• Utilization Review Specialist

    WestCare Foundation (Henderson, NV)
    …carriers + Read and understand patient/members running chart narrative and respective case notes and be able to disseminate patient needs and professional/clinical ... required Education: + Associates or Bachelors level LPN or RN and/or Bachelors or Masters level CADC/LADC with 2...Experience and Competencies: + Proven experience in conceptualizing a case and creating a clinical impression to present to… more
    WestCare Foundation (11/13/25)
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  • Social Work Case Manager

    AdventHealth (Hinsdale, IL)
    …The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs, ... for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care… more
    AdventHealth (11/06/25)
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  • Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …is responsible for the end-to-end review, analysis, and resolution of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims ... response times, and post-payment audits. + Assist in the resolution of complex provider disputes and escalations, including direct support to leadership in pricing… more
    Commonwealth Care Alliance (08/31/25)
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  • Sr Spec-Integrated Care Mgmt - Utilization…

    Sharp HealthCare (San Diego, CA)
    …Degree; California Registered Nurse ( RN ) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... site and system leadership, and senior leaders, the Sr Specialist provides expert consultation on complex and...or clinical experience in area of specialty. + California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (10/31/25)
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  • Care Manager Bilingual

    AmeriHealth Caritas (Washington, DC)
    …or Amharic) required. + Required for RN candidates: Current and unrestricted Registered Nurse licensure in the District of Columbia and a Bachelor's Degree ... **Responsibilities:** The Bilingual (Spanish or Amharic) Care Manager II ( Registered Nurse /Licensed Independent Clinical Social Worker) assists members with … more
    AmeriHealth Caritas (09/23/25)
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  • Senior Architect

    Access Dubuque (Dubuque, IA)
    …Experience Specialist /Receptionist: Urgent Care UnityPoint Health Finley Hospital CVU RN - Cardiovascular Registered Nurse MercyOne Science Faculty ... Worker University of Dubuque Estimator Sedona Staffing Services ICU RN - Intensive Care Registered Nurse... MercyOne Accounting & Finance Manager City of Platteville RN Case Manager PRN Dubuque MercyOne Industrial… more
    Access Dubuque (10/11/25)
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  • Care Manager II

    AmeriHealth Caritas (Washington, DC)
    …and Experience** + Required for RN candidates: Current and unrestricted Registered Nurse licensure in the District of Columbia. Associate's Degree in ... RN or LICSW working with pediatric populations with complex medical and behavioral health diagnoses in acute care,...managed care organization preferred **Licensure** + Current and unrestricted Registered Nurse licensure in the District of… more
    AmeriHealth Caritas (11/08/25)
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  • Mental Health Therapist

    Access Dubuque (Dubuque, IA)
    …Experience Specialist /Receptionist: Urgent Care UnityPoint Health Finley Hospital CVU RN - Cardiovascular Registered Nurse MercyOne Security Officer ... Northeast Iowa Community College Estimator Sedona Staffing Services ICU RN - Intensive Care Registered Nurse...of Dubuque Accounting & Finance Manager City of Platteville RN Case Manager PRN Dubuque MercyOne Industrial… more
    Access Dubuque (11/03/25)
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  • Advanced Practice Provider (NP/PA/APP)-Inpatient…

    University of Virginia (Charlottesville, VA)
    …as an Advance Practice Provider ( Nurse Practitioner, Physician Associate, Certified Registered Nurse Anesthetist, and Certified Nurse Midwife) as set ... a unique opportunity to contribute to the care of complex oncology patients while maintaining involvement in the broader... Nurse Practitioner, license to Practice as a Registered Nurse in the Commonwealth of Virginia… more
    University of Virginia (11/18/25)
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  • Firefighter Paramedic

    Access Dubuque (Dubuque, IA)
    …Experience Specialist /Receptionist: Urgent Care UnityPoint Health Finley Hospital CVU RN - Cardiovascular Registered Nurse MercyOne Science Faculty ... Worker University of Dubuque Estimator Sedona Staffing Services ICU RN - Intensive Care Registered Nurse... MercyOne Accounting & Finance Manager City of Platteville RN Case Manager PRN Dubuque MercyOne Industrial… more
    Access Dubuque (11/05/25)
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