• Registered Nurse - Clinical…

    Cognizant (Olympia, WA)
    …need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...clinic operations . Experience in utilization management to include Clinical Appeals and Grievances, precertification, initial and… more
    Cognizant (10/09/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Vancouver, WA)
    …resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training and support to clinical ... (Team will work on set schedule) Looking for a RN with experience with appeals , claims review, and medical coding. **Job Summary** Utilizing clinical knowledge… more
    Molina Healthcare (09/06/25)
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  • Clinical Program Coordinator RN, Medicare…

    Providence (WA)
    …in the collaboration and management of patient care + Current unencumbered Registered Nurse License in state of residency **Preferred qualifications for ... must empower them.** **Providence Health Plan is calling a Clinical Program Coordinator RN, Medicare / Medicaid who will:**...Nursing or Health Education + Upon Hire: Current unencumbered Registered Nurse License in Oregon + Within… more
    Providence (08/23/25)
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