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Providing full-time clinical review support remotely, the RN Clinical Review Specialist will review medical records for medical necessity, level of care, and authorization compliance while assisting with timely appeal submissions and inventory...

JOB DESCRIPTION - REGISTERED NURSE (A) Job Summary: The Registered Nurse provides patient care on a supplemental basis to our client facilities. With the delivery of safe, quality patient care as...

Introduction Rio San Juan FSED is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for Clinical Nurse Coordinator...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the...

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise,...

Avera Health is hiring a Registered Nurse at Avera McKennan Hospital in Beverly Hills, California. The role involves facilitating patient transitions and ensuring continuity of care while maintaining collaborative relationships with healthcare...

Position Title Care Management Nurse Days - Full Time Broadmoor Campus, Remote Position Summary / Career Interest: The Care Management Nurse provides intervention for patients...

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...

Shift: Night-shift, 4x10-hour shifts (11:00 PM - 7:30 AM), every other weekend required.ResponsibilitiesProvide case management for patients in a Level 1 trauma center Emergency Department.Coordinate care for acute inpatient cases, ensuring...

Responsibilities Primary Job Functions: Clinical: Chart Review and Documentation Conduct structured reviews of clinical records to assess service utilization, client engagement,...

Responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically...

Memorial Hospital of Gardena is looking for a dedicated Nurse Case Manager to oversee clinical resource utilization and documentation impacting reimbursement. The ideal candidate will have a minimum of two years' experience as an RN or Case...

Summary: Uniti Med is looking for a Registered Nurse (RN) in Los Angeles, California. This assignment lasts 13 weeks and is scheduled to start on 08-05-2026. Benefits: ...

Grow HealthyIf you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to...

Make a Difference in the Lives of Families Affected by AutismWe're looking for a dedicated Autism Services Navigator (ASN) to support families enrolled in the Autism Care Demonstration (ACD). In this role, you'll be a trusted advocate, guiding...

Job Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within...

Assured Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start...

Job Description: Job Title: Clinical Quality Reviewer RN (Quality of Care Review) Duration: 9+ Months (Potential Extension and Conversion to FTE) Location: Remote - CA Work Schedule: Monday - Friday | 8:00 AM - 4:30 PM / 5:00 PM...

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...

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource...

Job Details Reviews payor denials and audits for potential lost revenue. Writes comprehensive, factual arguments to present to third-party payers, medical review boards, or other responsible parties applying clinical criteria to establish...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

Position Title: Behavioral Health Nurse – Contract Position, Ventura, Ca Department: Clinical Services / Recuperative Care Reports To: Director of Nursing / Nursing Manager...

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted,...