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Responsible for collaborating with healthcare providers and physicians for problem solving, prioritizing and facilitating patient care objectives, the coordination and...

GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Case...

Job Description Responsible for the retrospective review of medical records and compiling data to validate quality of care, appropriateness of care , and accuracy of documentation. RN Peer Review Analyst will audit charts for...

JOB DESCRIPTION Job Summary Work Location: California - Ability to work remote, but selected candidate must reside in the state of California. This position requires California RN Licensure. Candidates must...

About This Role The RN Case Manager for Skilled Nursing Facilities (SNF) is responsible for coordinating and managing care for Medicare Advantage members in skilled nursing facilities. This role is ideal for those who excel in...

Sentara Health is seeking a Remote Utilization Review Registered Nurse based in Virginia. The role focuses on utilization review and prior authorization for inpatient and outpatient cases, with emphasis on upholding regulatory criteria and...

Details Client Name California Hospital Medical Center Job Type Travel Offering Nursing Profession RN...

Case Management Utilization RNSalary: $68.95 - $84.38 / hourLocation: Los Angeles, California, Los Angeles Medical CenterEmployee Status: RegularSchedule: Part-time, 32 hours per week, Day shiftJob Summary:Works collaboratively with an MD to...

Anticipated End Date: 2026-11-11 Position Title: Nurse Case Manager II - California Job Description: Nurse Case Manager II CA Location: State of Californica...

Registered Nurse (RN) - Utilization Review | Remote | California License Required Position: Registered Nurse (RN) - Utilization Review (UM RN) Location: Torrance, CA (Remote Position)...

Secondary Review Nurse At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.

Nurse (RN) - Case Manager Hours are as needed, Monday - Friday during business hours; you will work 4, 8 or 10-hour shifts as needed to fill gaps in staffing. Hours can also include weekends but not required. This position is remote.

Travel Nursing & Allied Healthcare Staffing Agency Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.

Details Client Name California Hospital Medical Center Job Type Travel Offering Nursing Profession RN...

Job Title Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital...

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 clinical guidelines, insurance policies, and...

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Clinical Appeal Specialist based in the United States. As a Clinical Appeal Specialist, you...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is...

Optum UT is seeking a Skilled Nursing Facility (SNF) Case Manager to join our team in Draper, UT. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery...

Community Care Case Manager 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...

Case Management Nurse The Case Management Nurse delivers comprehensive, client-centered case management services across the continuum of care, ensuring that each individual receives the most appropriate level and type of health, medical,...

Description: Job Summary: In addition to the responsibilities listed below, this position is also responsible for leveraging clinical knowledge of evidence-based guidelines, insurance policies, and clinical criteria to consult...

Travel Case Manager Registered Nurse (RN) This Case Manager travel nurse job in Los Angeles, California, with Advantis Medical is a 13-week Travel Case Manager Registered Nurse (RN) contract at Dignity Health - California Hospital Medical...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Make It Happen At Hopkins Location: WhiteMarsh, MD and Westminster, MD Weekly Working Hours: Monday-Friday 8:00am-5:00pm (Hybrid position- 4 days onsite | 1 day remote, after 90 days of employment) Shift: Day Shift...