- Centene Corporation (Austin, TX)
- …the Health Net, Inc Medical Director Forum and the Health Net of California Medical Policy Committee. + Investigates and responds to inquiries on medical ... information to physicians and members. + Performs annual reviews of all medical policy documents. **Education/Experience:** BSN, MSN or equivalent; Desire… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …management of research processes. Functions or Scope of Assigned Duties: The Nurse Clinical Analyst Registered Nurse ( RN ) - Nurse Excellence ... Nurse for the position of Clinical Analyst Registered Nurse Nurse...possible to recruit qualified citizens in accordance with VA Policy . All applicants tentatively selected for VA employment in… more
- 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 (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 (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 (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 (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 (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
- 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
- The Cigna Group (Carlsbad, NM)
- RN Care Coordinator - Carlsbad NM The goal of the RN Care Coordinator role is to improve care delivery of the aligned population through identification of risk ... to identify and coordinate customer care. Some actions the RN CC may take, but are not limited to...color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual… more
- 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
- Healthfirst (NY)
- …as assigned **Minimum Qualifications:** + Associates degree from an accredited institution + Registered Nurse ( RN ), Licensed Social Worker (LCSW or LMSW) ... **Duties/Responsibilities:** + Support the Medical Policy and Clinical Utilization Management (UM) Governance Committee Chairs, committee members, and related… more
- 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 Cigna Group (Nashville, TN)
- …duties as assigned. **Qualifications** + Education: Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) + 3-5 years' experience in Medicare Advantage ... **Cigna Medicare Part C Appeals Reviewer: Appeals Processing Analyst ** We will depend on you to communicate...appeals will include requests for decisions regarding denials of medical services as well as Part B drugs. The… more
- 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
- 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
- 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
- Cedars-Sinai (Beverly Hills, 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
- Motion Recruitment Partners (Durham, NC)
- …complex claims and/or products by using clinical experience, medical literature, medical records, certificate guidelines, medical policy and several ... Medical Review Analyst Durham, NC **100% Remote**...**Required Skills & Experience** + MS office skills + RN , PA or NP with a minimum of 3 years… more
- The Cigna Group (Memphis, TN)
- …and performs other duties as it pertains to specific contract performance **Qualifications** + Registered Nurse ( RN ) multistate license + High School Diploma ... race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender… more