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Nashville, Tennessee

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Today

Job ID:06-05. RN Days & NightsPosition: Registered Nurse 1Client:TN MHSASLocation:221 Stewarts Ferry Pike Nashville, Tennessee 37214Duration:12+ Months (On-Site)RN - FT Day shift (6:30 am - 7:30 pm)RN - FT Night shift (6:30 pm - 7:30 am)Job Description:72771 Currently licensed as a Registered Nurse and experience equivalent to one year of registered nursing.Or Currently licensed as a Registered Nurse and education equivalent to a bachelor''s or graduate degree in nursing from an accredited col

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Contract, Third Party

50 - 55

Utilization Management – RN/LPN (Care Management)

Remote

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3d ago

Job Title: Utilization Management - RN/LPN (Care Management) Location: Baltimore, MD Duration: 12 Months+ Purpose: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care. Essential Functions: 35% Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims i

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Third Party, Contract

Depends on Experience

RN (Registered Nurse)

Remote

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10d ago

Job Title: RN (Registered Nurse) Case Manager Location: Remote Duration: 12 months Description: The Case Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs. They serve as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone calls, emails, text messages and the Client

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Contract, Third Party

Depends on Experience

Utilization Review Nurse

Remote

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Today

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, EnterpriseTransformation. Role:Utilization Review Nurse Location: Baltimore MD(Remote) Type:Contract Job Descrip

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Contract

Depends on Experience

Registered Nurse

Remote

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4d ago

Title: Registered Nurse Contract: 6 Months Location: Remote Job Description: Processing Appeals for Texas Looking for someone who is dedicated, self driven, good with remote work, ability to multitask and handles timelines wellCompact RN LicenseClaims ExperienceTrucare classic, cloud, Interqual experience5+ years

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Contract

DBT Cloud+Databricks Architect (Azure)

Remote

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2d ago

Job Title: DBT Cloud+Databricks Architect (Azure) Location: Remote (USA) Employment Type: Contract Role Overview We are looking for a Senior DBT Cloud Architect / Lead who can setup and drive the complete DBT Cloud environment and lead the project team. Key Responsibilities Design and develop scalable data transformation pipelines using DBT Cloud Architect and implement Databricks-based data solutions (Delta Lake, Spark) Build and optimize data models (star/snowflake schemas) for analytics Deve

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Contract, Third Party

Depends on Experience

Junior Product Manager (Healthcare Background required)

Remote

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12d ago

We are seeking a Product Manager with a strong healthcare background, preferably with clinical experience, to lead the development and enhancement of healthcare products. The ideal candidate will bridge the gap between clinical needs and technology solutions, ensuring products are aligned with patient care standards, regulatory requirements, and business goals. Key Responsibilities: Define product vision, strategy, and roadmap for healthcare solutionsCollaborate with clinical stakeholders, engin

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Full-time

Depends on Experience

Data Scientist (Remote)

Remote or Utah

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Today

Progressive Leasing is a leading provider of in-store and e-commerce lease-to-own solutions. With more than 20 years in FinTech, we've grown from start-up to industry leader by innovating, simplifying, and valuing people. We are a subsidiary of PROG Holdings (NYSE: PRG), a FinTech holding company with three business segments: Progressive Leasing, Purchasing Power (a leading employee purchase program for consumer products and services using payroll deduction), and Four, a Buy Now Pay Later (BNPL)

Full-time

Medical Record Review Associate (Bilingual English and French)

Remote or Hybrid in Beaverton, Oregon

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5d ago

Title: Medical Record Review Associate (Bilingual English and French) Location: Beaverton, OR 97005 or Remote Employment Type: 6 plus month W2 contract, no C2C, no sponsorship available Overview Talent Groups is seeking a detail oriented and self directed Medical Record Review Associate to support clinical review operations. This role is ideal for candidates with a clinical background and experience reviewing medical records in both English and French, with a strong preference for Canadian Frenc

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Contract

20 - 25

Frontend React / FullStack Engineer

Remote

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Today

Frontend React/ Full Stack Engineer Location: Remote to start - need to relocate to Bentonville once offered a full time role CTH (looking to hire fulltime between 3-6 months) Openings: 3 total (1 Senior, 2 Mid Level) Tech Split: ~70% Frontend / ~30% Backend Role Overview Client is seeking Frontend / Full Stack Engineers to join the team building and enhancing the the client's application. This role is ideal for engineers who are strong in React, comfortable working across modern frontend ar

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Contract

Clinical Training Specialist - Must Have PeriOp Experience

Remote or Florida

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Today

DSS, Inc. is a leading health information software development and systems integration company, offering services and solutions utilized daily by thousands of clinicians and administrative staff across both public and private sectors nationwide. Overview The PeriOp Implementation Specialist seasonal supports DSS, Inc.'s mission by delivering exceptional client care, training, and implementation services. This role is ideal for an experienced professional with a strong background in perioperative

Full-time

Epic Tapestry UM Analyst - 100% Remote

Remote or Eden Prairie, Minnesota

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Today

Genesis10 is currently seeking a Tapestry UM Analyst for a 3-month contract role with our client. This role will be 100% remote. Compensation: $80.00 - 90.00 per hour, W2, depending on skill and experience level. Summary: We are seeking an experienced Epic Tapestry Utilization Management (UM) Analyst to design, build, optimize, and support UM workflows focused on prior authorizations and referrals. This role partners closely with UM leadership, clinical reviewers, provider relations, care man

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Full-time

USD 80.00 - 90.00 per hour

Implementation Training Specialist - Infusion Therapy Manager / Oncology

Remote or Florida

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Today

DSS, Inc. is a leading health information software development and systems integration company, offering services and solutions utilized daily by thousands of clinicians and administrative staff across both public and private sectors nationwide. Overview The Infusion Therapy Manager/ Oncology Implementation Training Specialist promotes DSS Inc.'s mission by providing the highest level of care and training to our clients. Experienced candidates will be well versed in Oncology medical care and han

Full-time

USD 70,000.00 - 85,000.00 per year

Lead Data Scientist - Clinical Informatics (Clinical Data Standards)

Remote or New York

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Today

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 ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health's Analytics & Behavior Chan

Full-time

USD 130,295.00 - 260,590.00 per year

Lead Data Scientist - Clinical Informatics (Claims Specialization)

Remote or New York

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Today

Full-time

USD 130,295.00 - 260,590.00 per year

Senior Data Scientist - Clinical Informatics (Analytics Enablement)

Remote or New York

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Today

Full-time

USD 101,970.00 - 203,940.00 per year

Optum Rx AI Capability Lead

Remote or Eden Prairie, Minnesota

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Today

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 with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health op

Full-time

USD 112,700.00 - 193,200.00 per year

Utilization Management Nurse

Remote

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5d ago

Job Description: Must: Registered Nurse License, active and unencumbered state license in the state where job duties are performed isBSN preferred. 2. Four (4) years of clinical practice nursing experience in at least one of the following areas: medical-surgical nursing, surgical nursing, intensive care or critical care nursing.Duties: Utilization Management: Conducts and monitors clinical review cases to ensure medical necessity of inpatient and outpatient services, diagnostic procedures, out-o

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Contract

$30 - $35

Lead Engineer - Mobile Platform (AI & Cross-Platform) - Remote

Remote or Minnetonka, Minnesota

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Today

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 with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us

Full-time

USD 112,700.00 - 193,200.00 per year

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