CareFirst BlueCross BlueShield
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Ashburn,VA
Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...
Gray Television
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Ashburn,VA
About Gray Media: Gray Media, or Gray, is a multimedia company headquartered in Atlanta, Georgia, formally known as Gray Television, Inc. The company is the nation's largest owner of top-rated local television stations and...
Parkview Health
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Ashburn,VA
Summary Independently plans and provides excellent professional nursing care for patients in accordance with physician orders, established hospital and departmental policies and procedures, American Nurses Association Standards of...
Insight Global
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Ashburn,VA
As a business analyst you will support and act as an account liaison for all of the automotive, aerospace, and industrial customers to help deliver technical solutions. The ideal candidate will need level 2 IT Helpdesk experience and some...
American Recruiting and Consulting Group
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Ashburn,VA
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...
Valeris
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Ashburn,VA
Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...
TEKsystems
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Ashburn,VA
About the Role We are seeking an experienced Medical Coder with an RN and CPC certification to join a growing medical review organization that specializes in independent, evidence-based clinical reviews. This is an excellent opportunity for...
Providence Service
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Ashburn,VA
Description Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued – they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of...
Actalent
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Ashburn,VA
Clinical Review Nurse Job Description Join a dynamic team in a brand new 2026 program dedicated to managing the Duals line of business, combining Medicare and Medicaid benefits into a single comprehensive service. This program operates...
GovCIO
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Ashburn,VA
Overview GovCIO is currently hiring for Business Analyst to support requirements gathering with a focus on Auditing and Quality within the RES contract. This position will be a fully remote position located withing the...
UnitedHealth Group
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Ashburn,VA
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and...
Corewell Health
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Ashburn,VA
Shift and Status Full time, 12:00 p.m. to 12:30 a.m., variable days and every other weekend Hybrid: visiting patients in Mason, Lake, Osceola, Newaygo, Mecosta, Oceana, Muskegon, Ottawa, Kent, Ionia, Allegan, and...
AccessNurse
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Ashburn,VA
Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job...
Inova
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Falls Church,VA
Job Description Inova's Pre-Procedural Evaluation Clinic is looking for a dedicated Infusion Registered Nurse to join the team at their Willow Oaks location. This role will be full-time day shift from Monday - Friday. This...
Amergis
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Ashburn,VA
" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...
Varite
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Ashburn,VA
Employment Type: 5-month contract with possibility of extension Location: Remote (must hold an unrestricted Massachusetts RN license) *Note: Candidate must hold an unrestricted Massachusetts RN license.
CareHarmony LLC
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Ashburn,VA
CareHarmony's Care Coordinators (LPN) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse to work 100% Remote –...
Christian Care Ministry
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Ashburn,VA
The range for this role is $73,000 to $99,500 Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. Interested applicants must be willing and...
Serigor
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Ashburn,VA
Job Title: Business Analyst (Remote) Location: Baton Rouge, LA Duration: up to 5 years Job Description: The scope of the proposed services will include the following: ...
BayCare
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Ashburn,VA
At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With...
CVS Health
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Ashburn,VA
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...
NCH
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Ashburn,VA
DEPARTMENT: 18400 - Medical Staff LOCATION: 350 7th Street North, Naples, FL, 34102 WORK TYPE: Full Time WORK SCHEDULE: 8 Hour Day ABOUT NCH NCH is an...
Saint Luke's Health Systems
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Ashburn,VA
Job Description Saint Luke's Home Care & Hospice is seeking a Transitional Care Nurse to join our team!! Full-time Monday through Friday with flex scheduling to cover one weekend every 1-2...
Ingenesis
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Ashburn,VA
RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City :...
Guidehealth
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Ashburn,VA
Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...
