• Medical Claim Review Nurse

    Molina Healthcare (Warren, MI)
    …for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for ... Payment Integrity analytical team; requires decision making pertinent to clinical experience + Documents clinical review...clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review .… more
    Molina Healthcare (09/06/25)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Cicero, IL)
    …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
    Fresenius Medical Center (10/10/25)
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  • Clinical Nurse Coordinator Adult…

    HCA Healthcare (Kansas City, MO)
    …integrity. We care like family! Jump-start your career as a Clinical Nurse Coordinator today with Research Medical Center. **Benefits** Research Medical ... start date + Registered Nurse + Registered Nurse Diploma Research Medical Center (https://researchmedicalcenter.com/) is...you to apply for our RN Clinical Nurse Coordinator Psych Adult opening. We promptly review more
    HCA Healthcare (10/13/25)
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  • Clinical Registered Nurse

    HCA Healthcare (Round Rock, TX)
    …Surgery opening and continue to learn! **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, ... colleagues in their positions. Join our Team as a Clinical Registered Nurse Coordinator Surgery and access...Nurse Coordinator Surgery opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
    HCA Healthcare (09/25/25)
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  • Clinical Research Nurse

    HCA Healthcare (Richmond, VA)
    …personal growth, we encourage you to apply for our Clinical Research Nurse opening. We promptly review all applications. Highly qualified candidates will be ... We care like family! Jump-start your career as a Clinical Research Nurse today with Chippenham Hospital....**You should have:** + **Knowledge of federal regulations, good clinical practices (GCP)** + **Knowledge of medical more
    HCA Healthcare (09/04/25)
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  • Registered Nurse - Clinical Appeals…

    Cognizant (Phoenix, AZ)
    …necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and ... as well as timely filing deadlines and processes. . Review clinical denials including but not limited...thinking skills to interpret guidelines of internal policies for clinical determination. . Medical Necessity Reviews can… more
    Cognizant (10/09/25)
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  • Clinical Nurse Coordinator Cardiac…

    HCA Healthcare (Wichita, KS)
    …of each individual is recognized. Submit your application for the opportunity below: Clinical Nurse Coordinator Cardiac Med SurgWesley Woodlawn Hospital & ER ... benefits may vary by location._** We are seeking a(an) Clinical Nurse Coordinator Cardiac Med Surg for...Nurse Coordinator Cardiac Med Surg opening. We promptly review all applications. Highly qualified candidates will be directly… more
    HCA Healthcare (09/19/25)
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  • Clinical Nurse Coordinator Emergency…

    HCA Healthcare (Belton, MO)
    …and personal growth, we encourage you to apply for our Clinical Nurse Coordinator Emergency Room opening. We promptly review all applications. Highly ... We care like family! Jump-start your career as a(an) Clinical Nurse Coordinator Emergency Room today with...Nurse Coordinator Emergency Room today with Belton Regional Medical Center. **Benefits** Belton Regional Medical Center,… more
    HCA Healthcare (10/13/25)
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  • Clinical Nurse Coordinator Charge RN…

    HCA Healthcare (Overland Park, KS)
    … Center we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator Charge RN Oncology Clinic and access programs to assist ... every stage of your career. **Benefits** Overland Park Regional Medical Center, offers a total rewards package that supports...gain certifications and job skills. Apply today for our Clinical Nurse Coordinator Oncology Clinic opening and… more
    HCA Healthcare (10/13/25)
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  • Clinical Nurse Coordinator Surgical…

    HCA Healthcare (Overland Park, KS)
    …of each individual is recognized. Submit your application for the opportunity below: Clinical Nurse CoordinatorMenorah Medical Center **Benefits** Menorah ... + Associate Degree, or Bachelors Degree, or Registered Nurse Diploma Menorah Medical Center (https://menorahmedicalcenter.com) is...encourage you to apply for our Clinical Nurse Coordinator opening. We promptly review all… more
    HCA Healthcare (10/13/25)
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