• Clinical Reviewer , Nurse

    Evolent (Providence, RI)
    …scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks… more
    Evolent (10/21/25)
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  • Nurse Care Manager - Primary Care

    University Medicine (Providence, RI)
    SUMMARY: Reporting to the Manager of Case Management, the nurse case manager is responsible for providing comprehensive screenings, assessment, care coordination ... the intent of encouraging self-management for patients with chronic conditions. The Nurse Case manager is integrated in the office-based healthcare team and thereby… more
    University Medicine (10/14/25)
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  • Research Nurse Practitioner

    Brown University (Providence, RI)
    …and conduct support activities related to these duties. The Research NP will review medical histories with research participants, perform a physical examination ... Job Description: Position Purpose: The Research Nurse Practitioner (NP) will provide medical ...research participation, and administer questionnaires. The Research NP will review health updates and adverse event reports from study… more
    Brown University (10/31/25)
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  • Case Manager, Registered Nurse - Fully…

    CVS Health (Providence, RI)
    …benefit overall claim management. + Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to ... in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993,… more
    CVS Health (10/15/25)
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  • Triage Nurse - Primary Care

    University Medicine (East Providence, RI)
    …and chief complaint. + Obtains lab specimens, gives injections, and performs routine medical tests. + Implements clinical and technical aspects of nursing care ... as they pertain to office nursing, which includes routine medical exams and/or procedures and tests in conjunction with...with prescribed policies, procedures, and techniques. + Assisting with review of test results under guidance of a physician… more
    University Medicine (10/23/25)
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  • Area Clinical Practice Manager

    Genesis Healthcare (RI)
    …provide evidence-based clinical practice if needed to support a specific clinical area. Qualifications 1. The Nurse Practitioner/Physician Assistant must be ... are seeking a full-time (40 hours per week) Area Clinical Practice Manager for our centers located in New...- $65 / hour. AlignMed Partners is a national medical group dedicated to improving health outcomes among residents… more
    Genesis Healthcare (10/21/25)
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  • Clinical Supervisor, Access and Patient…

    Cardinal Health (Providence, RI)
    …to ensure a positive and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides ... manufacturers to rethink the reach and impact of their products. The Supervisor, Clinical Operations provides management and clinical oversight to a team of… more
    Cardinal Health (10/29/25)
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  • Clinical Consultant, MI - I

    Fujifilm (Providence, RI)
    **Position Overview** The Clinical Consultant, MI - I shall be responsible for providing clinical consulting for the project, report configuration (CV), workflow ... go-live support to Synapse PACS/MI projects. In addition, provide clinical support for sales and company team members with...HCUS team to gain customer acceptance of the FUJIFILM Medical Systems solution. + Participates in teaching and training… more
    Fujifilm (10/01/25)
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  • Clinical Psychologist - General Internal…

    University Medicine (East Providence, RI)
    …Inc., a clinical , research and teaching affiliate of the Warren Alpert Medical School of Brown University. Clinical Psychologist + Seeking a psychologist to ... General Internal Medicine and Primary Care is seeking a Clinical Psychologist with an interest in Integrated Behavioral Health...based in Rhode Island. Brown Medicine is a nonprofit medical group with over 200 physicians and multiple patient… more
    University Medicine (10/14/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Providence, RI)
    …our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... documentation and communication of medical services and/or benefit administration...of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills,… more
    Humana (09/12/25)
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