UnitedHealth Group
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Cambridge,MA
Clinical Claim Review Nurse 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 will directly improve health outcomes by connecting people...
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:...
Virtual Vocations
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Cambridge,MA
Seeking a dedicated Registered Nurse (RN) for a full-time remote Medical Claims Reviewer position, responsible for conducting pre- and post-payment medical reviews, assessing medical necessity, and documenting compliance with clinical criteria and...
CVS Health
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Cambridge,MA
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...
BlueCross BlueShield of South Carolina
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Cambridge,MA
Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests...
State of Massachusetts
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Boston,MA
The Commonwealth of Massachusetts Executive Department is one of the state's largest employers with over 46,000 employees that span 11 Secretariats and 70 plus agencies. From Accountants to X-ray technicians with hundreds of titles in between, we...
Northeast Georgia Health System
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Cambridge,MA
Job Category: Executive Leadership, Revenue Cycle Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. ...
Amerit Consulting
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Cambridge,MA
Overview:Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Appeals and Grievance RN .*** Candidate must be authorized to work in USA without requiring sponsorship...
Voca Healthcare
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Boston,MA
Voca Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Boston, Massachusetts. Job Description & RequirementsSpecialty: Case...
VITAS Healthcare
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Cambridge,MA
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...
UnitedHealth Group
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Cambridge,MA
Clinical Review Clinician 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 will directly improve health outcomes by connecting people...
Boston Children's Hospital
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Boston,MA
Position Summary/Department Summary: The inpatient and outpatient RN Case Managers at Boston Children's function as the clinical professionals who coordinate the transition from hospital to home or facilities, based on patient...
Greenlife Healthcare Staffing
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Cambridge,MA
RN Health Care Facility Surveyor - Washington Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting...
Cambridge Health Alliance
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Cambridge,MA
Location : CHA Cambridge Hospital Work Days : 7p-7a Category : Registered Nurse Department : Postpartum 5 North Job Type : Full time Work Shift : Night Hours/Week : 36.00 Union Name : MNA Cambridge Sign-On and Retention Bonuses available for external...
UC Health
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Cambridge,MA
Description Location: UCHealth Medical Center of the Rockies: Loveland, CO Department: MCR Rad Nursing Work Schedule: Full Time, 64.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant...
Boston Medical Center
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Boston,MA
POSITION SUMMARY: A licensed and credentialed Nurse Practitioner (NP) provides diagnosis, treatment, consultation, and follow-up under the direction of 1 or more physicians in the clinic. The NP provides age and specialty...
Virtual Vocations
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Cambridge,MA
Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, analyzing care services, coding requirements, and resource utilization while collaborating...
NPHire
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Cambridge,MA
Work From Home Nurse Practitioner (PMHNP - Telehealth - Flexible Schedule)Join to apply for the Work From Home Nurse Practitioner (PMHNP - Telehealth - Flexible Schedule) role at NPHireBase pay range$175,000.00/yr - $200,000.00/yrAbout the RoleA...
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...
Denver Health
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Cambridge,MA
We are recruiting for a mission-driven RN Educator, Clinical Documentation Integrity - Must Reside in Colorado to join our team! We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something...
Commonwealth Healthcare LLC
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Cambridge,MA
Commonwealth Healthcare LLC is seeking a local contract nurse RN Post Partum for a local contract nursing job in Cambridge, Massachusetts. Job Description & Requirements Specialty: Post Partum Discipline: RN Start Date: 07/14/2026 Duration: 13 weeks...
Boston Medical Center
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Boston,MA
POSITION SUMMARY: The Nurse Practitioner will serve as a core member of the treatment team within a new, 45-bed men's behavioral health unit operated by Boston Medical Center (BMC) located in the Suffolk County Sheriff's...