• Hybrid Registered Nurse

    Commonwealth Care Alliance (Worcester, MA)
    …**Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral health clinician ... Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager + BH Clinical Care Manager...of the job duties. **Required Education (must have):** + RN Clinical Care Managers must have: + Associate degree… more
    Commonwealth Care Alliance (01/23/25)
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  • Registered Nurse - Cardiac Direct…

    Beth Israel Lahey Health (Boston, MA)
    …the nursing process as the frame of reference for practice as a professional registered nurse and provides direct nursing care to patients and families. **Job ... **:** 1-3 years related work experience required. **License/Certification(s)** **:** + License Registered Nurse required. + American Heart Association - Basic… more
    Beth Israel Lahey Health (03/11/25)
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  • Utilization Management Registered

    Humana (Providence, RI)
    …guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Active licensed Registered Nurse ( RN ) in the state of Virginia or ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the...needs Work at Home Guidance To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided… more
    Humana (03/18/25)
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  • Registered Nurse - Cath Lab (Full…

    Beth Israel Lahey Health (Cambridge, MA)
    …+ Graduate of accredited school of nursing required + Currently licensed Registered Nurse in the Commonwealth of Massachusetts required + Current ... patients. The clinical staff is comprised of a mixture of registered nurses, cardiovascular technologists, and radiologic technologists. The department is comprised… more
    Beth Israel Lahey Health (01/15/25)
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  • Utilization Management Behavioral Health…

    Humana (Providence, RI)
    …**Use your skills to make an impact** **Required Qualifications** + Active unrestricted registered nurse license in the state of Virginia or obtain a ... and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and… more
    Humana (03/21/25)
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  • Case Manager, RN

    CAI (Providence, RI)
    …standards + Perform other duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of Delaware + 2+ years of ... Summary** We are looking for a motivated Case Manager, RN ready to take us to the next level!...state of Delaware. This position will be Full-Time and Hybrid . **_Due to our end client and project work,… more
    CAI (02/01/25)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Providence, RI)
    …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
    Lincoln Financial Group (03/22/25)
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  • Special Investigation Unit Coding Director (Aetna…

    CVS Health (Woonsocket, RI)
    …Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification . Registered Nurse ( RN ), Licensed Independent Social Worker (LISW), ... accuracy, contributing to the financial health of the organization. Position may be hybrid or remote depending on location. East or Central Region preferred but not… more
    CVS Health (02/21/25)
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  • Accreditation Manager

    Humana (Providence, RI)
    …business areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care, Medicaid ... in a healthcare-related field. **Work From Home** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of… more
    Humana (03/21/25)
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  • Senior Accreditation Professional

    Humana (Providence, RI)
    …Services and Supports (LTSS). + Experience compiling NCQA File Review Universes. + Registered Nurse or Behavioral Health professional. + Managed care, Medicaid ... in a healthcare-related field. **Work From Home** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of… more
    Humana (03/14/25)
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