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UCLA Logo
Utilization Management Manager, Medicare Advantage - RN
UCLA

Los Angeles, California

NEW!
Mental Health Professional
Wexford Health Sources

Mt. Sterling, Illinois

NEW!
CompHealth Logo
Emergency Room Physician Assistants needed in North Carolina! Flexible Schedule! JOB-3024598
CompHealth

Fayetteville, North Carolina

NEW!
Veterans Affairs, Veterans Health Administration Logo
Physician Assistant (Mental Health)
Veterans Affairs, Veterans Health Administration

Battle Creek, Michigan

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AdventHealth Logo
Pharmacy Supervisor Sterile Compounding/ Tampa
AdventHealth

Tampa, Florida

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UCLA Logo
RN Case Manager, Per Diem
UCLA

Los Angeles, California

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University of Maryland Medical System Logo
Security Officer
University of Maryland Medical System

Glen Burnie, Maryland

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Northeast Georgia Health System Logo
Paramedic - Emergency Department ED - PT - 7p-7a
Northeast Georgia Health System

Braselton, Georgia

NEW!
St. Charles Health System Logo
RN Cardiology Clinic
St. Charles Health System

Bend, Oregon

NEW!
WMCHealth Logo
Director, Nursing
WMCHealth

Warwick, New York

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Penn State Health - Physician Recruitment Logo
Physician Assistant CT Surgery - Surgery Thoracic
Penn State Health - Physician Recruitment

Reading, Pennsylvania

NEW!
Benefis Health System Logo
New Endoscopy Registered Nurse (Full Time)
Benefis Health System

United States - Nationwide

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CHRISTUS Health Logo
Onsite Physician Advisor - Texarkana
CHRISTUS Health

Texarkana, Texas

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BJC HealthCare Logo
Patient Access Rep I
BJC HealthCare

Saint Louis, Missouri

NEW!
Careerphysician LLC Logo
Chief, Pediatric Nephrology with Ranked Children’s Hospital
Careerphysician LLC

Richmond, Virginia

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Pediatrix Medical Group Logo
Neonatal Nurse Practitioner
Pediatrix Medical Group

Murfreesboro, TN, USA

NEW!
Indiana University Health Logo
IU Health Arnett - Family Nurse Practitioner- West Lafayette Family Medicine
Indiana University Health

West Lafayette, Indiana

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AdventHealth Logo
Patient Care Tech - Mid Shift 11a-11p
AdventHealth

Rome, Georgia

NEW!
UCLA Logo
Medical Scribe, Endocrine Surgery (1 yr Contract)
UCLA

Los Angeles, California

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CompHealth Logo
1099 FTE CRNA for GI Only in Southern California | Tuesday - Friday Schedule JOB-3015169
CompHealth

Los Angeles, California

NEW!
CHRISTUS Health Logo
RN, Registered Nurse Clinic-Tyler Specialty Cosmetic Plastic Surgery-Full Time
CHRISTUS Health

Tyler, Texas

NEW!
BJC HealthCare Logo
Ortho Spinal Surgery Clinical Nurse
BJC HealthCare

Saint Louis, Missouri

NEW!
Beebe Healthcare Logo
LPN / LICENSED PRACTICAL NURSE - HOME CARE
Beebe Healthcare

Millsboro, Delaware

NEW!
WakeMed Health & Hospitals Logo
Clinical Nurse-WMTS- 6C Surgery and Trauma
WakeMed Health & Hospitals

Raleigh, North Carolina

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Vanderbilt Health Logo
Surgical Tech II, Labor & Delivery - $20K Sign-on Bonus
Vanderbilt Health

Nashville, Tennessee

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Appeals & Grievances Nurse
DescriptionAs the Appeals & Grievances Nurse, you will play a key role in managing and resolving New Century Health Plan member appeals and grievances. You will: Ensuring timely, accurate, and thorough review of member and provider complaints, working closely with clinical and administrative teams.Assessing cases to determine the appropriateness of medical care and services rendered in relation to Medicare guidelines, compliance requirements, and internal policies.Identifying and investigating Potential Quality Issues (PQIs) to ensure continuous improvement in care delivery.Complete other duties as assigned. Salary Range: $61.79-$79.91/hourly


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