Gainwell Technologies
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Cambridge,MA
Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We...
Actalent
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Cambridge,MA
Clinical Review Nurse Duals Program Details- Brand new program of 2026 for Centene Duals = Medicare + Medicaid line of business. Members have one combined card and one authorization covering both benefit types. The duals...
Perm Staff Jobs
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Framingham,MA
Perm Staff Jobs is seeking a Registered Nurse (RN) Long Term Care for a nursing job in Framingham, Massachusetts. Job Description & RequirementsSpecialty: Long Term...
CVS Health
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Cambridge,MA
Telephonic Registered Nurse 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...
Virtual Vocations
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Cambridge,MA
Providing remote patient monitoring and support, the full-time Telehealth Nurse (LPN/LVN) will conduct regular phone visits to educate members on managing chronic conditions such as hypertension and diabetes while ensuring accurate documentation...
Northwell Health
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Cambridge,MA
Description Position at Northwell Health PART TIME- 20 hours per week- Mon-Fri 8pm- 12am shift- Rotating weekends and holiday coverage expected! Northwell is the largest not-for-profit...
Corewell Health
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Cambridge,MA
Job Summary Plans and prioritizes care for individuals and population of patients, focusing on strategies that will promote optimal health within populations. Demonstrates expertise, current knowledge in care and management of a caseload...
commence corporation
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Cambridge,MA
Nurse Reviewer At Commence, we're the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient processes to program and patient health. We combine quality data-driven solutions that...
Molina Healthcare
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Cambridge,MA
Job Description JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...
Trinity Health
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Cambridge,MA
Job Title This is a remote position but will need onsite training in Mishawaka Indiana. Shift: PRN/Days - 8 hr shift Considering local candidates only!!! Why Choose Saint Joseph Health System? At Saint Joseph Health...
Boston Children's Hospital
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Boston,MA
Department Summary: The Infusion and Day Treatment Program is a specialized outpatient care initiative serving patients from infancy through adulthood. It offers an alternative to inpatient hospitalization for individuals...
Gainwell Technologies
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Cambridge,MA
Nurse Reviewer - Itemized Bill Review It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know...
UnitedHealth Group
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Cambridge,MA
Requisition number: 2368763 Job category: Nursing Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team...
Gracious Home ADH
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Burlington,MA
Join Our Team as an RN / LPN – Adult Day Health Program! Are you passionate about providing high-quality care to adults and seniors in need? Do you want to make a difference in the lives of others while working in a supportive and engaging...
Fairview Health Services
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Cambridge,MA
Telephone Triage Nurse Line Advisor Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other! Are you ready...
Molina Healthcare
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Cambridge,MA
Job Description JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established...
The Judge Group
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Cambridge,MA
Prior Authorization RN - Contract Role Location Requirement: Candidate must reside in NJ, PA, NY, CT, or MD Work Model: WFH, but must be able...
Broadway Ventures
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Cambridge,MA
Remote Rn – Medical Claims Reviewer At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled...
Sentara Health
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Cambridge,MA
City/State Norfolk, VA Work Shift Multiple shifts available Overview: Sentara Health Plansis hiring a Clinical Compliance Consultant/LPN/RN/LCSW/LPC - Remote in Virginia! Status:...
Sutter Health
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Cambridge,MA
We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone...
Brightview Senior Living, LLC
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Wakefield,MA
About Us: Overview: Work with a great team where you feel appreciated and make a difference! Responsibilities: Provide warm and engaging personal care services, assistance, support and...
Providence Service
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Cambridge,MA
Description Manages specific patients throughout their admission to ensure the availability of sufficient clinical and medical center resources. Communicates on a daily basis with medical staff, medical center personnel and...
