• Clinical Reviewer, Nurse

    Evolent (Topeka, KS)
    …the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Vascular Surgey is responsible for support and ... assistance for all cardiology administrative and clinical utilization management and quality improvement functions under the auspices of the office of the Chief… more
    Evolent (01/15/26)
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  • Behavioral Health Community Partnership Manager…

    Elevance Health (Sacramento, CA)
    …clinical and quality outcomes. + Analyzes provider reports pertaining to cost, utilization , and outcomes, and presents the data to providers and highlights trends. ... equivalent background. + Current, valid, independent, and unrestricted license such as RN , LCSW, LMFT, LMHC, LPC, or Licensed Psychologist (as allowed by applicable… more
    Elevance Health (01/15/26)
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  • EPIC Analyst-Level 1 - IT Epic Clinical - Full…

    Guthrie (Sayre, PA)
    …degree * In lieu of Bachelors degree currently licensed healthcare professionals (ie, RN 's, Social Workers, etc) or an Associate's degree and 1 year of health ... knowledge by participation in continuing education, reading journals, resource utilization , vendor resources, and attending any required courses as observed… more
    Guthrie (01/15/26)
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  • Administrative Assistant (PRN) - Paragon Infusion…

    Elevance Health (Murfreesboro, TN)
    …Center PKWY, STE G, Murfreesboro, TN **Shift: Days. Clinic is open Monday-Friday, PRN RN will cover Sick Call-offs, PTO coverage, and higher Census days as needed.** ... routes issues to appropriate personnel. + Analyzes daily administrative operations and utilization of resources. + Assists in Medic user issues. + Ensures proper… more
    Elevance Health (01/15/26)
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  • Regional Account Director (Behavioral Health)

    aptihealth (Yonkers, NY)
    …+ Clinical licensure in a human services or healthcare field (such as RN , LCSW) is strongly preferred + Demonstrated knowledge of the healthcare landscape, with ... and challenges in the referral process. Work with providers to optimize their utilization of our services + Feedback Loop: Establish a robust feedback mechanism to… more
    aptihealth (01/15/26)
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  • Clinical Nurse Supervisor (Nights)

    Memorial Sloan-Kettering Cancer Center (New York, NY)
    …who go on to pursue our mission at MSK and around the globe. **Clinical Nurse Supervisor (Nights)** **Exciting Opportunity at MSK:** Join our team as a Clinical ... Nurse Supervisor in Inpatient Acute/Critical Care Services. We're looking...bed turnover, patient flow gridlock, and ineffective hospital capacity utilization . + Evaluate clinical needs of patients waiting for… more
    Memorial Sloan-Kettering Cancer Center (01/15/26)
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  • Clinical Float Nurse

    BJC HealthCare (St. Louis, MO)
    …Nurses Credentialing Center. To provide the hospital with an additional source of Registered Nurses for use by all patient care areas within Barnes-Jewish Hospital. ... other staffing options are not available. To assist in the cost effective utilization of nursing personnel to promote the delivery of quality patient care.… more
    BJC HealthCare (01/15/26)
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  • Clinical Manager- Hospice: Sign on Bonus Eligible!

    Tufts Medicine (Haverhill, MA)
    …degree in Nursing (BSN) or 3-5 Years Experience and ASN_** 2. Massachusetts RN Licensure. 3. Five (5) years of palliative, hospice, complex care experience. 4.Two ... procedures. + Ensures Program services meet the agency's objectives. + Monitors utilization of resources and related costs to achieve desired outcomes. + Evaluates… more
    Tufts Medicine (01/15/26)
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  • Nurse Case Manager II

    Elevance Health (Denver, CO)
    ** Nurse Case Manager II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... complete the assessment within 48 hours of receipt and meet the criteria._** The ** Nurse Case Manager II** is responsible for care management within the scope of… more
    Elevance Health (01/14/26)
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  • Social Worker (MSW)

    BJC HealthCare (St. Louis, MO)
    …Louis metro area. The Care Coordination Department is comprised of RN Case Managers, Social Workers, Compliant Documentation Specialists and skilled administrative ... the achievement of optimal health, access to care and appropriate utilization of resources, balanced with the patient?s right to self-determination. **Preferred… more
    BJC HealthCare (01/14/26)
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