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Option Care EnterprisesSanta Fe Springs,CA
SCHEDULE: Looking for someone to work every Monday plus Friday, Saturday, or Sunday each week. 10-20 hr a week. An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home,...
CareSourceLos Angeles,CA
Care Manager The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the...
Included HealthLos Angeles,CA
We're looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. As a telephonic...
Mass General BrighamLos Angeles,CA
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...
MindoulaLos Angeles,CA
Nurse Educator (RN) The Substance Use Disorder Program at Mindoula Health is looking for a skilled Nurse Educator (RN) with a compact license to join their team. The SUDP works with health plans and physicians to identify, engage and...
Case Management Society of AmericaLos Angeles,CA
DescriptionThe Utilization Management (UM) Nurse supports appropriate level‑of‑care determination, patient flow, and revenue cycle integrity across inpatient, partial hospitalization, and intensive outpatient programs. The UM Nurse functions...
Guardian Life InsuranceLos Angeles,CA
RN Clinical Consultant The RN Clinical Consultant serves as a clinical resource for the investigation and assessment of medical information regarding disability by providing comprehensive medical reviews and analysis of long-term and or...
University of Mississippi Medical CenterLos Angeles,CA
RN Clinical -Outcomes Coordinator To support and coordinate clinical quality improvement initiatives. To perform job duties in accordance with the medical center's purpose. Master's degree plus one (1) year of experience in...
The Elevance Health CompaniesLos Angeles,CA
Job Title Nurse Appeals-RN (California)Location & Remote Work Locations: Woodland Hills, CA and Costa Mesa, CA. This role is available for associates to work virtually full‑time, except for required in‑person training sessions.Responsibilities...
Cedars-SinaiLos Angeles,CA
Job Description Are you ready to bring your expert clinical skills to a world-class facility recognized as one of the top ten in the United States? Do you have a passion for the highest quality and patient happiness? Then please respond...
CGS ADMINISTRATORSLos Angeles,CA
Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests...
Agape Care GroupLos Angeles,CA
Overview Join Our Team as a Remote RN Clinical Supervisor We are looking for strong, compassionate clinical leaders to join our hospice team who are committed to creating...
EF Education FirstPasadena,CA
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 serves a high school population of...
Providence Health & ServiceLos Angeles,CA
Job Description Providence is calling for Revenue Cycle Auditor RN - Full time, Day, Remote The Revenue Cycle Auditor is responsible for providing patient focused, standardized, compliant revenue cycle...
Metropolitan Jewish Health SystemLos Angeles,CA
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...
GovernmentJobs.comLos Angeles,CA
QI Nurse Specialist (RN) (PQI) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs...
Clever Care Health PlanLos Angeles,CA
Utilization Management Nurse I, RN Huntington Beach Office - Huntington Beach, CA 92647 Overview Salary Range $34.98 - $42.85 Hourly Position Type Full Time Description Remote in California only Are...
Headway - Design & DevelopmentLos Angeles,CA
" Licensed Psychiatric Nurse Practitioner Wage: Up to $196.58/hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner? Whether you want to see patients alongside a full-time job or grow a...
AmpcusLos Angeles,CA
Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Clinical Medical Review Nurse.
Providence ServiceLos Angeles,CA
Description Providence is calling for Revenue Cycle Auditor RN - Full time, Day, Remote The Revenue Cycle Auditor is responsible for providing patient focused, standardized, compliant revenue cycle...
Highmark HealthLos Angeles,CA
Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of...
Methodist Le Bonheur HealthcareLos Angeles,CA
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow...
Enzo HealthLos Angeles,CA
Enzo Health is a healthcare technology company transforming home health operations through purpose-built artificial intelligence. We deliver a secure, HIPAA-compliant AI platform that unifies intake, clinical documentation, coding, and quality...
Vitability HealthLos Angeles,CA
Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...
Genoa TelepsychiatryLos Angeles,CA
Concurrent Review Case Manager Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations...

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