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Case Manager (LVN)Job Summary: We are seeking a compassionate and skilled Case Manager (LVN) to join our team at Astoria Healthcare Center in Sylmar, CA. As a Case Manager (LVN), you will deliver efficient and effective nursing...

HealthEdge is seeking a remote (US) Appeals & Grievances Specialist to independently process complex grievances and conduct medical necessity reviews across inpatient, outpatient, and ancillary services. You will prepare documentation for...

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...

Providing essential support in the processing and communication of Commercial Prior Authorizations, the part-time contract Oklahoma Licensed Prior Authorization LPN will manage inbound calls, oversee fax processing, and assist prescriber office...

The Department of Family Medicine of the Keck School of Medicine of USC provides care for every member of the family, across generations and over lifetimes. We aim to enhance the quality of life for underserved and vulnerable patients while...

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information...

Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by...

Elevance Health seeks a Nurse Case Manager I to assess, plan and coordinate care for members with complex needs. The role supports telephonic or on-site care management, including discharge planning and authorizations within the benefits...

Registered Nurse – Case Manager Day shift, Monday to Friday, from 08:30 to 17:00. Every other weekend is required, with every weekend preferred. Holidays are also required. Assignment Details Contract length is 13 weeks.

Job Opportunity We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other...

UnitedHealth Group seeks a Discharge Care Manager in Arizona to coordinate post-discharge care for high‑risk members by telephonic case management and collaboration with clinicians. You will document discharge plans and monitor patients after...

Clinical Integrity Documentation Specialist Location: Remote Facility: Ascension Wisconsin Hospitals Department: Clinical Integrity Documentation Schedule: Days | Full-Time Salary Range: $79,511.52-$110,834.59...

Elevance Health is seeking a Nurse Case Manager II to manage complex patient care telephonically or on-site, coordinating plans across the care continuum. The role requires a RN license, BA/BS in a health field, and 5+ years of clinical...

Medlivo is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date:...

Community Health Systems, Inc. is seeking a PRN Remote Clinical Utilization Review Specialist to evaluate medical necessity and efficiency of hospital services. You will support denials, appeals, and collaborate with providers to optimize...

Position Summary The RN Case Manager is responsible for performing clinical assessment and reassessment of acute care Inpatients for the purpose of performing utilization review, resource management and safe discharge...

Outpatient Case Manager (RN/LVN) Recruiting on behalf of a leading healthcare organization in Southern California About the Opportunity Vivo HealthStaff is proud to partner with our client, a...

Details Client Name Kindred Hospital - Los Angeles Job Type Travel Offering Nursing Profession RN Specialty...

Job Title Case Management Nurse Job Description Centered in the heart of Boyle Heights, Adventist Health White Memorial is one of the area's leading healthcare providers since 1913. We are comprised of a 353-bed hospital,...

Lehigh Valley Health Networkis seeking an experienced RN to join the Utilization Management team in a remote role. You will review admissions, determine appropriate patient class, and ensure payer-aligned care decisions using evidence-based...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Care Manager, RN - Remote In Training Allocation Med Office Full Time FL,...

RadHealth+ is seeking a travel nurse RN Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: 13...

Sentara Health is seeking an Integrated Case Manager, RN, to deliver comprehensive case management across the care continuum. This remote position requires in-person face-to-face assessments and travel to Roanoke and surrounding areas up to...

Kaiser Permanente seeks an RN case manager to coordinate admissions and discharge planning, ensuring appropriate levels of care and cost-effective resources. You will collaborate with physicians, patients, and families to develop individualized...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...