• Senior Clinical Review Nurse…

    Centene Corporation (Phoenix, AZ)
    …resolution and logs of actions and/or decisions are appropriately documented + Performs clinical review of outcomes including creating and editing denial letters ... with Federal, State, and NCQA standards + Investigates denials through comprehensive review of clinical documentation, clinical criteria/guidelines, and… more
    Centene Corporation (07/19/25)
    - Related Jobs

  • Clinical Research Nurse 2

    University of Miami (Miami, FL)
    …University of Miami/UHealth Department of SCCC has an exciting opportunity for a Full Time Clinical Research Nurse 2 to work at the UHealth Medical campus in ... Miami, Fl CORE JOB SUMMARYThe Clinical Research Nurse 2 ensures the integrity...the Investigator, Investigational Pharmacist, Comprehensive Treatment Unit (CTU)staff and Clinical Research Services Senior Manager to review … more
    University of Miami (05/10/25)
    - Related Jobs

  • Nurse Practitioner, Physician Assistant…

    Cleveland Clinic (Cleveland, OH)
    …and the Governing Body of the applicable hospitals. **CNS** + Currently licensed as a Clinical Nurse Specialist in applicable state(s). + Must be licensed as an ... RN in applicable state(s). + National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing. +… more
    Cleveland Clinic (07/10/25)
    - Related Jobs

  • Clinical Research Nurse 1 (H)

    University of Miami (Miami, FL)
    …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... Translational Research Site is currently seeking a full time Clinical Research Nurse to work in Miami....+ Performs study data collection and entry using charts, correspondence , medical records, and relevant communications. + Identifies and… more
    University of Miami (05/16/25)
    - Related Jobs

  • Certified Nurse Practitioner, Physician…

    Cleveland Clinic (Cleveland, OH)
    …first IBD APP Fellowship in the country. This Fellowship will foster growth in both clinical and research arenas and build an extensive knowledge base on care of IBD ... The APP Fellow will spend approximately seventy percent of their time on direct clinical care of patients. The first quarter of the fellowship will be spent on… more
    Cleveland Clinic (07/10/25)
    - Related Jobs

  • Clinical Research Nurse 1

    University of Miami (North Miami, FL)
    …University of Miami/UHealth Department of SCCC has an exciting opportunity for a Full Time Clinical Research Nurse 1 to work at the UHealth medical campus in ... Miami, Fl. CORE JOB SUMMARYThe Clinical Research Nurse 1 ensures the integrity and quality of clinical research studies are maintained and conducted in… more
    University of Miami (05/31/25)
    - Related Jobs

  • Clinical Research Nurse 1

    University of Miami (Miami, FL)
    …University of Miami/UHealth Department of SCCC has an exciting opportunity for a Full Time Clinical Research Nurse 1 to work at the UHealth Medical campus in ... Miami, Fl CORE SUMMARY The Clinical Research Nurse 1 ensures the integrity and quality of clinical research studies are maintained and conducted in… more
    University of Miami (05/14/25)
    - Related Jobs

  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE ... in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the… more
    The County of Los Angeles (06/28/25)
    - Related Jobs

  • Utilization Review Nurse I

    Centene Corporation (New York, NY)
    …a fresh perspective on workplace flexibility. **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...review and determination. + Completes data entry and correspondence as necessary for each review . +… more
    Centene Corporation (08/02/25)
    - Related Jobs

  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Waldorf, MD)
    …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... **About this role:** As a Clinical Manager with Fresenius Medical Care, you will...+ Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence … more
    Fresenius Medical Center (06/14/25)
    - Related Jobs