• Clinical Case Manager

    LifePoint Health (Rutherfordton, NC)
    …services to communities. Duke LifePoint combines Duke's unparalleled expertise in clinical excellence and quality care with LifePoint's extensive resources and ... encourages professional growth. Integrates evidence-based practices into operations and clinical protocols. Works with physicians, nurses, ancillary staff and social… more
    LifePoint Health (06/09/25)
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  • CDOC Certified Nurses Aide (CNA) / Medication…

    State of Colorado (Sterling, CO)
    …Report changes in patient skin condition and patient health care complaints to shift registered nurse ; + Empty catheter bags; offer fluids and record Intake and ... but not limited to, the following: + In a clinical setting, assist patients with activities of daily living...pulse oximetry under the supervision and direction of a registered nurse ; + Maintain appropriate tool and… more
    State of Colorado (07/25/25)
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  • Manager, Utilization Review

    Children's Mercy Kansas City (Kansas City, MO)
    …1-2 years experience + Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon ... review functions utilizing InterQual and/or MCG screening guidelines, and clinical denials/ appeals oversight. Participates in department and...hire + One of the following: Licensed RN - Kansas, Registered Nurse more
    Children's Mercy Kansas City (06/17/25)
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  • CDOC Mid-Level Provider/(NP/PA) - Gender Affirming…

    State of Colorado (Denver, CO)
    …six (6) months of hire. + Applicant must have two years experience as a Registered Nurse , andsix months of gender affirming care experience, which may include, ... and other related laboratory tests; + Follow the CDOC clinical services standards and procedures, protocols, guidelines, or policies...must possess current, valid licensure as an Advanced Practice Nurse / Nurse Practitioner from the Colorado… more
    State of Colorado (07/31/25)
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  • Departmental Specialist 13 - Specialized Nursing…

    State of Michigan (Lansing, MI)
    …Psychologist (LLP); Fully Licensed Psychologist (LP); Licensed Master Social Worker (LMSW); Registered Nurse ( RN ); Licensed Professional Counselor (LPC) + ... Inclusion . Reviews, coordinates and represents the Department on statewide appeals of preadmission screenings/annual resident reviews Medicaid recoveries before the… more
    State of Michigan (08/01/25)
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  • Director Utilization Management

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    clinical committees. Essential Qualifications + Active and unrestricted license as a Registered Nurse ( RN ). + Bachelor's degree in nursing, (or ... manage the Utilization Management team consisting of Clinicians and Non- Clinical support staff from Intake through Appeals ...and Non- Clinical support staff from Intake through Appeals processing. The ideal candidate will have a strong… more
    Brighton Health Plan Solutions, LLC (07/18/25)
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  • Medical Director, Children's Services (SafetyNet…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …peer-to-peer calls in timely manner and provides support for the Case Management (CM) and Registered Nurse ( RN ) reviewers and manages the denial process. + ... for you, we encourage you to apply! Job Description: The position provides clinical leadership and support for the development and implementation of the Children's… more
    Excellus BlueCross BlueShield (05/10/25)
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  • Community Care Coordinator, Dehs - Faa02655…

    State of Colorado (Denver, CO)
    …weight under the process. + Previous experience working in a pediatric or family medicine clinical setting as a registered nurse or a medical practice ... Only: Six (6) years of professional experience as a RN , public health nurse , community health ...and follow-up, and experience communicating complex health information to clinical and non- clinical audiences. + Keen attention… more
    State of Colorado (07/29/25)
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  • Director of Care Management - Mount Sinai Queens…

    Mount Sinai Health System (Long Island City, NY)
    …field **Experience Requirements** 5 years of Case Management and 6 years of clinical nurse experience. Previous supervisory experience in Case Management or a ... field. **Licensing and Certification Requirements (if applicable)** Licensed as a registered nurse , Issuing Agency: Department of Health/Office of Professions… more
    Mount Sinai Health System (07/24/25)
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  • Client Care Aide I - Colorado Mental Health…

    State of Colorado (Pueblo, CO)
    …Reports ALL claims of harassment/workplace violence, alerts public safety/charge RN / Nurse Manager/and nursing appointing authority immediately Communication/ ... at the unit level + Reports ALL abuse allegations immediately to the charge RN / Nurse Manager/nursing appointing authority and refer to public safety + Alerts the… more
    State of Colorado (08/02/25)
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