• Medical Director of Clinical Osteopathic…

    Southeast Health (Dothan, AL)
    …and skill. *Monitors student and OPP Fellows progress through rounds, student clinical training sessions, one-on-one conferences, and review of student ... direction. Job Description Summary Job Summary: The Director of Clinical ONMM has primary responsibility for the ONMM educational...OPP Fellow Scholars in the clinics; and oversees the clinical teaching assignments of ONMM clinical faculty… more
    Southeast Health (09/09/25)
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  • PA Office Support Representative

    Highmark Health (Buffalo, NY)
    …the database for reporting purposes (20%) 3. Responsible to efficiently coordinate the clinical review process with contracted external review companies in ... receipt of clinical information * effective communication with the external review liaison to address questions or issues * The efficient and accurate recording… more
    Highmark Health (11/18/25)
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  • Senior Psychologist Program Manager (Chief…

    Veterans Affairs, Veterans Health Administration (Seattle, WA)
    …(OPPE and FPPE) Serves as an ex officio member of the Psychology Service Clinical Pertinence Review Committee. Oversees and collaborates with program managers on ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
    Veterans Affairs, Veterans Health Administration (11/27/25)
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  • RN Medical Management Nurse - California

    Elevance Health (Los Angeles, CA)
    …care management or case management experience and requires a minimum of 2 years clinical , utilization review , or managed care experience; or any combination of ... Rotating Weekends and holidays. The **Medical Management Nurse** is responsible for review of the most complex or challenging cases that require nursing judgment,… more
    Elevance Health (11/25/25)
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  • Medical Director - OP Claims Mgmt

    Humana (Juneau, AK)
    …this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
    Humana (11/24/25)
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  • Program Compliance Coordinator - 131 West 25th…

    Bowery Residents Committee (Manhattan, NY)
    …training on topics such as best practices , clinical documentation and clinical writing as necessary based on chart review findings and program trends ... maintain a program compliance training curriculum based on best practices, clinical chart review findings, trends, and relevant city, state, and federal laws and… more
    Bowery Residents Committee (11/14/25)
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  • RN, Quality Assurance

    University of Rochester (Rochester, NY)
    …the application of strict inclusion/exclusion criteria and protocols. Performs meticulous chart review and enters clinical data into the quality databases to ... clinical nursing experience, including 1 year of experience with clinical chart review , monitoring of clinical data and process improvement required -… more
    University of Rochester (11/06/25)
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  • Medical Director - Medicaid N. Central

    Humana (Indianapolis, IN)
    …this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review ... and work is assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies and determinations, clinical reference… more
    Humana (10/25/25)
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  • Senior Meditech Clinical Analyst

    HCA Healthcare (Nashville, TN)
    …find this opportunity compelling, we encourage you to apply for our Senior Clinical Analyst opening. We promptly review all applications. Highly qualified ... is recognized. Submit your application for the opportunity below:Senior Clinical AnalystHCA Healthcare **Benefits** HCA Healthcare offers a total...may vary by location._** We are seeking a Senior Clinical Analyst for our team to ensure that we… more
    HCA Healthcare (11/26/25)
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  • Clinical Pharmacist-FT Days

    HCA Healthcare (Conroe, TX)
    …you find this opportunity compelling, we encourage you to apply for our Clinical Pharmacist opening. We promptly review all applications. Highly qualified ... individual is recognized. Submit your application for the opportunity below: Clinical PharmacistHCA Houston Healthcare Conroe **Benefits** HCA Houston Healthcare… more
    HCA Healthcare (11/11/25)
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