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LPN/LVN Utilization Management Nurse Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key...

Job Description The Case Manager Care Coordinator coordinates the care and service of patient populations from admission through discharge. The Care Coordinator clinically assesses, plans, implements, coordinates, monitors,...

LVN Clinical Liaison - Los Angeles AreaReliance 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 position.This...

Monterey Park Hospital, a 101-bed acute care facility located in the San Gabriel Valley of Los Angeles County, is seeking a Case Manager for our Utilization Review Department . This is a full-time, 8-hour day shift position reporting to the Chief...

Benefits: 401(k) 401(k) matching Dental insurance Health insurance Vision insurance Wellness resources Summary Under the direct supervision of the Leads & RN Clinical Manager for Case Management, the...

Medical Services Manager - RN/LVNSalary Range $100,000.00 - $112,000.00 Salary/yearDescriptionTitle of Position: Medical Service ManagerLocation: Percy VillageExempt/Non-Exempt: ExemptUnion/ Non-Union: Non-UnionSupervisor: Program DirectorGateways...

Travel LVN/LPN Case Manager Near West Hollywood, CA Area Length of Assignment: 13-Week Contract (Full-Time / Part-Time / Per Diem Shifts Available) Our Client is a nonprofit, independent healthcare organization committed to...

Supervisor of Utilization Management (UM) RNSalary Range: $102,183.00 (Min.) - $163,492.00 (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...

Licensed Vocational Nurse - Home Health Excell Home Care is actively recruiting for LVN Case Manager. Our innovative company is focused on the best possible outcomes for our patients, outstanding and highly personalized patient care, and...

Description The UM Denial Nurse Reviewer supports high-quality, cost-effective care by applying clinical knowledge, policies, and regulatory guidelines to the review and processing of adverse organization determinations. This role...

NORTHEAST VALLEY HEALTH CORPORATION is seeking a Licensed Vocational Nurse, Case Manager II for the Every Woman Counts program in Van Nuys, CA. The role involves coordinating patient care within a multidisciplinary team and developing...

Sanford Health Careers 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. Facility:...

Description The Peer Review RN is responsible for facilitating the design, implementation and the ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician...

Ansible Health Ansible Health is a virtual multi-speciality medical group that unites physicians, nurses, respiratory therapists, and tech experts from Columbia, Johns Hopkins, Google, Amazon, and other top institutions to revolutionize...

Ambulatory Chronic Care Manager (RN) To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect,...

Sweetwater Care in Monterey Park, CA seeks an experienced LVN with leadership skills to supervise nursing staff within SNF/LTC settings. The role requires adherence to infection control and quality improvement practices while ensuring patient care...

La Casa Health Care | Take Your Nursing Career Beyond the Bedside! Location: Tarzana, CA Job Type: Full-Time | Office-Based Pay: $30.00 per hour...

Utilization Review Nurse II Job Summary: In addition to the responsibilities listed below, this position is also responsible for leveraging clinical knowledge of evidence-based guidelines, insurance policies, and clinical...

Sr Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

At UK St. Claire, our staff is our greatest asset in the mission to create a healthier and more prosperous population. We strive to foster the talent and potential of our employees and prioritize safe working conditions and equal compensation...

Job Description The Peer Review RN is responsible for facilitating the design, implementation and the ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician...

To support efficient patient care, the full-time Georgia Licensed Utilization Management Nurse will conduct medical necessity reviews and collaborate with healthcare teams remotely, ensuring compliance with regulatory requirements and optimizing...

Description Location: UCHealth Admin 2450 Peoria, Aurora - CO Department: UCHealth Virtual Nursing Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Day and Night Rotation Pay: $35.29 - $54.71 / hour. Pay is dependent on...

Quality Assurance Specialist (QA RN)Pay Range: $40 - $50 per hourJob Type: Part TimeLocation: RemoteJob Summary Buena Vista Home Health is seeking an experienced OASIS Review Nurse (Registered Nurse – RN) to support clinical quality, regulatory...

LVN Inpatient Case Manager – Utilization ManagementPosition DetailsPay Rate:$33–$46 per hourLocation:Montebello, CA 90640 (Onsite)Schedule:Monday–Friday, 8:00...