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UM Review Nurse - Remote Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical...

The Inpatient Case Manager, LVN is responsible for coordinating and facilitating appropriate patient care, repatriation to in-network hospitals, and discharge planning in collaboration with physicians, hospital staff, and external partners. The...

DSS, Inc. is a leading health information software development and systems integration company, offering services and solutions utilized daily by thousands of clinicians and administrative staff across both public and private sectors nationwide.

Registered Nurse (RN) Ambulatory Care Manager In the capacity of a Registered Nurse (RN), the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; coordinating care to obtain desired...

Post-Discharge Patient Outreach Coordinator Inspire health. Serve with compassion. Be the difference. Responsibility for initiating phone contact with discharged patients from specified units, conducting query on patient experience...

Position: #710299 Program: Case Management Department: Health Services Reports to: Manager, Nurse Case Management (LVN) Shift Differential Premium: Additional $1.75 per hour for hours worked between 6pm-6am...

Published Description: Number of open assignments- 3 (1 Days, 1 Evenings, 1 Nights) Discipline: Registered Nurse (RN) Specialty : Corrections Start Date: 06-Jul-2026 Length of Contract : 16 weeks Shift:...

Providing advanced clinical appeal services, the full-time Remote Clinical Financial Case Manager RN will manage complex patient account denials, conduct clinical reviews, and assist in developing denial prevention strategies while supporting the...

About Abby Care: Powering the Future of Care at Home for All of America Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever.

Clinical Success Director/Manager - Nursing As the Clinical Success Director/Manager - Nursing, you will be at the forefront of defining, launching, and growing our generative AI platform for nurses. Your work will directly contribute to...

Health Plan Nurse Coordinator The Health Plan Nurse Coordinator is a Registered Nurse who supports one or more health services operational units, such as Utilization Management, Case Management, Enhanced Care Management, Disease...

Hospitals on Incredible Health are actively hiring and accepting applications in the Santa Monica, CA area for the following position: Registered Nurse - Research Supervisor.Nurses with experience in any of the following areas are strongly...

Utilization Management Program Manager-RN Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products...

Job Description Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours support, No holidays Job Description Job...

Care Manager The Care Manager is responsible for providing care management to a group of health plan members, creating the Person-Centered Service Plan (PCSP), coordinating services, and documenting care in accordance with health plan...

RN Case Manager SNP Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united...

Bed Control Coordinator Full Time RN Job Category: Registered Nurse Requisition Number: BEDCO003435Full-Time On-site Hourly Range: $46.07 USD to $67.73 USD Memorial Hospital of Gardena Gardena, CA 90247, USAJob Details Description Job...

CA Utilization Review Nurse I Job Category: Case Management This is a remote position. Description The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and...

Success Education Colleges is seeking qualified Registered and Licensed Vocational Nurses to teach part-time live clinical rotations in South Gate, California. The role involves overseeing clinical education at established facilities, ensuring...

Utilization Review Specialist The Utilization Review Specialist will ensure regulatory compliance with CMS Conditions of Participation with regard to Utilization Management. Perform Utilization Review according to CMS and commercial payor...

Care Coordinator This is a work-from-home position with travel required within Spartanburg, SC county. Mileage is reimbursed for travel. The On-site Care Coordinator is a Registered Nurse who provides care coordination, education...

Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Summary of Primary Function In the capacity of a Registered...

Ambulatory Care Manager In the capacity of a Registered Nurse (RN), the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; coordinating care to obtain desired health outcomes, improve...

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 TitleNurse 3Job LocationRedondo Beach,...

Astrana Health Management is seeking a Case Manager (LVN/RN) based in Monterey Park, CA. This full-time position requires handling acute care transitions, collaborating with hospital staff, and meeting compliance standards. Candidates must hold an...