• Nurse Manager - Utilization Review

    Huron Consulting Group (Chicago, IL)
    …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... and leads team meetings, providing education on access management, observation, medical necessity, and CMS guidelines. Regularly offers performance feedback and… more
    Huron Consulting Group (11/27/25)
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  • Nurse Informatics Executive

    Oracle (Montgomery, AL)
    **Job Description** The Nurse Informatics Executive supports VA's Federal EHR deployment and advances clinical informatics initiatives to enhance care delivery and ... and leadership at VAMC, VISN, and national levels - the Nurse Informatics Executive aligns organizational goals, fosters cross-functional collaboration, and ensures… more
    Oracle (12/10/25)
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  • Director Pre Appeals Management-HSO Appeals…

    Mount Sinai Health System (New York, NY)
    …pre-appeals management program. This role ensures the appropriate use of medical resources, compliance with regulatory standards, and coordination of care to ... improve patient outcomes while controlling costs. The Director collaborates closely with medical staff, vendors, case management, and payers to secure payment and… more
    Mount Sinai Health System (11/01/25)
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  • Clinical Outcomes Manager - Population Health…

    Bon Secours Mercy Health (VA)
    …and activities in collaboration with assigned network leadership and the assigned medical and quality leadership + Effectively engages in relationship management to ... by their supervisor, subject to reasonable accommodation._ **Licensing/Certification** ​Current RN Licensure accredited by Commission on Collegiate Nursing Education… more
    Bon Secours Mercy Health (11/22/25)
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  • Regulatory Specialist

    Covenant Health Inc. (Sevierville, TN)
    …Specialist, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift LeConte Medical Center Overview: LeConte Medical Center is a part of Covenant ... beautiful Women's Center. Learn more about our amazing facility athttps://www.lecontemedicalcenter.com/about-leconte- medical -center/. As you'd expect, we offer our employees a… more
    Covenant Health Inc. (11/20/25)
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  • Licensed Manager I Care Management (Guilford Co)…

    Elevance Health (Greensboro, NC)
    …virtually from your home. You must reside within a proximity to travel throughout Guilford County.** **HOURS** **: General business hours, Monday through Friday.** ... ** TRAVEL ** **: Travel within your assigned area...accordance with federal/state law, scope of practice regulations or contract , the requirements are:** + Requires an active and… more
    Elevance Health (12/10/25)
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  • Regional Payer Account Director - Mid Atlantic

    Organon & Co. (Dover, DE)
    …negotiation and execution of pharmacy discount agreements and product contract offerings; individual account performance against strategic, financial and product ... and Function. **Preferred Education, Experience and Skills** + PharmD, APRN, RN , MBA preferred. + Previous large/strategic account management role. + Contracting… more
    Organon & Co. (11/25/25)
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  • Regulatory Specialist

    Covenant Health Inc. (Morristown, TN)
    …Full Time, 80 Hours Per Pay Period, Day Shift Some local travel required.Some weekend,holiday or night coverage maybe required. Morristown Hamblen Overview: ... their annual mammograms, biopsies, and can meet with a nurse navigator if needed. The Women's Center offers six...and applicable stakeholders. Coordinates the maintenance of the CIHQ contract providing guidance to best utilize educational and mock… more
    Covenant Health Inc. (10/22/25)
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  • Long Term Care CNA | Weekly Pay

    Amergis (Waupaca, WI)
    …Nursing Assistant (CNA) performs direct patient care under the direct supervision of a RN or LPN/LVN or other licensed medical professional. The CNA/NA performs ... CNAs Position Details + Position: Certified Nursing Assistant + Travel pay Available: up to $1,699/wk + Requirement: 1+...Care experience required + Benefits: Weekly pay, Flexible Shifts, Medical , Dental, Vision and 401K *Please note that this… more
    Amergis (12/12/25)
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  • Program Director HCS

    BrightSpring Health Services (Denton, TX)
    …monthly info submitted to OSS regarding incident management. + Weekly meeting with LVN/ RN to review medical appointments, ER visits, hospitalizations. IDT as ... meetings held to review all required components on quarterly basis for entire contract . CAC approval as needed. + Ensure appropriate informed consent for psych meds… more
    BrightSpring Health Services (12/04/25)
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