• Alameda Health System (Oakland, CA)
    …and mentoring. Plans educational programming for new or changing programs of care ; assists in development of evidenced-based clinical policies and procedures ... more
    JobGet (03/26/25)
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  • Alameda Health System (Alameda, CA)
    …and document specific nursing rehabilitation/restorative nursing interventions in the care plan and in the resident's clinical record. 8. Supervises members ... more
    JobGet (03/26/25)
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  • Alameda Health System (Oakland, CA)
    …Department standards.Reassesses the patient's condition when changes occur and revises the care plan when appropriate. 4. Develops, evaluates, and coordinates a ... more
    JobGet (03/26/25)
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  • Elliot Health System (Bedford, NH)
    …thereby facilitating the achievement of optimal quality outcomes in relation to clinical care and cost effectiveness. What You'll Do Patient ... more
    JobGet (03/22/25)
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  • Alameda Health System (San Leandro, CA)
    Summary SUMMARY: Assists in Care Management Team of social workers and nurses with functions such as but not limited to provide census reconciliation, administrative ... more
    JobGet (03/26/25)
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  • Elliot Health System (Mason, NH)
    …in the implementation and revision of the rehabilitation plan of care . Supports EHS Rehabilitation Services commitment to clinical development by ... more
    JobGet (03/23/25)
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  • Alameda Health System (San Leandro, CA)
    …Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or experience in case ... more
    JobGet (03/26/25)
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  • Alameda Health System (Oakland, CA)
    …Education: Master's degree in Nursing Required Experience: Three years of utilization review experience. Health insurance company and/or acute care hospital, ... more
    JobGet (03/26/25)
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  • Alameda Health System (Alameda, CA)
    …nursing team. 7. Reassesses the client's condition when changes occur and revises the care plan as appropriate. Coordinates and arranges for needed services with ... more
    JobGet (03/26/25)
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  • Granville Center (Granville, NY)
    …Mentor less experienced nurses, offering clinical & career advice Maintain the standards of care for the unit Review Resident records & quality of care ... more
    JobGet (03/24/25)
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  • Clinical Utilization Reviewer , LPN

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …or providers as needed to gather clinical information to support the medical necessity review process and plan of care . + Support a positive workplace ... more
    Blue Cross Blue Shield of Massachusetts (02/25/25)
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  • Medicare Advantage UM Reviewer Physical…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …healthcare? Bring your true colors to blue. The RoleThe Clinical Utilization Reviewer is responsible for facilitating care for members who may have complex ... more
    Blue Cross Blue Shield of Massachusetts (03/20/25)
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  • Clinical Reviewer Utilization…

    US Tech Solutions (Canton, MA)
    …The Clinical Reviewer will be expected to demonstrate sound clinical and health plan business knowledge in their decision making processes, on ... more
    US Tech Solutions (03/06/25)
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  • RN Clinical Reviewer

    HCA Healthcare (Alexandria, LA)
    **Description** **Rapides Regional Medical Center** **RN Clinical Reviewer ** **Full Time, Days, No Weekends** Do you currently have an opportunity to make a real ... more
    HCA Healthcare (03/21/25)
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  • UM Clinical Reviewer

    Centers Plan for Healthy Living (Margate, FL)
    UM Clinical Reviewer 5297 W Copans Rd, Margate,...of members' care /social needs, developing a "living care plan " that is modified as needed, working ... more
    Centers Plan for Healthy Living (03/04/25)
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  • RN Clinical Reviewer PRN

    HCA Healthcare (Alexandria, LA)
    …you passionate about delivering patient-centered care ?** Submit your application for RN Clinical Reviewer PRN position and spend more time at the bedside ... more
    HCA Healthcare (03/21/25)
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  • Registered Nurse RN Quality Clinical

    HCA Healthcare (Brownsville, TX)
    …we encourage you to apply for our Registered Nurse RN Clinical Reviewer opening. Our team will promptly review your application. Highly qualified candidates ... more
    HCA Healthcare (03/13/25)
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  • Registered Nurse Clinical Reviewer

    HCA Healthcare (Houston, TX)
    …their passion for patient care . Apply today for our Registered Nurse Clinical Reviewer opportunity. **Job Summary and Qualifications** We are seeking a ... more
    HCA Healthcare (03/16/25)
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  • Registered Nurse Clinical Reviewer

    HCA Healthcare (Corpus Christi, TX)
    …step in your career path, we encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications. Qualified candidates ... more
    HCA Healthcare (01/31/25)
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  • Registered Nurse Clinical Reviewer

    HCA Healthcare (Conroe, TX)
    …step in your career path, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates will ... more
    HCA Healthcare (03/11/25)
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