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19,452 Jobs

  • Nurse Clinical Care Reviewer

    ProSphere Tek - United States
    ... Reviewer for the Medical Benefits and Certifications Unit. The Nurse Clinical Care Reviewer will ... health care benefit prior authorization requests. In addition, the Nurse Clinical Care Reviewer ...
  • COMPLEX MEDICAL CASE REVIEWER

    City of New York - New York, New York
    ... Nurses to function as a Complex Medical Case Reviewer, who will: Conduct medical reviews and ... medically complex cases. Consult Medicaid payment records, bills of particulars, and other legal ...
  • Registered Nurse Clinical Reviewer

    HCA Healthcare - Corpus Christi, Texas
    ... ! Job Summary and Qualifications The Review Nurse Clinical Reviewer position encompasses ... stage in your career! We are interviewing candidates for our Registered Nurse Clinical Reviewer opening ...
  • RN, Pre-Certification Review - Pharmacy

    Quantum Health, Inc. - Dublin, Ohio
    ... . The Pre-Certification Review Nurse - Pharmacy is responsible for reviewing and processing coverage ... , for enrollees of Quantum Health's employer groups. The nurse is responsible for acquiring all clinical ...
  • Registered Nurse Clinical Reviewer PRN

    HCA Healthcare - Corpus Christi, Texas
    ... ) Registered Nurse Clinical Reviewer PRN you want in your current role? We invest in what matters most to ... for our Registered Nurse Clinical Reviewer PRN opening. We review all applications. Qualified ...
  • Registered Nurse Clinical Reviewer

    HCA Healthcare - Houston, Texas
    ... ) Registered Nurse Clinical Reviewer you want in your current role? We invest in what matters most to nurses ... , identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and ...
  • Claims Nurse Reviewer

    Blue Cross Blue Shield of Massachusetts - Hingham, Massachusetts
    ... claims for payment. The TeamAs an integral part of the Complex Claims team, the Claims Nurse Reviewer ... Ready to help us transform healthcare? Bring your true colors to blue. The RoleThe Claims Nurse ...
  • Registered Nurse Quality

    HCA Healthcare - McAllen, Texas
    ... delivering patient-centered care? Submit your application for Registered Nurse Quality position and spend ... , identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and ...
  • Registered Nurse Quality Coordinator

    HCA Healthcare - Kingwood, Texas
    ... ) Registered Nurse Clinical Reviewer you want in your current role? We invest in what matters most to nurses ... , identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and ...
  • Clinical Reviewer, RN, LCPC, LCSW, LAC

    Magellan Health Services - Evanston, Wyoming
    ... ). General Job Information Title Clinical Reviewer, RN, LCPC, LCSW, LAC ... - Licensed Professional Counselor - Care Mgmt, LPN - Licensed Practical Nurse - Care Mgmt, LSW - Licensed ...
  • Coord Quality RN Clinical

    HCA Healthcare - Oviedo, Florida
    ... Qualifications** Job Summary and Qualifications The Quality Clinical Reviewer (Registered Nurse ... ), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving ...
  • Quality Clinical Reviewer

    Magellan Health Services - United States
    ... . General Job Information Title Quality Clinical Reviewer ... , PSY - Psychologist - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care ...
  • Medical Records Examiner

    Commonwealth of Pennsylvania - Pennsylvania
    ... Benefits Questions THE POSITION Are you a registered nurse ... Services (DHS), Bureau of Program Integrity, is seeking a Medical Records Reviewer to conduct record ...
  • Quality Clinical Reviewer

    Magellan Health Services - Boise, Idaho
    ... . General Job Information Title Quality Clinical Reviewer ... , PSY - Psychologist - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care ...
  • Vice President, Clinical Operations - Remote

    UnitedHealth Group - Eden Prairie, Minnesota
    ... provide oversight for the clinical call center teams and clinical chart reviewer team responsible for ... strategic direction, leadership, and oversight performance for the clinical call center and chart reviewer ...
  • NURSE

    Pilgrim's - Moorefield, West Virginia
    ... : Occupational Health Nurse Evening Shift Employee: Reports to ... Author: Reviewer: Position Summary: In two ...
  • Mental Health Parity Clinical Operational Data Analyst

