• Optum (San Juan, PR)
    …production environment. Primary Responsibilities: Clinical Case Reviews -75% Perform clinical review of professional (or facility) claims vs. medical records ... Optum is a global organization that delivers care , aided by technology to help millions of...are defined by the department Provide clear and concise clinical logic to the providers when necessary Examine, assess,… more
    Upward (07/20/25)
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  • Elevance Health (Cerritos, CA)
    …Position Title: Therapy Services Reviewer Job Description: The Therapy Services Reviewer is responsible for the review of medical records to determine ... and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable… more
    Upward (07/21/25)
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  • TrackFive (Republic, WA)
    …identifies dysrhythmias and treats appropriately. . Ability to perform waived testing (point-of- care testing) per Clinical Laboratory's and the patient ... qualified ER/Trauma RN in Republic, Washington, 99166!Pay Information$35 to $59 per hourAbout The PositionESSENTIAL DUTIES AND RESPONSIBILITES . Provides direct… more
    Talent (07/19/25)
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  • TrackFive (Wichita, KS)
    …qualified ICU/Critical Care RN in Garden City, Kansas, 67846!Pay Information$2,178 per weekAbout The PositionFlexCare is a nationwide leader in the staffing of ... - a single point of contact who personally takes care of all your assignment details, questions, and everything...Los Angeles County Fair Chance Ordinance, FlexCare conducts a review of criminal history after a conditional offer of… more
    Talent (06/27/25)
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  • PandoLogic (Orange, CA)
    …the client experience from intake through ongoing care Conduct and review functional behavior assessments (FBAs) Ensure high clinical standards through QA ... Work Setting: Center-based Work From Home: 1 WFH day per week (with eligibility) Other Perks Medical, dental, and...meaningful care while expanding your leadership and strategic impact. #AT3 PandoLogic. Category: , Keywords: Clinical Services… more
    Talent (07/22/25)
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  • UC Davis Health (Sacramento, CA)
    The Clinical Case Manager integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Clinical ... safe discharge plan. Facilitates the collaborative management of patient care across the continuum, completing utilization review ...as necessary to remove barriers to timely and efficient care delivery and reimbursement. The Clinical Case… more
    Upward (07/16/25)
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  • UnitedHealth Group (Maitland, FL)
    …As an Optum Field Registered Nurse you will function as part of the primary care team, and report to the Clinical Services Manager (CSM). This role works ... Collaborates with all key stakeholders, providers, nursing homes, PCPs, families, interdisciplinary care teams and any other identified stakeholders Review the… more
    Talent (07/22/25)
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  • UnitedHealth Group (Las Vegas, NV)
    …approximately 30% of time. For those who want to invent the future of health care , here's your opportunity. We're going beyond basic care to health programs ... integrated across the entire continuum of care . Join us to start Caring. Connecting. Growing together....us to start Caring. Connecting. Growing together. The Sr. Clinical Quality Consultant RN will drive consistency, efficient processes… more
    Talent (07/21/25)
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  • PandoLogic (Bartlett, TN)
    …treat, and you will NOT prescribe medication in this position. Licensed Psychologist will review and assess 4 Veterans per day on average. Licensed Psychologist ... Are you interested in performing Independent Medical Assessments vs. traditional patient care ? Would you find it rewarding to serve the Veteran community? Would… more
    Talent (07/21/25)
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  • TrackFive (Great Falls, MT)
    …ICU/Critical Care RN in Saint Louis, Missouri, 63110!Pay Information$1,817 per weekAbout The PositionID: 55324284 Shift: Night 3x12-Hour (19:00 - 07:30) ... no call, no holidaysCerts REQ: BLS, ACLSSkills REQ: Critical care experience, Inpatient, Level I Trauma Center, Phase I...3 within the BJC system. We will send to clinical to review and offer the best… more
    Talent (06/26/25)
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  • CenterWell Primary Care (Buffalo Grove, IL)
    …you to sit on-site at our Buffalo Grove, IL branch location. The RN Clinical Manager coordinates and oversees all direct care patient services provided by ... standards. Assesses staff education needs based on own the review of clinical documentation in addition to... of the appropriate number of Case Managers and clinical staff documentation to include starts-of- care , resumption-of-cares,… more
    Upward (07/21/25)
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  • Northwell Health (New York, NY)
    …comprehensive assessment, medication review , and post-hospital discharge evaluation. The Clinical Assessment Manager - Care Delivery will follow all ... FlexStaff is seeking a qualified Clinical Manager - Integrated Care Perm...care /case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably within a… more
    Upward (06/21/25)
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  • Eisai, Inc (Nutley, NJ)
    …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... your profile, we want to hear from you. Director, Clinical Quality Assurance The Director, Clinical Quality...US FDA, PMDA, ICH). Essential Functions Independently conduct audits Review and oversee results of CQA audits of study… more
    HireLifeScience (06/06/25)
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  • TrackFive (Raleigh, NC)
    …ICU/Critical Care RN in Charlotte, North Carolina, 28277!Pay Information$1,640 per weekAbout The PositionID: 55399928 Shift: Night 3x12-Hour (18:45 - 07:15) ... as needed to Med Surg (1:6 Ratio)Weekend Requirement: At least 4 weekend shifts per 6-week schedule.PATIENT DIAGNOSES: The Intermediate Critical Care Unit is an… more
    Talent (06/18/25)
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  • Tufts Medicine (Lowell, MA)
    …(PharmD). 2. Board Certification. 3. Four (4) years of related experience Clinical pharmacy expertise with direct patient care experience required, either ... the job area through explanation of facts, policies and practices. Job Overview Clinical pharmacists (CP) work closely with other health practitioners to meet the… more
    Upward (06/27/25)
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  • Inside Higher Ed (Augusta, GA)
    care .-Improvement in quality and patient satisfaction metrics Your productivity- Clinical activity measured by work rvu's. -Education: Fellow recruitment, board ... Open Rank- Clinical Faculty in Gastroenterology Job ID: 272280 Location:...especially of interest. Desired candidates will participate in patient care and teaching, work collaboratively with leadership in growing… more
    Talent (06/30/25)
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  • Transformations Care Network (Plymouth, MA)
    …both live and/or via video conference and may be across multiple sites. Review clinical documentation of supervisee, which includes evaluation of treatment ... health. We are committed to improving accessibility while raising the standard of care . Clinical Supervisors are responsible for providing clinical more
    Upward (07/17/25)
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  • Kaiser Permanente (Los Angeles, CA)
    … laboratory procedures as assigned, both automated and manual, in the clinical laboratory department, without immediate review by the director, consultant, ... and post-analytical phase testing of all complexities as defined by Clinical Laboratory Improvement Act/Amendment (CLIA) to include specialized tests and analysis… more
    Upward (07/02/25)
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  • Rome Health (Rome, NY)
    Rome Health is currently searching for a Staff/ Clinical Pharmacist. The Staff/ Clinical Pharmacist - Per Diem will ensure safe and effective use of ... analysis *Monitoring patient profiles to ensure rational drug therapy. Review of drug allergies, drug interactions, and duplicate therapies...Health and an affiliated clinical site of New York Medical College. The best care out there.… more
    Upward (06/27/25)
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  • Inside Higher Ed (Augusta, GA)
    Open Rank- Clinical Faculty in Neurology (Pediatric) Job ID: 284342 Location: Augusta University Full/Part Time: Full Time Regular/Temporary: * Job Summary Job ID ... must be board eligible or certified. The faculty member will provide patient care , engage in medical student and neurology resident and fellow education, and… more
    Talent (06/30/25)
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