• Leave of Absence Coordinator

    Sedgwick (Chicago, IL)
    …from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
    Sedgwick (12/02/25)
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  • Mgr Corprate CDI

    Covenant Health Inc. (Knoxville, TN)
    Overview Clinical Documentation Improvement Manager Full-Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... be named a Forbes "Best Employer" seven times. Position Summary: The Manager of Clinical Documentation Integrity develops, implements and oversees all activities of… more
    Covenant Health Inc. (10/13/25)
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  • Clinical Appeals Nurse (Remote)

    CareFirst (Baltimore, MD)
    …- State Licensure And/or Compact State Licensure Upon Hire Required + CCM - Certified Case Manager Upon Hire Preferred + LNCC - Legal Nurse Consultant Certified ... meeting all State and Federal regulations and mandates. + Organizes the appeal case for physician review by compiling clinical, contractual, medical policy and … more
    CareFirst (01/06/26)
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  • Director, Clinical Care Services - New Mexico,…

    Magellan Health Services (Albuquerque, NM)
    …at provider, customer, UM and CM meetings as needed. + Audits and reviews case manager , Health guide, UM staff, vendor, and provider documentation and telephone ... of care, clinical appeals regarding medical necessity, and the interaction with claims payment policies and processes. Also oversees the health plans 24/7 Nurse… more
    Magellan Health Services (01/08/26)
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  • Internal Affairs Investigator, Probation

    The County of Los Angeles (Los Angeles, CA)
    …undercover, as well as participate in covert investigations and raids; prepare the case for legal proceedings and/or testify in court proceedings; report facts and ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...as participate in covert investigations and raids; prepare the case for legal proceedings and/or testify in court proceedings;… more
    The County of Los Angeles (01/04/26)
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  • Nursing (Occupational Health) (Title 32)…

    Army National Guard Units (VA)
    …Liaison, and the Director, Human Resources, serves as the local OHN Case Manager Consultant for ensuring development, evaluation, implementation and monitoring ... efficiency and to reduce or eliminate future hazardous conditions. 3. Manages the Case Management Program. In coordination with the US Department of Labor (DOL)… more
    Army National Guard Units (01/02/26)
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  • Nurse Practitioner-Contract Medical Reviewer (CMR)

    Chenega Corporation (Rockville, MD)
    …complex workplace environment. + Must have experience supporting healthcare related case management and/or claims management program knowledge, leadership, ... project team as directed. + Support the CSCS Program Manager and Project Manager 's efforts to provide...or managed care. + Professional Background: Relevant experience in claims review, healthcare administration, or related fields. + A… more
    Chenega Corporation (10/31/25)
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  • Physician-Contract Medical Reviewer (CMR)

    Chenega Corporation (Rockville, MD)
    …complex workplace environment. + Must have experience supporting healthcare related case management and/or claims management program knowledge, leadership, ... project team as directed. + Support the CSCS Program Manager and Project Manager 's efforts to provide...Rockville, MD location. + Professional Background: Relevant experience in claims review, healthcare administration, or related fields. + A… more
    Chenega Corporation (10/14/25)
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  • Bilingual Dispute Intake Analyst (English…

    Fifth Third Bank, NA (Grand Rapids, MI)
    …previously filed dispute. This may include specialized disputes, including denied claims , reassertions, repeat offenders, and Private Bank client customers. The ... compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims . The Analyst uses various bank and vendor systems to research questions… more
    Fifth Third Bank, NA (12/16/25)
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  • Contract Specialist

    Air National Guard Units (Belle Chasse, LA)
    …and similar matters. Performs acquisition planning, along with the program manager /customer, technical, legal, and finance personnel to develop market research, ... Government Accountability Office (GAO) and Comptroller General decisions, public law, case law, and precedents. Devises special terms, provisions, clauses, and… more
    Air National Guard Units (01/10/26)
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