• Medical Policy Project…

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …analytical and technical skills. This position will work closely with the Manager of Medical Policy and Medical Appeals to effectively manage and coordinate ... implementation of projects as defined by the Medical Policy unit work initiatives and goals....required + In lieu of a Bachelor's degree an RN license can be used. + In lieu of… more
    Blue Cross and Blue Shield of Louisiana (05/21/24)
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  • Registered Nurse II (Correctional…

    The County of Los Angeles (Los Angeles, CA)
    REGISTERED NURSE II (CORRECTIONAL HEALTH) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1845237) Apply  REGISTERED NURSE II ... of Los Angeles is currently offering up to 20% bonus for full-time Registered Nurse II, Correctional Health positions hired by Correctional Health Services… more
    The County of Los Angeles (04/02/24)
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  • Medical Service Coordinator, CCS…

    The County of Los Angeles (Los Angeles, CA)
    MEDICAL SERVICE COORDINATOR, CCS ( Registered Nurse , Pediatrics - Case Management) Print ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4145908) Apply  MEDICAL SERVICE COORDINATOR, CCS ( Registered Nurse...to be disclosed. Equal Employment Opportunity: It is the policy of the County of Los Angeles to provide… more
    The County of Los Angeles (04/25/24)
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  • Registered Nurse I (Michael D.…

    The County of Los Angeles (Los Angeles, CA)
    REGISTERED NURSE I (MICHAEL D. ANTONOVICH...APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION. ... SCHOLARS) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2449476) Apply  REGISTERED NURSE I (MICHAEL D. ANTONOVICH SCHOLARS) Salary… more
    The County of Los Angeles (03/29/24)
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  • Registered Nurse III - North County

    The County of Los Angeles (Los Angeles, CA)
    REGISTERED NURSE III - NORTH COUNTY...APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION. ... Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1163778) Apply  REGISTERED NURSE III - NORTH COUNTY Salary $97,741.20 - $146,305.92… more
    The County of Los Angeles (04/02/24)
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  • Registered Nurse II - North County

    The County of Los Angeles (Los Angeles, CA)
    REGISTERED NURSE II - NORTH COUNTY...APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION. ... Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply  REGISTERED NURSE II - NORTH COUNTY Salary $90,105.36 - $134,876.40 Annually… more
    The County of Los Angeles (04/02/24)
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  • Registered Nurse I, Sheriff…

    The County of Los Angeles (Los Angeles, CA)
    REGISTERED NURSE I, SHERIFF (CORRECTIONAL HEALTH) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2930992) Apply  REGISTERED NURSE ... is currently offering up to 20% bonus for full-time Registered Nurse I, Sheriff positions hired by...vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates… more
    The County of Los Angeles (05/18/24)
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  • RN Nurse Case Management Senior…

    The Cigna Group (Harlingen, TX)
    …Duties as assigned. Supervisory Responsibilities: * None **Experience:** * Current Licensure as a Registered Nurse , in the state of Texas in good standing. * ... possible case management intervention. * Interfaces with providers of medical services and equipment to facilitate effective communication, referrals, development… more
    The Cigna Group (05/16/24)
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  • RN Clinical Support Analyst I

    Banner Health (Susanville, CA)
    …accordance with State Pay Transparency Rules. Banner Health is currently seeking an RN Clinical Support Analyst I responsible for supporting the clinical ... data management, and an integrated electronic health record. The RN Clinical Support Analyst I serves as...a liaison between the clinical staff, clinical education team, Nursing/ Medical Informatics, and the Cerner build teams to communicate… more
    Banner Health (05/18/24)
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  • LPN/LVN or RN Nurse Case Management…

    The Cigna Group (Hattiesburg, MS)
    …possible case management intervention. + Interfaces with providers of medical services and equipment to facilitate effective communication, referrals, development ... or document trends. + Understands and follows administrative guidelines ( policy and procedure) of the unit. + Attends and...**Experience** : + Current Licensure as a LPN/LVN or RN , in the state of residence in good standing.… more
    The Cigna Group (05/09/24)
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  • Sr Clinical Policy Analyst

    Healthfirst (NY)
    …Additional duties as assigned Minimum Qualifications: Associates degree from an accredited institution Registered Nurse ( RN ), Licensed Social Worker (LCSW or ... Duties/Responsibilities: Support the Medical Policy and Clinical Utilization Management (UM) Governance Committee Chairs, committee members, and related… more
    Healthfirst (05/24/24)
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  • Clinical Instructor-R.N.

