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To support a dynamic team, the full-time Clinical Quality Assurance Coordinator will ensure the quality and integrity of peer review case reports while working remotely, adhering to client agreements and regulatory standards.Key...

RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with...

Remote, USA Remote, GA Remote, MS Remote, NC Remote, TN Remote, AR Remote, TX Remote, KY Remote, AL Remote, IN Full time R260000007037 Compensation for this role is...

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,...

Description RN- Registered Nurse - Case Manager Specialty: Case Manager Location: Los Angeles,CA,00000 Start Date: 2026-10-19 End...

SCHEDULE IS 4 DAYS A WEEK; 3 DAYS IN BEVERLY HILLS, 1 DAY IN SHERMAN OAKS Position Summary: As an RN Infusion Nurse at Pure Infusion, you will support our doctors and patients through...

Registered Nurse Under the direction of the Nurse Manager, Director of Population Health, or designee, and in accordance with protocols established by the Medical Director, the Registered Nurse provides safe, evidence-based clinical care...

The Clinical Quality Assurance Coordinator is responsible for ensuring case reports are of the highest quality and integrity, and in full compliance with client contractual agreements, regulatory agency standards and federal and state mandates.

Registered Nurse I (RN I) Los Angeles, CA | $43.50 - $55.00 per hour Kedren Community Health Center, Inc. is seeking a compassionate and dedicated Registered Nurse I (RN I) to provide...

Details Client Name Providence SoCal Shared Services Case Management Job Type Travel Offering Nursing Profession Registered Nurse...

Centinela Hospital Medical CenterAt 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...

Company Overview: About Function & Ezra Function Health was founded with a singular focus: empower you to live 100 healthy years. We're doing that by using the best available...

Licensed Vocational NurseWithin the regulatory scope of practice and under the direction of the Program Director, the LVN assists in the provision of direct patient care by performing routine patient care procedures, technical and supportive...

Job Description WHAT YOU'LL DO As an admissions nurse at VITAS Healthcare, you will be the first face of hospice for patients and families. Your meeting will likely be the first time they...

Overview Licensed Vocational Nurse (LVN) needed for premier nursing facility. Our Mission: We are professionals committed to serving others, nurturing life, and promoting an individual's ability to...

Job Title: Clinical Review Nurse - Concurrent Review Location: Remote Duration: 12 months XXXX: XXXXXXXXXXX/hr. on w2 Scheule: 10am -7pm CST Tuesday - Saturday with...

Job Title Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $142,166.00 (Max.) Established in...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...

Perioperative Clinical Educator Essential Job Functions and Core Responsibilities: Accountable to Executive Director of Perioperative Services for overall work performance. Resource in identification of hospital staff with...

Wellness Nurse (LVN/LPN) Ciela offers seniors a state-of-the-art community which features incredible 360-degree views, expansive outdoor spaces, floor-to-ceiling windows, light-filled residences, gourmet California cuisine, engaging...

LPNAbout the PositionSpecialty: Licensed Practical Nurse (LPN) Experience: Minimum 1 year of recent experience required License: Active LPN license in the state of practice Certifications: BLS – AHA required; all certifications must be submitted...

***BR different for Local Candidates within 50 mile radius*** JOB REQUIREMENTS: - Experience: 1Y of experience in Urgent Care/ER, 2 years of overall outpatient experience - CA RN - Certs: BLS (AHA or ARC only) - Flu Vaccine...

Centene is seeking a Clinical Review Nurse - Concurrent Review to perform concurrent reviews, assess medical necessity, and contribute to discharge planning. This role supports Medicaid and Marketplace/Ambetter members in a remote setting.