• RN - Clinical Account Manager, High-Cost…

    Blue KC (Workman, MN)
    …+ Oversee program and group implementations for assigned groups, RFP responses, internal and external client audits, program presentations for clients, and ... off** **Professional development courses, mentorship opportunities, and tuition reimbursement program ** **Paid parental leave and adoption leave with adoption… more
    Blue KC (11/08/25)
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  • RN Clinical Coding Educator - Value-Based…

    CenterWell (Tampa, FL)
    …part of our caring community and help us put health first** The RN Coding Education Facilitator is responsible for delivering clinically relevant coding education to ... providers, nurse practitioners (NPs), and physician assistants (PAs) in a...skills to make an impact** **Required Qualifications** + Active RN license + A minimum of five years of… more
    CenterWell (12/20/25)
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  • Home Care RN

    Redeemer Health Home Care & Hospice (Philadelphia, PA)
    …benefits, educational assistance, nursing scholarship opportunities, and a unique onboarding program that sets you up for long-term success while introducing you ... and Benefits package Mileage and Tuition Reimbursement! A Home Care Visiting RN provides safe, holistic care to a population with multiple co-morbidities and… more
    Redeemer Health Home Care & Hospice (12/20/25)
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  • Senior RN Peer Review Specialist

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …planning, screening, research development, writing, and presenting cases for internal and external review. + Proactively anticipate issues/concerns and address ... to quality of care, unprofessional conduct, or fraudulent activity. + Determine which internal and external CPRC members will participate in the hearing panel. +… more
    Blue Cross Blue Shield of Massachusetts (12/25/25)
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  • Manager, Quality and Patient Safety ( RN )

    WMCHealth (Suffern, NY)
    Manager, Quality and Patient Safety ( RN ) Company: Good Samaritan Hospital City/State: Suffern, NY Category: Executive/Management Department: General Quality ... Mar 03, 2025 Hiring Range: $52.40 - $66.33 Apply Now External Applicant link Internal Applicant link Job Details: The Manager of Quality and Patient Safety provides… more
    WMCHealth (12/12/25)
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  • RN Clinical Surgical Reviewer-SMH

    Ochsner Health (Slidell, LA)
    …for managing all facets of the National Surgical Quality Improvement Program (NSQIP) database which is a nationally validated, risk-adjusted, outcomes-based ... program to measure and improve the quality of surgical...clinical research or medical records. **Certifications** Required - Current RN License in the state of practice **Knowledge Skills… more
    Ochsner Health (12/12/25)
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  • Utilization Management Reviewer, RN

    Excellus BlueCross BlueShield (Rochester, NY)
    …(PH) medical and healthcare services for members, ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refers ... development and promotional opportunities. All Levels + Associates degree and active NYS RN license required. Bachelors degree preferred. + Minimum of three years of… more
    Excellus BlueCross BlueShield (10/07/25)
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  • Staff Development Coordinator, RN

    Genesis Healthcare (Winchester, NH)
    …experience in adult learning preferred Benefits *Variable compensation plans *Tuition, Travel , and Wireless Service Discounts *Employee Assistance Program to ... Overview **Applewood Center Has A Full-Time Staff Development/ Nurse Educator Opportunity!** **On Call Required** **Competitive Wages and Opportunity for Internal more
    Genesis Healthcare (11/25/25)
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  • Manager, Prior Authorization Utilization…

    CVS Health (Baton Rouge, LA)
    …accreditation standards (eg, CMS, NCQA, URAC). + Collaborate with internal and external stakeholders-including clinical leadership, operations, IT, and regulatory ... mindset + Collaboration and relationship-building **Required Qualifications** + Active and unencumbered RN license in Louisiana or compact license + 5+ years of… more
    CVS Health (12/21/25)
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  • Home Health RN Area Executive Director

    Aveanna Healthcare (Madison, WI)
    Home Health RN Area Executive Director ApplyRefer a FriendBack Job Details Requisition #: 209287 Location: Madison, WI 53708 Category: Nursing Salary: $100,000.00 - ... metrics for each branch and identifying areas for cost reduction and program improvement. Ensure all reporting deadlines are consistently met across branches.… more
    Aveanna Healthcare (12/03/25)
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