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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.
$33.3 - $44.49 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This associate will be a liaison and point of contact for clinical denials and appeal inquiries. 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 hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Clinical or health sciences degree required with current or previous professional licensure strongly preferred (e.g., RN, RPh, PharmD, PA, DNP, MD, or PhD in a medically related field) from an accredited college or university.
$150Full-timeExpandUpdated 2 days ago - UpvoteDownvoteShare Job
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As part of its mission to transform the lives of people with behavioral health and IDD needs in the third largest county in the United States, The HARRIS CENTER provides a full continuum of services at 86 different sites across Harris County.
Starting at $77,010 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This position serves as a liaison between the Transplant Nurse Coordinator, Transplant Physicians, hospital ancillary departments and referral sources for patients who are referred for transplant and/or VAD services.
$22.79 - $31.33 an hourFull-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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The 450 members of the DLDCCC generate more than $170M annually in cancer related research funding including more than $51M from the NCI. Two long-term SPORE grants in breast cancer and lymphoma, a third SPORE with MD Anderson in Brain tumors, and a Leukemia Lymphoma SCOR Grant are among 85 multi-investigator awards, half from NCI.
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The registered nurse provides nursing care to patients in an assigned clinical area and leadership on the unit, under the supervision of a Nurse Supervisor, or RN Coordinator. The RN applies clinical nursing knowledge and utilizes demonstrated skills to ensure the safety and comfort of patients and families according to legal, organizational and professional standards.
$73,450 - $90,741 a yearFull-timeExpandUpdated 5 days ago - UpvoteDownvoteShare Job
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Implement district school health program and provide direct services to meet the needs of the students and staff under the direct clinical supervision of the school health coordinator or school nurse (RN.
$37,918 - $48,887 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Acts as a company liaison between the owner and Textron Aviation to ensure that the concerns of all parties are fairly represented. Textron Aviation has been inspiring the journey of flight for nine decades through the iconic and beloved Cessna and Beechcraft brands.
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At Houston Methodist, the RN Clinical Communications Coordinator position a registered nurse, responsible for facilitating and coordinating patient care during all phases of transplantation.
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Job DescriptionThe RPA Developer will be responsible for design, development, testing and implementation of RPA bots that will interact with multiple third-party applications. Job DescriptionThe RPA Developer will be responsible for design, development, testing and implementation of RPA bots that will interact with multiple third-party applications.
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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.
$1,884.37 - $1,942.06 a weekFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Maintenance Mechanic Golf Carts and Vehicles, under general supervision, performs a variety of skilled and technical tasks to repair and maintain golf carts and other vehicles at NRG Park. Also, acts as liaison between the facility and clients, ensuring all clients' requirements are met and facility rules, regulations and policies are adhered to.
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Polar Tankers, a wholly owned subsidiary of ConocoPhillips, provides marine transportation for North Slope production, using five company-owned, double-hulled tankers in addition to chartering third-party vessels as necessary.
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third shift rn clinical liaison jobs Title: part in Houston, TX
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