• 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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  • Nurse Case Manager - Senior Care Options…

    Fallon Health (Foxborough, MA)
    …Information (CORI) results and reliable transportation **Experience:** * 1+ years of clinical experience as a Registered Nurse managing chronically ill members ... the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge,… more
    Fallon Health (10/28/25)
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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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  • Plasma Center Nurse - RN

    BioLife Plasma Services (Attleboro, MA)
    …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife ... of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works under the guidance of… more
    BioLife Plasma Services (09/14/25)
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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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  • 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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  • Patient Care Technician - PCT - Dialysis Preceptor

    Fresenius Medical Center (Attleboro, MA)
    …direct patient care staff on appropriate programs under the supervision of a nurse . + Provides developmental support to applicable clinical and facility staff. ... for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training...Related** + Participates in the recruitment process for new clinical staff + Assists with clinical orientation… more
    Fresenius Medical Center (10/17/25)
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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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  • Case Manager (NE)

    Charter Care Health Partners (North Providence, RI)
    …'s primary state of legal residency if that state is a member of the Nurse Licensure Compact. Five (5) years of clinical experience that includes recent ... or designee. Provides coordinated care support to Physician leadership and Clinical Manager(s) of respective services. Makes daily rounds and collaborates with… more
    Charter Care Health Partners (10/18/25)
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  • Utilization Management Clinician- Behavioral…

    CVS Health (Woonsocket, RI)
    …and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions ... it all with heart, each and every day. **Position Summary** Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit… more
    CVS Health (11/01/25)
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  • Plasma Center Paramedic - EMT-P

    BioLife Plasma Services (Attleboro, MA)
    …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. _BioLife ... results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works...Medical Support Specialist + Two years in a clinical or hospital setting **More about us:** ** **… more
    BioLife Plasma Services (09/14/25)
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  • Case Manager RN

    Prime Healthcare (Woonsocket, RI)
    …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, ... Overview At Landmark Medical Center, our dedicated team of professionals is...accredited school of nursing and a current state Registered Nurse license2. Grandfathered prior to April 1, 2015. Minimum… more
    Prime Healthcare (10/16/25)
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