UnitedHealth Group
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Boston,MA
Determine the appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination. Identify solutions to non-standard requests and problems. Participate in regular meetings to collaborate with...
BJC
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Cambridge,MA
Additional Information About the Role Part time position (2) 12 Hour Day Shift - 6:00 am to 6:30pm Located at BJC Commons Minimum of 2 -5 plus years of RN experience needed Recent bedside RN experience in Acute Med/ Med Surg needed We are seeking...
BJC HealthCare
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Cambridge,MA
BJC HealthCare is seeking a Registered Nurse (RN) Virtual Care for a nursing job in Saint Louis, Missouri. Job Description & Requirements Specialty: Virtual Care Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health, candidates...
HireOps Staffing, LLC
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Cambridge,MA
Overview Contract role - 8/8/23-12/31/23, with possible extension Pay rate: $50-$65 Hourly Location: Remote IL Required License: RN, LCSW, LCPC Basic function: This position is responsible for discharge care...
Kentucky Staffing
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Cambridge,MA
Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...
Actalent
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Cambridge,MA
Remote Clinical Review Nurse – Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are seeking an experienced Registered Nurse to join our team...
UC Health
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Cambridge,MA
Description Location: UCHealth Anschutz Inpt Pavilion - Aurora Department: Virtual Health Center - The centralized sitter RN role is a new, innovative role, to support system oversight of in person and virtual sitters The role will involve...
Iowa Staffing
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Cambridge,MA
RN Clinical Appeals Nurse Job Summary: The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory...
Sentara Health
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Cambridge,MA
City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Heart Hospital located on the campus of Sentara Norfolk General Hospital is seeking a Registered Research Nurse. The Research Nurse manages and coordinates all aspects of conducting...
Solace
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Cambridge,MA
RN Healthcare Advocate Solace is a healthcare advocacy marketplace that connects patients and families to experts who help them understand and take charge of their personal health. About the Role As an RN Healthcare...
Elliot Health System
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Cambridge,MA
A healthcare organization in Manchester, NH, seeks a Nursing professional to provide centralized medication access support. Responsibilities include reviewing medication requests, communicating with patients, and adhering to clinical guidelines.
Washington Staffing
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Cambridge,MA
Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...
315 health
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Cambridge,MA
We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...
Georgia Staffing
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Cambridge,MA
Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...
Liberty Healthcare
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Cambridge,MA
Registered Nurses are encouraged to consider a part-time remote Nurse Reviewer position with Liberty Healthcare Corporation. Liberty Healthcare operates a statewide program in Idaho which assesses children and adults who are living with...
Mass General Brigham Health Plan
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Cambridge,MA
A healthcare provider is seeking a Utilization Management Clinical Manager for analyzing medical service requests. The ideal candidate will possess an RN license and extensive experience in prior authorization in managed care. Responsibilities...
Aequor Healthcare
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Somerville,MA
Registered Nurse (RN) | School Nurse Location: Somerville, MA Agency: Aequor Healthcare Pay: Competitive weekly pay (inquire for details) Shift Information: Days Contract Duration: 2 Weeks Start Date: ASAP About the Position Aequor, LLC is now hiring...
STG
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Cambridge,MA
Registered Nurse - Case Review Specialist STGi is currently seeking a Registered Nurse-Case Review Specialist. The position is remote and open to candidates nationwide. Job Summary: Provides direct support...
ConnectRN Per Diem
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Lynn,MA
ConnectRN Per Diem is seeking a per diem / prn nurse RN Home Health for a per diem / prn nursing job in Lynn, Massachusetts. Job Description & Requirements Specialty: Home HealthDiscipline:...
Intermountain Health
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Boston,MA
Job Description: Responsible for specialty care management for assigned clinics/geographical areas and other appropriate referrals within the Intermountain system. Assess, plan, educate, and advocate for patients' health...
VITAS Healthcare
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Cambridge,MA
VITAS Telecare RN The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing...
ro
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Cambridge,MA
A telehealth practice is seeking a Virtual Registered Nurse for a 6-month contracted position to provide high-quality patient care through EMR communications and triage. Candidates should have a BSN and an active nursing license, along with...
Fort Worth Staffing
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Cambridge,MA
Job Summary The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...
San Antonio Staffing
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Cambridge,MA
RN Clinical Appeals Nurse Job Summary: The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory...
