Job Type Travel Offering Nursing Profession RN...