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

College Nurse This is a continuous recruitment to fill part-time, temporary, hourly assignments on an as-needed basis. Departments or divisions will refer to the pool of applicants on file to fill temporary assignments as needed. You will...

Case Manager At Prestige Healthcare Services, we are committed to delivering exceptional care and support to our patients and their families. Our skilled facilities offer a range of short-term and long-term skilled rehabilitation services...

Job Details Reviews payor denials and audits for potential lost revenue. Writes comprehensive, factual arguments to present to third-party payers, medical review boards, or other responsible parties applying clinical criteria to establish...

Job Opportunity At Optum Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with...

Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate...

Registered Nurse Care Manager The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the...

Registered Nurse This Registered Nurse position is located in Nursing, Executive Director services at the VA Connecticut Healthcare Systems, located in West Haven, CT. This position is full-time at 40 hours per week. ...

Care Manager, Registered Nurse (RN) Wellcove has been recognized as the nation's leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care...

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise,...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

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,...

Clinical Clearance Specialist (RN) Remote, United States Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often,...

Public Health Nurse Make a Difference in Your Community The Department of Public Health for St. Louis County Government is actively looking to hire a Public Health Nurse (PHN) to join their team. This nursing position will provide...

Specialised Part-Time Consulting Opportunity for Nursing Professionals We are sharing a specialised part-time consulting opportunity for nursing professionals experienced in patient care, clinical monitoring, medication administration,...

Location: Fully remote. Candidates must be available to work Pacific Time hours, Monday through Friday, from 8:00 a.m. to 5:00 p.m. Description: Join a fast-growing, dynamic team that is redefining...

Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...

Staff Today is seeking a local contract nurse Correctional for a local contract nursing job in Malibu, California. Job Description & Requirements Specialty: Correctional Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, evenings,...

Description: Estimated payment breakdown $2,244 per week in taxable pay and non-taxable stipends Specialty: RN Start Date: 8/3/2026...

Hospice Registered Nurse Under the direction of the Hospice Director or designee and on order of the physician is accountable for direct and indirect quality care for patients and families of all ages, according to the individualized...

Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients,...

It's a great feeling to work for a company that does so much good for others around the world! Education Req: Bachelor's degree required. Bachelor's or Master's degree in Behavioral Sciences, Human Services, or Social Services...

Are you our next Change Agent? We are seeking a compassionate and experienced Patient Support Program (PSP) Nurse to deliver exceptional, one-on-one support to patients navigating their treatment journey. You will be part of...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

Care Management Coordinator/RN Location: 100% Remote Duration: 3+ Months (Possible FT conversion) The Care Management Coordinator primary responsibility is to evaluate a member's clinical condition through the review of medical...