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Job Title 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.

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...

Compliance Nurse 2, Long-Term Care Unit The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for...

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...

AHS NurseStat is looking for a Travel Registered Nurse - Case Management. This assignment is scheduled to start on Aug 24, 2026 and run through Nov 23, 2026. Contracted travel position will have the possibility of being extended.

Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los...

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the...

Olaro-Allied is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Acute Care Case Management...

Telephonic Case Management and Care Advocacy Support Provides dedicated telephonic support to members and accounts, ensuring seamless coordination of care and resolution of complex issues. This role goes beyond traditional case management...

The RN Medical Care Manager (MCM) blends the mission of AHF with Medical Case Management, utilizing their experience, skills and education together with a thorough understanding of the Ryan White Care Act Program within their specific area. With a...

Employment Type: Full time Shift: Day Shift Description: Purpose Work Remote Positon The Nursing Support (NS) colleague (uncertified,...

The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare continuum. The Care Manager...

Job Description Are you ready to bring your expert clinical skills to a world-class facility recognized as one of the top ten in the United States? Do you have a passion for the highest quality and patient happiness? Then...

Job Description The Clinical Documentation Integrity Specialist II(CDI) is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy, and completeness of provider-based...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Los Angeles, California Start Date: August 31, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay:...

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system includes its Los Angeles...

Case Manager position within Cedars-Sinai Medical Network in Southern California focuses on hospital admission-to-discharge case management. You will assess patient needs, coordinate care, and communicate with health plans to ensure...

Mission Statement The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to...

Overview Nurse Navigator - Per Diem The oncology nurse navigator is a professional registered nurse with oncology specific clinical knowledge who offers individualized assistance to patients, families,...

Clinical Appeals Reviewer Responsible for the timely review and resolution of clinical appeals submitted by providers and members across all lines of business. Communicates appeal determinations in accordance with regulatory requirements...

Become a part of our caring community Humana Gold Plus Integrated is seeking a Field Care Manager Registered Nurse (RN) to assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and...

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,...

Remote Position Part Time/Contract Position Duties: Assess patient health problems over the phone and via secure video Schedule appointments and refer patients Advise and monitor simple home treatment...

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...