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Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...

Anders Group is hiring a Travel Case Manager Registered Nurse (RN) in Santa Monica, CA Location: Santa Monica, CA Start Date: 07/20/2026 Contract Length: 13 Weeks...

Hospice RN Case Manager Full Time Position Available Lake Prince At Home a part of Lake Prince Woods, CCRC, located in Suffolk has a CHAPS Certified Hospice and Home Health organization. We are seeking an experienced Hospice Nurse...

Real Job 3266306 *Works with any dept, if a patient complaint arises* *Experience in Critical Care or ED is a plus* *weekends will not typically be required UNLESS survey is on site* *2 years experience required, hard stop* *First time travelers...

Details Client Name Bio-Pacific - The Rehabilitation Center of Santa Monica Job Type Travel Offering Nursing Profession RN...

Prior Authorizations, Case Manager (LVN/RN)#UHM-5092West Hills, California, United StatesWork Model On-SiteJob Description Position Summary:The role of the Prior Authorization Review Nurse, LVN/RN is to promote the quality and cost effectiveness...

Utilization Management RN Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services and procedures for our Health Plan. This role uses clinical knowledge to provide...

The Psychiatric/Mental Health (PMH) Registered Nurse, requires a wide range of nursing, psychosocial, and neurobiological expertise. PMH nurses promote well-being through prevention and education, in addition to the assessment, diagnosis, and...

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...

Details Client Name Providence Saint Johns Health Center Job Type Travel Offering Nursing Profession RN...

Blue Zones Health is a lifestyle-first well-being organization that partners with primary care providers and health plans to deliver whole-person care that improves outcomes, reduces unnecessary utilization, and supports patients beyond the four...

HonorVet Technologies is seeking a travel nurse RN Case Management for a travel nursing job in Santa Monica, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Overview As a Case Manager, you will coordinate patient care, manage discharge planning, and ensure adherence to admission criteria. Your role will involve collaboration with interdisciplinary teams, assessing patient needs, and...

Bilingual Nurse Case Manager/Infirmier(ère) Gestionnaire de Cas Bilingue At Calian, we help organizations overcome obstacles, manage risks, and drive progress. Since 1982, we've grown from a small consulting firm into a trusted global...

Research Nurse Healthy Brain Clinic in Long Beach is part of the Irvine Clinical Research site network, the largest of its kind on the West Coast. With 5 research centers in California, we are leaders in the search for new treatments in...

Summary The Greater Los Angeles Health Care Systems is seeking an experienced Registered Nurse to serve in Outpatient Mental Health for the Caregiver Support Program specialty within Nursing, Mental Health Department. The Caregiver Support Program...

Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

Registered Nurse Clinical Annotator At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for...

The Content Lead, PMHNP, will help build and edit content for practicing clinicians and develop curriculum for students preparing for their upcoming exam. What You'll Do Work with our Senior NP Content Editor and nursing content...

PAY: $ 2850 weekly gross for 40 hr W2: $ 24/hr Weekly stipend: $ 1890 Position: RN Case Manager Location: Burbank, CA 91505...

Limelight Health is seeking an LPN/LVN Healthcare Advocate to work with Medicare patients throughout their healthcare journey. This 100% remote role offers flexibility, allowing you to work part-time or full-time. You will guide patients through...

Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We're more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is...