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The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process.
$33.3 - $44.49 an hourExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Traveling Registered Nurse, Travel, ER, RN – ER, Contract, Travel, Traveling Nursing, Assignment, Registered ER, Emergency Room Nurse, ER RN, Emergency Room Nurse, ER Travel Nurse, Healthcare RN, ER Nursing, Nurse RN, RN Nurse, Contract RN.
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Active Registered Nursing license (RN), Licensed Clinical Social Worker LCSW, Licensed Marriage and Family Therapist LMFT, Utilization Management Certification (CPHM), Rehabilitation Therapy License (Occupational Therapist, Speech Therapist), Unrestricted Board Examiners.
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Focus Staff is seeking a ER Registered Nurse for a travel contract in Allen, TX. The ideal candidate will have at least 1 year of experience in a ER setting. If you’re seeking a Travel Emergency Room Nurse position in Allen, TX and are looking to work with an agency that will listen to your needs and career goals, then Focus Staff is the right place to be.
$1,580 a weekFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Job Description & Requirements Registered Nurse – Emergency Room - Travel - (ER RN) StartDate: 7/15/2024 Available Shifts: 12 E Pay Rate: $1728.67 - $1905.07 Welcome to this outstanding Emergency Room (ER) unit, where the latest in cutting-edge technology meets compassionate care.
$1,728.67 - $1,905.07 a weekFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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At Houston Methodist, the Registered Nurse (RN) PRN position is a licensed staff nurse, an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice.
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Two to four years of Utilization Review/Case Management experience. The RN Clinical Appeals Nurse will actively manage, maintain and communicate denial/appeal activity to appropriate stakeholders, and report suspected or emerging trends related to payer denials.
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Current and valid license to practice as a Registered Nurse in the state of Texas or Current and valid license as a Master Social Worker (LMSW) in the state of Texas required, LCSW preferred.
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Texas Oncology is looking for a full-time Oncology Clinic Registered Nurse (RN) to join our team! What does the Oncology Clinic Registered Nurse (RN) do? Under minimal supervision, the Registered Nurse provides professional nursing care for patients adhering to national and company standards and guidelines for specialty regulations.
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Certification or recertification as a Certified Registered Nurse Anesthetist (CRNA) issued by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA.
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Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Houston, Texas. Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management.
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RN-Temp - Registered Nurse - Temporary State Licensure within 60 days AND. RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days OR.
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This position assumes leadership roles with progressive responsibility including but not limited to participating in or leading unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and possibly contributing to service line or hospital-wide initiatives in partnership with management.
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Key Words: Registered Nurse, RN, Operating Room, Scrub, Circulate, OR, Contract Nurse, Travel Nurse, Agency RN, Travel RN, Nursing, Contract, Perioperative nurse.
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Certified Correctional Health Professional, Certified Correctional Health Professional Registered Nurse, Certified Corrections Nurse, or Correctional Behavioral Health Certification preferred.
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management registered nurse pet friendly utilization review rn jobs Title: travel rn Company: Medical Solutions in Houston, ND, Australia
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