• Community Health Assessment Field Nurse…

    Excellus BlueCross BlueShield (Rochester, NY)
    …the use of medical and health care services for members. The SN CHA Nurse may also perform other technical and administrative tasks essential to the efficient ... expert and occasionally works directly with the operation and clinical staff to resolve issues and escalated problems. +...other functions as assigned by management. Minimum Qualifications: + RN with valid and current NYS Nursing Licensure. +… more
    Excellus BlueCross BlueShield (08/19/25)
    - Related Jobs

  • Manager II Medical Management

    Elevance Health (Walnut Creek, CA)
    …members to appropriate providers, programs or community resources. + Applies clinical knowledge to work with facilities and providers for care-coordination. + ... May also manage appeals for services denied. + Serves as mentor to...equivalent and a minimum of 5 years acute care clinical experience which includes a minimum of 2 years… more
    Elevance Health (09/04/25)
    - Related Jobs

  • Referral/Pre-Auth Specialist - Remote (OR, WA, AK)

    PeaceHealth (Vancouver, WA)
    …receiving, processing and documenting referral or prior authorization requests from the clinical areas. Provides customer service and support for the clinical ... diagnostic testing, etc. **Credentials** + Preferred: Medical Assistant, LPN, or RN **Skills** + Proficient computer skills including MS Office applications.… more
    PeaceHealth (09/04/25)
    - Related Jobs

  • Senior Compliance Auditor

    Ochsner Health (New Orleans, LA)
    …field. **Certifications** Required - Certification as CPC, CCS, CHC, RHIA, RHIT, RN , or LPN or other related certification. **Knowledge Skills and Abilities (KSAs)** ... + Ability to travel across system. **Job Duties** + Independently completes clinical compliance audits. + Reports audit findings and ensures development of… more
    Ochsner Health (09/05/25)
    - Related Jobs

  • Associate Dean for Faculty Affairs

    University of Connecticut (UConn) (Storrs, CT)
    …interdisciplinary teaching and research scholarship with colleagues in the academic and clinical setting. + Ensures that appropriate strategies and policies are in ... in processes related to faculty counseling, faculty grievance, and appeals related to the SON operations. + Promotes linkages...(Ph.D., EdD, or equivalent) in Nursing. + Current Connecticut RN license (valid at date of hire). + 3-5… more
    University of Connecticut (UConn) (07/04/25)
    - Related Jobs