• Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... for delays and obstacles to discharge. As appropriate, identifies internal system activities that may cause denials and work...etc) regardless of selection below._ + On Call* No ** TRAVEL _** Travel specifications may vary by department**_… more
    Houston Methodist (10/29/25)
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  • Senior Director Case Management

    Houston Methodist (Houston, TX)
    …leading multi-site or enterprise-level programs preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... across hospital-based and centralized UR functions. + Oversees audit readiness, internal reviews, and corrective action plans related to medical necessity and… more
    Houston Methodist (10/16/25)
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  • Medical Operations Coordinator ( Nurse V)…

    State of Colorado (Golden, CO)
    …Master's degree in nursing from an accredited institution Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state ... and procedures, generating and for program development, collaborating with internal and external service agencies and stakeholders and providing...this position is to possess and maintain a valid Registered Nurse License issued by the State… more
    State of Colorado (12/13/25)
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  • Case Management Coordinator (Maricopa County,…

    CVS Health (Phoenix, AZ)
    …Summary** The **Case Management Coordinator** is a work from home position with travel required (in Maricopa County, Arizona) to visit members. This person utilizes ... meeting needs by evaluating member's benefit plan and available internal and external programs/services. + Identifies high-risk factors and...Maricopa County or Gila County, Arizona. + Ability to travel up to 50% of the time within Maricopa… more
    CVS Health (12/25/25)
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  • Director, Clinical Operations

    Molina Healthcare (Warren, MI)
    …skills. * Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Registered Nurse ( RN ). License must be active ... of improving production, quality and efficiency with vendor and internal partners. + Utilizes Genesys and Epic platforms to...multidisciplinary teams as needed. + May be required to travel as needed. **Required Qualifications** * At least 8… more
    Molina Healthcare (12/25/25)
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  • Care Management Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... cost of care. Identifies member needs for and refers to appropriate internal and external programs, as appropriate. Encourages member and family empowerment through… more
    LA Care Health Plan (12/20/25)
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  • Clinical Assistant/Associate Professor, 12 Months,…

    Kean University (Union, NJ)
    …required. **Qualifications:** Master's or Doctorate degree from an accredited Nursing Program; current Registered Nurse license in the State of New Jersey; and a ... will also be considered and must apply and receive a New Jersey RN license through reciprocity/endorsement by the effective date of employment. The candidate must… more
    Kean University (12/10/25)
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  • Specialist, Product Technical Support

    BD (Becton, Dickinson and Company) (Irvine, CA)
    …supporting, operating, or troubleshooting medical devices. This may include roles such as Registered Nurse ( RN ), Anesthesia Technician (with exposure to ... and occasionally global affiliates and medical professionals. + Advise internal stakeholders (eg, Sales Representatives) and external customers on...and speak). **Work environment:** + Must be able to travel for one (1) week or more as needed… more
    BD (Becton, Dickinson and Company) (11/28/25)
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  • Practice Manager I-II - Aurora Wellness Community…

    University of Colorado (Aurora, CO)
    …quality systems. + Bilingual, Spanish-speaking. + Certified Medical Practice Executive (CPME). + Registered Nurse ( RN ), State of Colorado. **Conditions of ... accordingly. + Ensures that the service expectations of both internal and external customers are met and/or exceeded. **Work...to work in person. + Must be able to travel to multiple locations. **Knowledge, Skills, and Abilities:** +… more
    University of Colorado (12/25/25)
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  • Clinical Specialist East (Field based)

    Stryker (Philadelphia, PA)
    …related discipline required + Minimum 4 years of experience as a licensed clinician, preferably registered nurse in critical care + Must be able to track and ... on strategy + Travel up to 75% annually Preferred: + Current RN licensure preferred + Certification in nursing specialty preferred (WOCN, CPPS, etc.) + Minimum… more
    Stryker (12/20/25)
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