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Spectraforce Technologies, Inc. is seeking a Clinical Review Nurse for remote concurrent review responsibilities. The role assesses member health status, medical necessity, and appropriate care levels, contributing to discharge planning within...

Sensorum Health Patient Monitoring and Triage Nurse Job Description ABOUT SENSORUM HEALTH Sensorum Health (sensorum.ai) enables better proactive and preventative healthcare for older adults living at-home.

Patient Care Manager (RN) As a Patient Care Manager (RN), you play a pivotal role in leading our home health team and elevating patient care across the community. In this role, you will empower and guide clinical staff to foster a...

RN Coordinator Utilization Management The RN Coordinator Utilization Management will review submitted authorization requests for medical necessity, appropriateness of care, and benefit eligibility. This position reviews applicable...

Details Client Name Providence Little Company of Mary Medical Center Torrance Job Type Travel Offering Nursing Profession...

Grievance & Appeals Nurse, RN Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Reporting to the...

About the Job ASSIGNMENT SUMMARY: The Registered Nurse (RN) will be responsible for coordinating, implementing and supervising all nursing and personal care services at the Adult Day Health Care Center. The...

RN Care Manager This is not an active opening. We're building a talent community of experienced RN Care Managers for future opportunities supporting patients in Oregon, Washington, and Alaska. If you're interested in being considered as...

Code: HC3B01 Registered Nurse - Case Management (Travel) Location: Glendale, CA Compensation: Travelers: Weekly Gross:...

Nurse Case Manager II Hours: M-F 9:30 AM-6:30 PM EST Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This...

Please make sure to complete all the questions in the application and continue through to the end in order to sign and submit it. Responsible for performing Workers' Compensation utilization review, which includes...

Details Client Name Providence Saint Joseph Medical Center - Burbank Job Type Travel Offering Nursing Profession RN...

Job Description Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals 2024-25" rankings, as well as placed...

Job Details POSITION SUMMARY RN Case Manager POSITION DUTIES DCP in an acute care setting MINIMUM REQUIRED QUALIFICATIONS 2-3 years' experience in an acute care setting CA license LENGTH OF ASSIGNMENT 13...

Job Summary: The LVN Case Manager works under the direction of an RN following assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care...

Sedgwick is hiring a Telephonic Case Manager (US Telecommuter) to support injured workers by planning medical care and advocating for timely returns to work. You will assess needs over the phone, coordinate services, and communicate with care...

Department: 39733 Enterprise Corporate - NC/GA Transitional Care Management Status: Part time Benefits Eligible: Yes Hours Per Week: 20 Schedule...

Job Title This is a remote, PRN position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint Joseph Health System? At Saint Joseph Health System, our values...

Licensed Vocational Nurse - Home Health Excell Home Care is actively recruiting for LVN Case Manager. Our innovative company is focused on the best possible outcomes for our patients, outstanding and highly personalized patient care, and...

Details Client Name Providence Saint Joseph Medical Center Job Type Travel Offering Nursing Profession Registered Nurse...

Research Nurse - Danbury, Connecticut (Per Diem) Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile...

Utilization Management (UM) Nurse Supervisor The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team performance, accountability, and...

Responsible for reviewing medical records and preparing clinical appeals in response to medical necessity denials and diagnosis-related groups (DRG) reassignments Responsibilities Prepare and submit clinical appeals...

Discharge Nurse II, RN Arcadia Office - Arcadia, CA 91007; Huntington Beach Office - Huntington Beach, CA 92647 Overview Salary Range $81,500.00 - $100,000.00 Salary Position Type Full Time Description This...

Location This is a hybrid role. Applicants must be able to commute to or travel to Mitchell and Dougherty counties, GA, when required. About Us The Columbus Organization is a nationally...