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Professional Review Nurse The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical...

Our Company PharMerica Overview Join a team of passionate and caring clinicians who make a difference in people's lives. Our nursing group focuses on compassion and meeting the needs of our...

Overview RN / Registered Nurse, Home Health Location: West Hills Office Position:RN Case Manager, Home Health Position Type:Full-Time...

Introduction The Department of Corrections is focused on public safety through the custody and supervision of those in our care. Corrections employees have the opportunity to positively impact the lives of others through careers in a...

Utilization Management Nurse Consultant 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...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...

Nurse Case Manager (RN) Hospitals on Incredible Health are actively hiring and accepting applications in the Los Angeles, CA area for the following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas...

Amergis is hiring a Certified Nurse in El Monte, CA. This role involves assisting with IEPs, providing health office support, and delivering direct nursing care to students.Responsibilities also include collaborating with school staff to promote...

Medical Review Nurse Analyst Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical records to determine whether services are payable based on TRICARE policy, reference materials, and evidence-based...

Description Nursing Assistant at Providence Little Company of Mary Medical Center San Pedro in San Pedro, CA. Positions available are Per Diem and may include Day and Night shifts. You will work 12-hour shifts in this role.

Job Description 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...

Job Description Are you a compassionate Registered Nurse ready to shape brighter futures? The Stepping Stones Group is seeking dedicated School-Based RNs to support students in Lennox, CA for the...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

Remote Clinical Care Coordinator Expand Access. Support Patients. Transform Care. We are looking for a Remote Clinical Care Coordinator to join our team. This work-from-home telephonic nurse role reports directly to the Director,...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

yourcommission is looking for a Utilization Management Nurse responsible for overseeing patient care determinations across various programs. The role includes conducting utilization reviews, communicating with payors, and monitoring bed...

Float Health Opportunity Are you an infusion center or oncology nurse looking for a flexible side gig? Are you a critical care RN or ER nurse interested in taking care of patients outside of the hospital? We are here for you! Float...

Job Description Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if applicable): This role is eligible...

MDS NurseWhat We're Looking For:Our organization is currently looking for an exceptional MDS Coordinator to make a long term career servicing the residents. This compassionate individual is responsible for directing, organizing and scheduling...

Job Description EF ACADEMY is a private international boarding school in Pasadena, CA. We seek a part-time compassionate and empathetic Registered Nurse (RN) to join our Nursing Team in the Health Center which...

Remote Nurse Position in Michigan This position will be a remote role for Nurses in Michigan. Should have a valid MI RN License. Should have utilization management experience. Should have experience completing post-acute reviews for the...

Accesstlcfoundation in Santa Monica is seeking a HCBA Registered Nurse (RN) for a full-time position. The RN will assess and coordinate care for community-based participants and will perform in-person visits primarily in the Los Angeles areas.

Orb Health in California is seeking a licensed LVN, LPN, or RN to join their remote team as a Care Management Nurse. This role involves providing telephonic care management services to chronic patients and requires at least 1-2 years of clinical...

Sr. LVN Work Location: Burbank, CA, USA Onsite or Remote Fully On-Site Work Schedule Monday-Friday, 8am-5pm Salary Range: $36.34 - 47.94 Hourly Employment Type 2 - Staff: Career Duration Indefinite Primary Duties and...

Medication Nurse – Substance Use Disorder TreatmentCRI‑Help is a substance use disorder treatment center with several locations across Los Angeles County. Established in 1971, the organization is committed to ethical and meaningful client...