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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: Des Moines, US-IA Salary / Rate: Not Specified Posted: 2026-09-19 10:52:25

  • 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: Idaho Falls, US-ID Salary / Rate: Not Specified Posted: 2026-09-19 10:52:24

  • 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: Savannah, US-GA Salary / Rate: Not Specified Posted: 2026-09-19 10:52:24

  • 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: Chicago, US-IL Salary / Rate: Not Specified Posted: 2026-09-19 10:52:19

  • 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: Columbus, US-GA Salary / Rate: Not Specified Posted: 2026-09-19 10:52:16

  • 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: Atlanta, US-GA Salary / Rate: Not Specified Posted: 2026-09-19 10:52:13

  • 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: Boise, US-ID Salary / Rate: Not Specified Posted: 2026-09-19 10:52:09

  • 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: Wilmington, US-DE Salary / Rate: Not Specified Posted: 2026-09-19 10:52:06

  • 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: Miami, US-FL Salary / Rate: Not Specified Posted: 2026-09-19 10:52:03

  • 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: Dover, US-DE Salary / Rate: Not Specified Posted: 2026-09-19 10:52:00

  • 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: Jacksonville, US-FL Salary / Rate: Not Specified Posted: 2026-09-19 10:51:56

  • 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: Tallahassee, US-FL Salary / Rate: Not Specified Posted: 2026-09-19 10:51:56

  • 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: Tampa, US-FL Salary / Rate: Not Specified Posted: 2026-09-19 10:51:52

  • 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: Hartford, US-CT Salary / Rate: Not Specified Posted: 2026-09-19 10:51:49

  • 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: Denver, US-CO Salary / Rate: Not Specified Posted: 2026-09-19 10:51:49

  • 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: Colorado Springs, US-CO Salary / Rate: Not Specified Posted: 2026-09-19 10:51:48

  • 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: Bridgeport, US-CT Salary / Rate: Not Specified Posted: 2026-09-19 10:51:47

  • 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: Sacramento, US-CA Salary / Rate: Not Specified Posted: 2026-09-19 10:51:47

  • 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: San Diego, US-CA Salary / Rate: Not Specified Posted: 2026-09-19 10:51:46

  • 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: San Francisco, US-CA Salary / Rate: Not Specified Posted: 2026-09-19 10:51:45

  • 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: Los Angeles, US-CA Salary / Rate: Not Specified Posted: 2026-09-19 10:51:45

  • 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: Fort Smith, US-AR Salary / Rate: Not Specified Posted: 2026-09-19 10:51:44

  • 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: Tucson, US-AZ Salary / Rate: Not Specified Posted: 2026-09-19 10:51:43

  • 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: Little Rock, US-AR Salary / Rate: Not Specified Posted: 2026-09-19 10:51:39

  • Bilingual Community Outreach Specialist (English/Spanish) (National City, CA)

    Essential Duties and Responsibilities: - Coordinate and process intake referrals received via incoming calls, voicemail, email, or other designated channels. - Respond to inquiries, provide general program information, and refer clients or providers to appropriate agencies or resources in accordance with established guidelines. - Perform initial eligibility screening for services using defined criteria and procedures. - Review and screen applications and supporting documentation for completeness ....Read more...
    Type: Permanent Location: National City, US-CA Salary / Rate: Not Specified Posted: 2026-09-19 10:51:36