    WTW - Boston, Massachusetts
    ... Agency, Legal/Compliance Firm, or insurance company US Registered Nurse or LCSW with active licensed ... with health management senior reviewer and Project Manager to conduct follow up calls/emails with ...
  • Registered Nurse - MedSurg (PRN) (JR24-37370)

    Potomac Valley Hospital - Keyser, West Virginia
    ... , you'll find other important information about this position. The professional registered nurse has ... use of the nursing process. The Registered Nurse accepts accountability, applies competent clinical ...
  • Registered Nurse-Orthopedics OR (JR23-14549)

    Camden Clark Memorial Hospital Corporation - Parkersburg, West Virginia
    ... Summary:The professional registered nurse has the authority, responsibility, and shift accountability for the delivery of nursing care through the use of the nursing process. The Registered Nurse accepts ...
  • PRN Registered Nurse (RN) Float Pool, Perioperative Services, HVI, (JR23-28329)

    West Virginia University Hospitals, Inc. - Morgantown, West Virginia
    ... , you'll find other important information about this position. The professional registered nurse has ... use of the nursing process. The Registered Nurse accepts accountability, applies competent clinical ...
  • Registered Nurse (PRN) - Intensive Care Unit (JR24-29910)

    Potomac Valley Hospital - Keyser, West Virginia
    ... , you'll find other important information about this position. The professional registered nurse has ... use of the nursing process. The Registered Nurse accepts accountability, applies competent clinical ...
  • Registered Nurse (RN) - Nights, Inpatient Peds (JR24-37721)

    West Virginia University Hospitals, Inc. - Morgantown, West Virginia
    ... , you'll find other important information about this position. The professional registered nurse has ... use of the nursing process. The Registered Nurse accepts accountability, applies competent clinical ...
  • Correctional Registered Nurse- Short-Term

    Health Advocates Network - Frackville, Pennsylvania
    ... Correctional Registered Nurse- Short-Term *40hrs Travel Package          * Weekly ... Correctional Registered Nurse -- Temporary Correctional nurse will provide nursing care and treatment for ...
  • Senior Nursing Supervisor - R0312930-4330

    Tyson Foods, Inc. - Chicago, Illinois
    ... maintaining Occupational Health Nurse programs policies and procedures for a facility; adhering to nursing ... with OSHA State company and legal requirements; attending facility management meetings to provide ...
  • Forensic Registered Nurse Supervisor - Norristown State Hospital

    Commonwealth of Pennsylvania - Norristown, Pennsylvania
    ... seeking a Forensic Registered Nurse Supervisor to be a part of our dynamic nursing team at Norristown ... Nurse Supervisor, you will direct, plan, and participate in the nursing care delivered to newly admitted ...
  • Correctional Registered Nurse- Expert

    Health Advocates Network - Somerset, Pennsylvania
    ... Correctional Registered Nurse- Expert Pay Rate : $49 / hour Correctional Registered Nurse -- Temporary Correctional nurse will provide nursing care and treatment for inmates and ...
  • LPN

    Wheeling Hospital, Inc - Wheeling, West Virginia
    ... principles and practices of Practical Nursing, under the supervision of a Registered Nurse that does not ... a practical nurseORcurrent multi-state licensure through the enhanced Nurse Licensure Compact (eNLC ...
  • Registered Nurse - Staffing and Patient Flow Coordinator

    Veterans Affairs, Veterans Health Administration - Beckley, West Virginia
    ... (supporting department) stakeholders. The Nurse is responsible for planning and implementing staffing ... , Appendix G6). The Nurse demonstrates competence in practice and decision making, deliberate planning, and ...
  • LPN

    Wheeling Hospital, Inc - Wheeling, West Virginia
    ... principles and practices of Practical Nursing, under the supervision of a Registered Nurse that does not ... practical nurseORcurrent multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). 2 ...
  • Registered Nurse (Nursing Officer of the Day)

    Veterans Affairs, Veterans Health Administration - Kansas City, Missouri
    ... ), Registered Nurse assigned to the Nursing Acute Care. S/He is accountable for adhering to established policies ... . Registered Nurse (Nursing Officer of the Day), Nursing Acute Care Service is responsible for developing day ...
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