• Area Business Manager, Hemophilia - MN, IA, NE,…

    Sanofi Group (Omaha, NE)
    …sales position or 4 years clinical experience such as an Advanced Registered Nurse Practitioner, Physician Assistant, Registered Nurse , Physical ... **Job Title:** Area Business Manager, Hemophilia **Location:** US Remote /Field **About the Job** We are an innovative...and collaborate with customers on a customized strategy. + Review and analyze market/customer data to support and execute… more
    Sanofi Group (08/12/25)
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  • Qualified Mental Health Professional 9-P11 (LPC,…

    State of Michigan (Ionia, MI)
    …Profession, which is required to practice as a psychologist, social worker, counselor, registered nurse , or other QMHP. Positions in this class are ... Health Profession, which is required to practice as a psychologist, social worker, counselor, registered nurse , or other QMHP? If so, please attach proof of… more
    State of Michigan (09/13/25)
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  • Nurse Practitioner - Addiction Recovery…

    Rochester Regional Health (Rochester, NY)
    …Department (NYSED)New York State Education Department (NYSED)New York State Education Department (NYSED), RN - Registered Nurse - New York State Education ... a wide range of practice opportunities at multiple locations with in-person and remote opportunities. Our team meets weekly and supports each other daily. Do not… more
    Rochester Regional Health (08/19/25)
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  • DRG Auditor - October Class

    Insight Global (South Jordan, UT)
    …terminology. Expert coding knowledge (DRG & ICD-10) Registered Nurse RN (must be inpatient) WITH coding/ clinical documentation certification (2 years in ... Auditor for one of our clients to sit 100% remote . This person should have an extensive background in...clinical documentation) OR IF NOT A NURSE : Degree in RHIM, RHIA, RHIT with medical coding… more
    Insight Global (09/09/25)
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  • Care Manager II

    AmeriHealth Caritas (Rock Hill, SC)
    …record/documentation systems is essential **Licensure** + Must hold a current and unrestricted Registered Nurse ( RN ) license in good standing in South ... of health. Utilizes strong assessment and communication skills, critical thinking, and clinical knowledge to identify issues, gaps in care and barriers to care.… more
    AmeriHealth Caritas (07/27/25)
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  • LCSW/LMFT - Orange County

    Amergis (Orange, CA)
    …and notification of behavioral health services from health professionals, clinical facilities and ancillary providers. The incumbent will be responsible ... for prior authorizations, concurrent review and related processes. Position Details: Location: Orange (Full...related processes. Position Details: Location: Orange (Full Office, no remote !) Schedule: 40 hours a week, 8 AM to… more
    Amergis (08/14/25)
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  • Medical Management Clinician

    Elevance Health (Cincinnati, OH)
    …moderately complex case types that do not require the training or skill of a registered nurse . **How you will make an impact.** Primary duties may include, but ... approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. This...or equivalent. Requires a minimum of 4 years of clinical experience and/or utilization review experience. +… more
    Elevance Health (09/10/25)
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  • Licensed Practical Nurse -ENT Clinic

    Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
    …of wellness, performing procedures as ordered by the physician and/or Registered Nurse . Responsibilities The Licensed Practical/License Vocational Nurse ... Summary The Licensed Practical Nurse -ENT Clinic serves as a member of...patient information. Completed work should need only a general review by a RN /MD/DO for appropriateness and… more
    Veterans Affairs, Veterans Health Administration (09/04/25)
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  • Utilization Management Behavioral Health…

    Humana (Indianapolis, IN)
    …Family Therapist **(LMFT)** , Licensed Professional Counselor **(LPC)** , Psychologist **(PhD)** , Registered Nurse **( RN )** or other professional license. + ... independent determination of the appropriate courses of action. + Utilizes clinical knowledge, communication skills, and independent critical thinking skills towards… more
    Humana (09/11/25)
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  • Director, Utilization Management

    Centene Corporation (Sacramento, CA)
    …Expert knowledge of industry regulations, policies, and standards preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or ... including a fresh perspective on workplace flexibility. ** RN highly preferred** ** Remote opportunity** **Role is supporting Concurrent Review team working in… more
    Centene Corporation (09/13/25)
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