• Nurse Case Manager

    Alight (IN)
    …(https://careers.alight.com/us/en) . **Medical Nurse Consultant :** The Nurse Consultant functions as a member of our Clinical Center of Excellence ... in clinical guidelines in this industry, the Nurse Consultant facilitates medically sound decisions and... claims within their scope of licensure and clinical expertise. **You have** + Registered more
    Alight (10/13/25)
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  • Nurse Case Manager

    Alight (IN)
    **Medical Nurse Consultant :** The Nurse Consultant functions as a member of our Clinical Center of Excellence and serves as a clinical consult ... in clinical guidelines in this industry, the Nurse Consultant facilitates medically sound decisions and... claims within their scope of licensure and clinical expertise. **You have** + Registered more
    Alight (09/01/25)
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  • Senior Risk Management Specialist

    UPMC (Pittsburgh, PA)
    …of very sensitive and confidential information.Licensure, Certifications, and Clearances: + Pharmacist OR Registered Nurse ( RN ) + Act 34 *Current licensure ... is systematic management of potential as well as actual claims . Clinical data will by analyzed to...and managing individual projects. Do you have an active RN License or a Pharmacist license, along with five… more
    UPMC (11/15/25)
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  • Vice President, Safety and Regulatory Affairs

    Baystate Health (Springfield, MA)
    …standards from TJC, CMS, and other relevant agencies. **Preferred Qualifications:** + Clinical licensure (eg, RN , MD, DO) highly preferred. + Certified ... expert knowledge in federal, state and TJC standards and clinical and operational expertise to achieve and maintain a...not limited to, functioning as an expert resource and consultant to the organization, as a liaison between the… more
    Baystate Health (10/21/25)
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