• Nurse Audit Manager

    Humana (Washington, DC)
    …where your clinical expertise and passion for accuracy will make a meaningful impact. As the Nurse Audit Manager , you will spearhead audit and validation ... relevant coding. + Identifies the root cause analysis of audit findings and submits recommendations for appropriate change management....skills to make an impact** **Required Qualifications** + Registered nurse (RN). + 5 or more years of clinical… more
    Humana (10/18/25)
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  • Telephonic Nurse Case Manager Senior

    Elevance Health (Hanover, MD)
    **Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management within… more
    Elevance Health (10/18/25)
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  • Clinical Research Coordinator III (Registered…

    Alaka'ina Foundation Family of Companies (Silver Spring, MD)
    Clinical Research Coordinator III (Registered Nurse ) Location MD - Silver Spring Job Code 13347 # of openings 1 Apply Now ... is looking for a Clinical Research Coordinator III (Registered Nurse ) to support our government customer in Silver Spring,...SOPs, etc.) + Enter required data on CRFs and audit records for accuracy, resolve discrepancies, and correct as… more
    Alaka'ina Foundation Family of Companies (09/07/25)
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  • LPN Med Care Manager

    Sunrise Senior Living (Washington, DC)
    …on Connecticut Avenue **Job ID** 2025-233777 **JOB OVERVIEW** The LPN Medication Care Manager is responsible for providing the highest degree of quality care and ... medication updates from Resident Care Director (RCD) or Wellness Nurse . + Administer, assist with, and observe medications and...supervisor. + Count all narcotics with another Medication Care Manager (MCM) or Lead Care Manager (LCM)… more
    Sunrise Senior Living (10/04/25)
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  • Pharmacy Program Manager

    CVS Health (Washington, DC)
    …travel if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/ audit . The Pharmacy Program Manager role includes: -Collaborate with an ... with heart, each and every day. The Pharmacy Program Manager is an individual contributor (non-people manager )...interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social workers) to… more
    CVS Health (10/18/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Washington, DC)
    …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
    Elevance Health (09/23/25)
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  • Commissioning Agent-Mission Critical Facilities

    Stantec (Alexandria, VA)
    …work requirements and initiate appropriate measures with assigned project manager to facilitate project completion. - Maintain schedules, ensuring proper ... resources are allocated to each commissioning task. - Audit all sites during commissioning to ensure desired scope,...Qualifications and Experience - CEM or EMIT (Certified Energy Manager or Energy Manager in Training). -… more
    Stantec (09/25/25)
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