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  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Kansas City, US-MO Salary / Rate: Not Specified Posted: 2026-09-19 10:52:54

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Grand Rapids, US-MI Salary / Rate: Not Specified Posted: 2026-09-19 10:52:53

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Tupelo, US-MS Salary / Rate: Not Specified Posted: 2026-09-19 10:52:52

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Minneapolis, US-MN Salary / Rate: Not Specified Posted: 2026-09-19 10:52:52

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Jackson, US-MS Salary / Rate: Not Specified Posted: 2026-09-19 10:52:51

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Hattiesburg, US-MS Salary / Rate: Not Specified Posted: 2026-09-19 10:52:50

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Duluth, US-MN Salary / Rate: Not Specified Posted: 2026-09-19 10:52:47

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Baltimore, US-MD Salary / Rate: Not Specified Posted: 2026-09-19 10:52:43

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Detroit, US-MI Salary / Rate: Not Specified Posted: 2026-09-19 10:52:43

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Marquette, US-MI Salary / Rate: Not Specified Posted: 2026-09-19 10:52:42

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Boston, US-MA Salary / Rate: Not Specified Posted: 2026-09-19 10:52:41

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Aberdeen, US-MD Salary / Rate: Not Specified Posted: 2026-09-19 10:52:41

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Springfield, US-MA Salary / Rate: Not Specified Posted: 2026-09-19 10:52:40

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Portland, US-ME Salary / Rate: Not Specified Posted: 2026-09-19 10:52:39

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Bangor, US-ME Salary / Rate: Not Specified Posted: 2026-09-19 10:52:39

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Shreveport, US-LA Salary / Rate: Not Specified Posted: 2026-09-19 10:52:38

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: New Orleans, US-LA Salary / Rate: Not Specified Posted: 2026-09-19 10:52:37

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Bowling Green, US-KY Salary / Rate: Not Specified Posted: 2026-09-19 10:52:37

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Baton Rouge, US-LA Salary / Rate: Not Specified Posted: 2026-09-19 10:52:36

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Sioux City, US-IA Salary / Rate: Not Specified Posted: 2026-09-19 10:52:35

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Wichita, US-KS Salary / Rate: Not Specified Posted: 2026-09-19 10:52:35

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Kansas City, US-KS Salary / Rate: Not Specified Posted: 2026-09-19 10:52:34

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Louisville, US-KY Salary / Rate: Not Specified Posted: 2026-09-19 10:52:31

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Davenport, US-IA Salary / Rate: Not Specified Posted: 2026-09-19 10:52:28

  • Clinical Adjudicator, RN

    Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess any issues identified. - Perform other special projects not related to a specific case such as general legal research, general m ....Read more...
    Type: Permanent Location: Evansville, US-IN Salary / Rate: Not Specified Posted: 2026-09-19 10:52:28