• Medical Director - National…

    Humana (Little Rock, AR)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference… more
    Humana (10/25/25)
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  • Clinical Reviewer, Nurse -9am -6pm PST

    Evolent (Little Rock, AR)
    …Tasks are performed within the RN/LVN/LPN scope of practice, under Medical Director direction, using independent nursing judgement and decision-making, ... that do not meet established clinical criteria to the Medical Director . + Appropriately identifies and refers.... + Appropriately identifies and refers quality issues to UM Leadership. + Appropriately identifies potential cases for Care… more
    Evolent (10/21/25)
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  • Care Manager - LPN - Part Time - On Site

    Community Health Systems (Bentonville, AR)
    …for vacations, holidays and illness + Health insurance, including coverage for medical , dental, vision and prescription drugs + 401(k) retirement plan + Education ... of a Registered Nurse or physician. This role involves reviewing medical records for appropriateness and necessity, collaborating with interdisciplinary teams, and… more
    Community Health Systems (09/18/25)
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  • Care Manager - LPN PRN

    Community Health Systems (Bentonville, AR)
    …of a Registered Nurse or physician. This role involves reviewing medical records for appropriateness and necessity, collaborating with interdisciplinary teams, and ... state, and accreditation standards. **Essential Functions** + Conducts daily reviews of medical records to assess the appropriateness, medical necessity, and… more
    Community Health Systems (08/08/25)
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