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BlueCross BlueShield of South CarolinaLos Angeles,CA
Team Lead For Specialty Programs Acts as team lead for specialty programs, medical review, utilization management, and case management areas by providing assistance and support to unit supervisor/manager by giving...
Advocate Aurora HealthLos Angeles,CA
Department: 39105 Home Care Divisional - Home Health Liaisons Status: Part time Benefits Eligible: No Hours Per Week: 0 Schedule Details/Additional...
The Ohio State UniversityLos Angeles,CA
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Blue Cross Blue Shield of MinnesotaLos Angeles,CA
RN Specialist Utilizing key principles of case management, the RN Specialist will research and analyze the member's health needs and health care cost drivers and will work closely with an interdisciplinary care team to ensure members have...
Advocate HealthLos Angeles,CA
Job DescriptionMajor Responsibilities:Responsible for the screening and accurate completion of referrals to ensure patients meet agency admission criteria and comply with state and federal regulations.1)Processes referrals for all programs...
MCM & Associates LLCLos Angeles,CA
LVN Clinical Liaison - Los Angeles Area Reliance Hospice and Palliative Care is looking for self-driven, experienced and passionate LVN Clinical Liaison to join our growing Los Angeles area team. Hospice experience is required for the...
Engage ConsultingLos Angeles,CA
Job Type Full-time Description REMOTE RN MDS CONSULTANT-Full Time Engage Consulting is seeking an experienced Registered Nurse (RN) with strong MDS, Case Mix, and Quality Measure experience to...
myPlace HealthLos Angeles,CA
myPlace Health is built around a simple but powerful belief: older adults deserve the support they need to live safely, independently, and with dignity in their own communities. As a PACE (Program of All Inclusive Care for the Elderly)...
STARS Behavioral Health GroupDowney,CA
Partner with us in making a positive change! Join a team where your work truly matters. We're proud to have been certified as a Great Place to Work for 8 years by our own employees. We invite you to partner with us in...
Abby CareLos Angeles,CA
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.
HAN StaffLos Angeles,CA
Health Advocates Network is currently seeking a Licensed Vocational Nurse to work at a facility in Los Angeles, California. These are registry positions with our company. Pay Rate: $33 /...
CareFirst BlueCross BlueShieldLos Angeles,CA
Resp & Qualifications PURPOSE: This clinical position will support our Government Program lines of business. Utilizing key principles of utilization management, the Utilization Review Specialist (RN)...
Critical ConnectionsLos Angeles,CA
About the Opportunity We are seeking an experienced Case Management RN to coordinate patient care, discharge planning, and utilization review in a hospital setting. This role is ideal for nurses who enjoy...
integrated resourcesLos Angeles,CA
Fully Remote not onsite or hybrid- put city and state on resume can be remote in any state except NY, CA, HI or AK Active unrestricted Registered Nurse (RN) license in state or territory of the United States. Compact RN license a...
University of WashingtonLos Angeles,CA
Job Description Harborview Medical Center has an outstanding opportunity for an experienced Registered Nurse to join our Care Management Team. WORK SCHEDULE: Full Time Day shift...
Martin Luther King, Jr. Community HospitalLos Angeles,CA
Position SummaryThe Manager of Care Management will supervise and direct all levels of the Care Management team that includes RN Care Managers, Lead Care Management RN, Care Management Coordinators, Discharge Planners (DCP), Care Coordinators, and...
ValerisLos Angeles,CA
Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...
One MedicalLos Angeles,CA
About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average...
Mass General BrighamLos Angeles,CA
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...
Children's Health System of TexasLos Angeles,CA
Nurse Navigator Department: ECM Outpatient Care Management Location: Children's Health- Dallas Shift: Part-time working Monday, Wednesday, and every other Friday 8:00a to 4:30p or 8:30a to 5:00p. Job Type: Remote, but...
Sanford HealthLos Angeles,CA
Registered Nurse Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. The Center for...
Vivian HealthBurbank,CA
RN Utilization Mgmt Full-Time Day POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include: the e-TAR process, denials management,...
CorVelLos Angeles,CA
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...
Memorial Hermann Health SystemPasadena,CA
Job SummaryPosition responsible for supporting the Nurse Manager in providing leadership to the department – overseeing the daily operations – managing and developing departmental staff, collaborating with the interdisciplinary team in the...
Arizona Department of AdministrationLos Angeles,CA
Care Management Nursing Consultant Job No: 540542 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX Categories: Healthcare/Medical Professional Level, Healthcare/Medical Support...

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