- US Tech Solutions (Columbia, SC)
- **Duration: 3+ month's Contract ** **Job Description:** + Performs medical reviews using established criteria sets and/or performs utilization management of ... sets or clinical guidelines. Provides support and review of medical claims and utilization practices. **Responsibilities:** + 80% May...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more
- Amergis (Pueblo, CO)
- …clinical judgments in an effective and efficient manner with the supervision of a Registered Nurse and in collaboration with the care team. Minimum Requirements: ... Salary: $1162 / Week Local or Travel Pueblo, CO + 2 yrs acute psych...chest x-ray if applicable + Current Health certificate (per contract or state regulation) + Must meet all federal,… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …managing the care of the people we serve. QUALIFICATIONS: 1. A NYS-Licensed Professional Registered Nurse with current license in good standing. 2. Bachelor's of ... in all corporate compliance investigations and reviews. SUPERVISES: Nurse Educators Nurse Case Managers (NCM) Medical Case Manager Counselors (MCMC) more
- Humana (Richmond, VA)
- …**Use your skills to make an impact** **Required Qualifications** + Bachelor's degree or Registered Nurse + 5 or more years of technical experience using ... how to add the information into your official application on Humana's secure website. Travel : While this is a remote position, occasional travel to Humana's… more
- Johns Hopkins University (Baltimore, MD)
- …DC area for trial related activities. **Minimum Qualifications** + Individual must be a registered nurse , licensed in the State of Maryland or state where ... invoicing to the sponsor as defined in the financial contract . + May participate in the development of invoicing...+ Proficiency with MS Office software and EPIC electronic medical record system. Classified Title: Research Nurse … more
- Central Texas College (Killeen, TX)
- …and held the MOS of 68W OR is a licensed paramedic (State of national), registered nurse physician assistant or physician. One year experience as an instructor ... Army installations. Conduct special courses or briefings as required by government contract . Minimum Required Education Two years college(60 credits) from a US… more
- YesCare Corp (Philadelphia, PA)
- …in Healthcare Administration or a related field is required. + Licensed or Registered Nurse credentials may substitute for the degree requirement. + ... organizational, and healthcare expertise to ensure the efficient operation of medical services and compliance with regulatory standards. **Key Responsibilities** +… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …license for clinical social work, marital and family therapist, professional counselor, registered nurse , psychologist or alcohol and drug counselor. Conclusion ... LOCATION: Middletown, CT + This position may have some travel throughout the state. + UNIT: Forensic Services Division...in those we serve. PLEASE NOTE + A comprehensive medical examination, including a drug screening, will be required… more
- Elevance Health (Pinellas Park, FL)
- …in Spanish/English)** **Location: This is a field based position, candidate would need travel in and around the following counties based on their current location:** ... Coordinator - Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case, as...member's case, as required by applicable state law and contract , contributes to the LTSS care coordination process by… more
- Elevance Health (Gastonia, NC)
- \#HealthyBlueCareTogetherCFSP **Clinical Care Advisor - Complex Medical ** **$2,500 SIGN ON BONUS** _We are partnering with North Carolina DHHS to operationalize a ... Currituck, Dare, Gates, Hertford, Hyde, Martin, Pasquotank, Perquimans, Tyrrell, and Washington. ** Travel within your assigned DSS Region is required.** When you are… more