• Coordinator, Complaint & Appeals - Work From Home

    CVS Health (Harrisburg, PA)
    …accuracy and appropriateness of a benefit/administrative denial. * Can review a clinical determination and understand rationale for decision. * Able to research ... reports on and gives input on potential solutions. * Delivers internal quality reviews, provides appropriate support in third party audits, customer meetings,… more
    CVS Health (09/13/25)
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  • Senior Salesforce Health Cloud Solution Architect…

    EPAM Systems (Seattle, WA)
    …and life sciences clients + Collaborate with cross-functional teams (IT, clinical , and business stakeholders) to ensure seamless adoption of digital health ... business objectives and technology landscape + Conduct thorough testing and quality assurance activities to ensure the reliability, performance, and security of… more
    EPAM Systems (09/13/25)
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  • Sr. Vice President, Sales - Pharmacy Benefit…

    The Cigna Group (Bloomfield, CT)
    …diverse healthcare system. The Sr. Vice President of sales will develop a high quality sales division. There will be a focus on working across senior leaders across ... to ensure organization remains competitive in dynamic marketplace. Develop and drive the consultant relations strategy in order to win and retain business. + **Team… more
    The Cigna Group (09/13/25)
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  • Standardized Patient Educator, Georgetown…

    Georgetown Univerisity (Washington, DC)
    …Educator (SP/SE) will partner with a team of educators to provide a high quality clinical educational experience for learners in the Integrated Learning Center ... curriculum created. This person functions in the role of educator, facilitator, consultant , and researcher. S/he must be an excellent communicator with ample… more
    Georgetown Univerisity (09/13/25)
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  • Home Health Speech Therapist SLP Full Time

    Aveanna Healthcare (Orlando, FL)
    …between staff, health care team members, and family. + Serves as a resource consultant for clinical staff. + Provide physicians and Aveanna with written ... Details Position Overview TheSpeech Therapistis responsible for the delivery of quality patient care according to the patient's individual physician orders. Care… more
    Aveanna Healthcare (09/13/25)
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  • Legal Nurse: Investigate Medicaid Fraud/Patient…

    New York State Civil Service (New York, NY)
    …State Registered Professional Nurse's license; * A minimum of seven (7) years of clinical experience; * Knowledge of the current standards and scope of practice for ... to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management, MDS 3.0 Resident...managed care; * Prior experience as a legal nurse consultant ; and * Knowledge of state and federal rules… more
    New York State Civil Service (09/12/25)
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  • Legal Nurse: Investigate Medicaid Fraud/Patient…

    New York State Civil Service (Syracuse, NY)
    …State Registered Professional Nurse's license; * A minimum of seven (7) years of clinical experience; * Knowledge of the current standards and scope of practice for ... to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management, MDS 3.0 Resident...managed care; * Prior experience as a legal nurse consultant ; and * Knowledge of state and federal rules… more
    New York State Civil Service (09/12/25)
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  • CT Tech FT Nights

    Access Dubuque (Dubuque, IA)
    …home. In recognition of the strength of its nursing service and the overall quality of patient care, MercyOne Dubuque has been designated a Magnet(R) hospital four ... Technologist - Radiology UnityPoint Health Finley Hospital Assistant Director of Clinical Education- Physical Clarke University PRN Neonatal Nurse Practitioner -… more
    Access Dubuque (09/12/25)
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  • Home Health Speech Therapist SLP Part Time

    Aveanna Healthcare (Waupaca, WI)
    …between staff, health care team members, and family. + Serves as a resource consultant for clinical staff. + Provide physicians and Aveanna with written ... Details Position Overview TheSpeech Therapistis responsible for the delivery of quality patient care according to the patient's individual physician orders. Care… more
    Aveanna Healthcare (09/12/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …needs and coordinate transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or discharge planning needs + ... physicians and interdisciplinary team to facilitate and maintain compassionate, efficient quality care and achievement of desired treatment outcomes. The Case… more
    Ellis Medicine (09/11/25)
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