    The County of Los Angeles (Los Angeles, CA)
    …nursing participants. Requirements SELECTION REQUIREMENTS: 1. A license to practice as a Registered Nurse issued by the California Board of Registered ... Medical Center School of Nursing: Clinical Instructors - RN function as members of an instructional team under...2. Three (3) years' of clinical experience as a registered nurse within the last five (5)… more
    The County of Los Angeles (04/02/24)
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  • System Analyst , Student Health Services

    Milton Hershey School (Hershey, PA)
    …and free lunches). **Qualifications** + Bachelor's degree in information systems, Clinical Informatics, Registered Nurse ( RN ) or similar major. + Three or ... System Analyst , Student Health Services - ( 24000035 )...The ideal candidate should have a strong background in medical terminology, clinical healthcare environment, data analysis, and application… more
    Milton Hershey School (03/06/24)
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  • Cigna Medicare Population Health Nurse Case…

    The Cigna Group (Bloomfield, CT)
    …to culturally diverse situations, clients and customers. **Minimum requirements:** + Active unrestricted Registered Nurse ( RN ) license in state or territory ... health care related field with current licensure. **Job Description** This position, the Nurse Case Manager Senior Analyst , through the case management process,… more
    The Cigna Group (04/10/24)
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  • Clinical Appeals Analyst

    ManpowerGroup (Durham, NC)
    …and provides requested information as requested. **Hiring Requirements:** + **Licensure:** Must be a Registered Nurse ( RN ) licensed in the state of North ... **Title:** **Clinical Appeals Analyst ** **Location: 4613 University Drive Durham NC 27707...aspects of the appeals process to ensure compliance with medical necessity criteria, Corporate Medical Policy more
    ManpowerGroup (05/24/24)
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  • Clinical Data Analyst , Trauma Services

    RWJBarnabas Health (New Brunswick, NJ)
    …and Licenses Required: + BLS and ACLS Certification + Active New Jersey Registered Nurse License + Association for the Advancement of Automotive Medicine ... Clinical Data Analyst , Trauma ServicesReq #:0000149986 Category:Nursing Status:Full-Time Shift:Day Facility:RWJ New Brunswick Department:Trauma Services Location:… more
    RWJBarnabas Health (05/10/24)
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  • Credentials Evaluation Analyst

    Cedars-Sinai (CA)
    … terminology and clinical nomenclature preferred. + Clinical credentials (ie, Registered Nurse ) preferred. + Certification or eligibility for Certification ... Best Hospitals. **What Will I be Doing in this Role?** The Credentials Evaluation Analyst provides guidance and support to medical staff leadership in the… more
    Cedars-Sinai (05/14/24)
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  • Clinical Appeals Analyst

    Motion Recruitment Partners (Durham, NC)
    …Virginia, Wisconsin, and Wyoming. Contract Duration: 6+ Months **Required Skills & Experience** + Registered Nurse in the state of North Carolina with 3 years of ... Clinical Appeals Analyst Durham, NC **100% Remote** Contract $35/hr -...aspects of the appeals process to ensure compliance with medical necessity criteria, Corporate Medical Policy more
    Motion Recruitment Partners (05/24/24)
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  • Registry Utilization Management Analyst

    Emory Healthcare/Emory University (Atlanta, GA)
    …Minimum Qualifications + Graduate of an accredited nursing program. + Currently licensed as a Registered Nurse in the state of Georgia. + Two years of recent ... thought possible. **Description** We're seeking a **Registry Utilization Management Analyst ** responsible for reviewing each hospital admission in accordance with… more
    Emory Healthcare/Emory University (05/09/24)
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  • Cigna Medicare Population Health/Behavioral Health…

    The Cigna Group (Bloomfield, CT)
    …leads the multi-disciplinary care planning process. **Minimum Requirements:** Current licensure as a Registered Nurse ( RN ), or Licensed Social Worker (LCSW ... risk members. Interfaces with providers of behavioral health services, medical services and equipment to facilitate effective communication, referrals, development… more
    The Cigna Group (05/23/24)
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