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JOB DESCRIPTION Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy t...
Job Type: PRN | Days Your experience matters At Ashley Regional Medical Center, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As a registered nurse (RN) joining our t...
Healthcare Customer Service Representative (RN, CNA, CMA) - Flexible Location This is a flexible remote position that lets you create your own workspace and achieve a better work-life balance. As a Healthcare Customer Service Representative, you will handle a range of client issues and questions w...
A company is looking for a Medical Review Specialist V to review and analyze Medicare claims for payment determinations. Key Responsibilities Conduct medical record claims review to determine correct coding and medical necessity based on CMS policies and guidelines Analyze claims for suspected fr...
RN (Nurse) ECC - Full Time at Yale New Haven Health summary: This role involves providing individualized nursing care under the direction of a nurse manager, with a focus on assessing and documenting patients' physical and psychological conditions. The nurse acts as a clinical resource and particip...
GHR Healthcare - PH Division is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Warwick, Rhode Island. Job Description and Requirements • Specialty: Labor and Delivery • Discipline: RN • Start Date: 02/22/2026 • Duration: 12 weeks • 36 hours per week • Shift: 12 hours • Empl...
ARMStaffing is seeking a local contract nurse RN Long Term Care (LTC) Long Term Care for a local contract nursing job in Nazareth, Pennsylvania. Job Description and Requirements • Specialty: Long Term Care • Discipline: RN • Start Date: 02/09/2026 • Duration: 1 weeks • 1 hours per week • Shift: 12 h...
RN Hospice Nurse - Weekend Baylor Masonicare Home Health & Hospice - New London, CT area • *SIGN-ON BONUS IS $10,000.00** Part Time / Work 24hrs/wk / Paid 32hrs/wk • *Flexible Weekend Scheduling** inquire within for options RN / REGISTERED NURSE The trusted healthcare resource chosen by more sta...
Medical Solutions is seeking a local contract nurse RN OR - Operating Room for a local contract nursing job in Lewisburg, Pennsylvania. Job Description and Requirements • Specialty: OR - Operating Room • Discipline: RN • Duration: 13 weeks • 40 hours per week • Shift: 10 hours, days • Employment Typ...