• Medical Director, Medicare Grievances

    Humana (Harrisburg, PA)
    …and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance ... standards. Exercises independent judgment and decision making on complex issues regarding job duties and...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
    Humana (11/19/25)
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  • Associate Technology Solution Sales Director -eQMS…

    IQVIA (Philadelphia, PA)
    …client organizations and internal teams. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the ... and welfare and/or other benefits. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life… more
    IQVIA (10/31/25)
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  • Case Management Specialist

    CVS Health (Harrisburg, PA)
    …within the Care Team for clinical knowledge, medication regimes, and supportive clinical decision making + **Collaborates and leverages** the Care Manager RN ... Social Worker, and other interdisciplinary care team participants to support the member in maintaining optimal health. This is... clinical expertise to ensure members' needs are adequately addressed.… more
    CVS Health (11/26/25)
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  • Utilization Management Nurse

    Humana (Harrisburg, PA)
    …and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication ... appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards… more
    Humana (11/24/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Harrisburg, PA)
    …maintaining optimum health. We provide telephonic outreach to assess and support their health, offering education, identifying resources, and helping remove barriers ... degree in Nursing. + Seasoned RN with a **minimum of 3 years of clinical nursing experience.** + Demonstrated clinical knowledge and expertise as evidenced by… more
    Humana (11/19/25)
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  • Registered Nurse - RN

    Fresenius Medical Center (Enola, PA)
    …manage patient care in an independent home therapy program by providing education and support to patients and caretakers who have chosen to dialyze in the comfort of ... a Home Therapies Registered Nurse, you will enter our Clinical Advancement Program (CAP) to grow and advance in...most important asset - we value, care about, and support our people. We are there when you may… more
    Fresenius Medical Center (11/27/25)
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  • Software Development Director

    Oracle (Harrisburg, PA)
    …is a newly established division within Oracle, focused on revolutionizing the healthcare industry through innovative technology solutions. We are seeking a dynamic ... is a unique opportunity to shape the future of healthcare and make a lasting impact. **Job Description:** +...solutions, with a specific focus on agents based on clinical knowledge, reasoning, and events for workflow automation and… more
    Oracle (11/25/25)
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  • Senior Data Scientist

    Cardinal Health (Harrisburg, PA)
    …RAGs, LLM, vector databases and embeddings model. + Extensive knowledge of healthcare data, including clinical data, patient demographics, and claims data. ... Center of Excellence (AI CoE), we are pushing the boundaries of healthcare with cutting-edge Data Science and Artificial Intelligence (AI). Our mission is… more
    Cardinal Health (09/06/25)
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  • Registered Nurse - Adult Main Psychiatric…

    WellSpan Health (Mount Gretna, PA)
    …of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Acts as a primary nurse for patients on the ... of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Acts as a primary nurse for patients on the… more
    WellSpan Health (11/01/25)
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  • Home Hospice RN - Southern Chester County

    Penn Medicine (West Chester, PA)
    …appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. + Teamwork: The nurse ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
    Penn Medicine (09/12/25)
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