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Medical Claim Review Nurse The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit...

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...

Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or...

Description Clinical Program RN at Providence St. Joseph Hospital Orange in Orange, CA. This position is Full- time and will work 8-hour, Day shifts. St. Joseph Hospital is four-time designated for...

Performing pre-service clinical coverage review of services (predetermination reviews), using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. Managing clinical Out of...

ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With a...

JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies,...

Planet Healthcare is seeking a travel nurse RN Hematology / Oncology for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Hematology / Oncology Discipline: RN...

REGISTERED NURSES - ONCOLOGY (FULL TIME & 6 MONTH LOCUMS) ONCOLOGY SERVICES BHB ensures the highest in quality health care through service excellence, education and...

ATC Healthcare is looking for Registered Nurses! Registered Nurses provide skilled nursing services to patients in a variety of healthcare settings. The Registered Nurse, or RN, is responsible for working with other...

Medical Claim Review Nurse The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit...

About the Position Providence caregivers are not simply valued theyre invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient?focused, whole?person care built on understanding, commitment, and...

Overview Providence caregivers are not simply valued theyre invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual...

Evolent Nurse Reviewer Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. We seek to connect the pieces of fragmented health care system and ensure people...

Oncology Registered Nurse / RN - Cancer Clinic (PT) MLee Healthcare is seeking a full time Oncology Registered Nurse for a lovely community hospital Cancer Center near Ashville, Ohio! Oncology RN Schedule...

Nightingale Nurses is seeking a travel nurse RN Hematology / Oncology for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Hematology / Oncology Discipline: RN...

Who We Are: Since 1985, BHCHP's mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless...

Overview Clinical Nurse Specialist (CNS) - Medical Oncology Join to apply for the Clinical Nurse Specialist (CNS) - Medical Oncology role at The Ohio State University Wexner Medical Center. Scope of Position The...

RN Oncology - Columbus, OH - $2578 - LSI20557 Weekly Pay Package (Taxable Nontaxable) > W2 Wage (RTOT based on expected hrs) $ 1,332.00 > Nontaxable Weekly PerDiem $ 1,246.00 Total Weekly Gross Pay Package $ 2,578.00...

Registered Nurse Job Type: Full Time Shift: Days & Nights 36 hour weeks (12 hour...

Overview InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review and evaluate medical or behavioral eligibility regarding...

Staff Nurse-Surgical Oncology. Department:James | 12 East and West Surgical Oncology. Scope of Position. The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institutes (OSUCCC-James) mission is to improve...

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

Clinical Nurse Specialist (CNS)- Medical Oncology Join to apply for the Clinical Nurse Specialist (CNS)- Medical Oncology role at Inside Higher Ed. Job Title: Clinical Nurse Specialist (CNS)- Medical Oncology...