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Denials Case Manager, RN The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials,...

Job Title: Remote RN Admissions Coordinator - Long-Term Care & Rehabilitation Company: Leading Managed Care Organization (serving CA Medicaid members) Location: Remote - Must reside and be...

Pacificare Health Management - Nurse ConsultantJob SummaryPacifiCare Health Management is seeking a highly skilled and experienced Nurse Consultant to join our team. In this leadership role, you will provide clinical guidance, operational support,...

Position Title: Behavioral Health Nurse - Contract Position, Ventura, Ca Department: Clinical Services / Recuperative Care Reports To: Director of Nursing / Nursing Manager...

About Company: Lunera Health Center is a private, 501(c)(3) non-profit community health center serving Prince William County and the Cities of Manassas and Manassas Park, as well as other surrounding areas of Northern...

Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity criteria to provide quality care...

This position will be located near the Dallas area. Must have CA RN license or be open to obtaining. Relocations assistance is available. We're hiring for 3-12 hour shifts, 7am, 7md, 7pm. The Emergency Prospective Review (EPR) / Transfer Center RN...

Nurse 3 Job Number: 364864 Category: Administrative Description: Job Title: Nurse 3 Location: Redondo Beach, CA Zip Code: 90278 Pay Rate: Up to $65.09/hr. Schedule: 9x80 A Start Date:...

About Seen HealthAt Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, we are a culturally-focused, technology-enabled healthcare...

Details Client Name Cedar Sinai TACRI Imaging Job Type Travel Offering Nursing Profession RN Specialty...

* Position is Eligible for Remote / Work from Home Opportunity * Department: DME Appeals Job Grade: E11 As a condition of employment physical work location must be in one of the 50...

NURSING ATTENDANT III Print ( Apply  NURSING ATTENDANT III Salary $50,877.84 - $55,193.52 Annually Location Los Angeles County, CA Job Type Full time Job...

Keck Medicine of USC in Los Angeles is looking for a Vocational Nurse to assist with discharge planning within the Continuum of Care Team. The role includes coordinating with case managers and social workers to ensure smooth transitions for...

OCM RN Case Manager Position: OCM RN Case Manager Pay Range: $95,000 -$105,000 PER YR Reporting To: Lead OCM RN Case Manager Work Type: Remote Position Summary: The OCM RN Case Manager...

Field Based Nurse Case Manager – RN OHARA, LLC has an opening for a full-time Field Based Nurse Case Manager in the Iowa City, IA area. We are driven to facilitate prompt delivery of quality, cost-effective health care to injured...

TheraEX Staffing Services is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Mission Hills, California.Job Description & RequirementsSpecialty: Acute Care Case ManagementDiscipline: RNDuration: 13 weeks40 hours per...

OverviewJobs for Humanity is partnering with CEDARS‑SINAI to build an inclusive and just employment ecosystem. We prioritize individuals from diverse communities including Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard...

Chronic Care Coordinator Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients with two or more chronic...

Ssbv Clinical Claims Review Rn 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...

RN Provider Performance Specialist Senior Step into a high-impact role where your clinical expertise directly influences provider quality and patient outcomes. As an RN Provider Performance Specialist Senior, you will serve as a trusted...

Clinical Reviewer Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and...

This position reports to the Enhanced Care Management (ECM) Program Manager. This position provides support to the ECM Program to ensure engagement, enrollment, and follow up on members related to the ECM as well as other clinical programs in...

Nurse Care Manager ArchWell Health is re-imagining the practice of primary care. We are putting the relationship between patient and physician at the center of a value-based model focused on outstanding patient experience, improved...

Registered Nurse Care Manager The Registered Nurse Care Manager (RNCM) is responsible for organizing and directing team members to achieve desirable patient outcomes through day-to-day and/or telephonic case management. The RNCM functions...

Overview Monterey Park Hospital, a 101-acute care facility located in the San Gabriel Valley of Los Angeles County, is seeking a Case Manager RN or LVN for our Utilization Review Department. This is a per diem, 8-hour variable shifts position...