Medical Review Nurse II - Plantation

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. · ...

We're expanding and looking for an experienced Clinical Reviewer to support fair, compliant, and evidence-based case outcomes. · Registered Nurse (RN) license – requiredBachelor's degree in NursingMinimum 2 years of clinical experience ...

We are seeking a highly skilled Clinical Reviewer (RN) to join our team This is an excellent opportunity for a clinically strong detail-oriented nursing professional with experience in acute care and utilization review. · Conduct utilization reviews through the appeal level inclu ...

We are seeking a Registered Nurse Clinical Reviewer to conduct comprehensive medical-legal reviews and appeals while ensuring regulatory compliance for a non-profit organization in New York. · Baccalaureate degree in Nursing or approved RN program · New York State RN license requ ...

Greenlife Healthcare Staffing seeks an experienced Registered Nurse Clinical Reviewer for a hybrid role combining remote work with office-based responsibilities. · ...

Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a Non-profit organization located in New York. · ...

We're expanding and looking for an experienced Clinical Reviewer to support fair, compliant, · evidence-based case outcomes in the State and Federal Independent Dispute Resolution (IDR) · process. · Clinical review up to appeal level · , including chart screening regulatory resea ...

Medical Solutions Direct Hire is seeking a Registered Nurse (RN) for a nursing job in White Plains. · ...

+Job summary · RN Care Manager Opportunity – White Plains, NY · A leading acute-care healthcare organization in White Plains, · NY is seeking an experienced RN Care Manager for a permanent, · full-time position.+Care management / utilization review department · ++Health insurance ...

A leading acute-care healthcare organization in White Plains NY is seeking an experienced Registered Nurse RN Care Manager for a permanent full-time position. · This role offers a predictable weekday schedule with limited weekend rotation and a strong compensation package in a co ...

A leading acute-care healthcare organization in White Plains, NY is seeking an experienced RN Care Manager for a permanent, · full-time position. · ...

Medical Solutions Direct Hire is seeking a Registered Nurse (RN) for a nursing job in Elmsford, New York. · ...

A leading acute-care healthcare organization in White Plains, NY is seeking an experienced Registered Nurse (RN) Care Manager for a permanent, full-time position. · Predictable weekday schedule with limited weekend rotation · ...

Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Hartsdale, New York. · ...

The Clinical Pharmacy Specialist in Oncology plays an integral role in the therapeutic management of hematology and oncology patients. He/she works collaboratively with physicians, APPs, nurses, pharmacists, and IT informatics to provide comprehensive care to a diverse patient po ...

We have a full-time opportunity for a Risk Management Associate. The incumbent will assist RM Leadership in all phases of RM, including litigation and claims evaluation. · Contribute to and participate in the Performance Improvement and Quality Improvement activities of the RM De ...

We are seeking an exceptional · Nurse Practitioner or Physician Assistant to join our dynamic team in a full-time/ part-time/ PRN role, · serving our Connecticut location.This is a unique opportunity to provide top-tier medical care while enjoying the vibrancy of two diverse com ...

Children's Learning Centers of Fairfield County is looking to enhance its nursing staff with a full-time Nurse who seeks an alternate career route with regular daytime hours. · ...

+Job Summary · Nurse Manager continuously evolves to meet the demands of the practice setting. · +ResponsibilitiesCollaborates with the Director to maintain a competent staff through selection process orientation competency development and ongoing performance management. · Identi ...

The Healthcare provider seeks experienced nurse manager with leadership skills to oversee daily operations in endo department located in Stamford. · Bachelor's Degree in Nursing is required with Master's Degree preferred. · A minimum of three years experience in nursing supervisi ...

+ Job summary · The scope of responsibility and accountability for the Nurse Manager continuously evolves to meet the demands of the practice setting. · +QualificationsBachelor's Degree in Nursing is required with a Master's Degree preferred. · + ...