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Department: 39733 Enterprise Corporate - NC/GA Transitional Care Management Status: Part time Benefits Eligible: Yes Hours Per Week: 20 Schedule...

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...

Please make sure to complete all the questions in the application and continue through to the end in order to sign and submit it. Responsible for performing Workers' Compensation utilization review, which includes...

Case Management Nurse Under supportive supervision, the Case Management Nurse supports the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes...

Overview HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered out of Troy, Michigan, HarmonyCares operates home-based primary care...

Job Description Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals 2024-25" rankings, as well as placed...

Benefits: 401(k) 401(k) matching Dental insurance Health insurance Vision insurance Wellness resources Company parties Opportunity for advancement Paid time off Parental...

At Caregenix, we are committed to delivering exceptional, value-based care. Our team lives by the iCARE values-Integrity, Compassion, Accountability, Respect, and Excellence-in everything we do. If you are passionate about improving patient...

RN Care Manager This is not an active opening. We're building a talent community of experienced RN Care Managers for future opportunities supporting patients in Oregon, Washington, and Alaska. If you're interested in being considered as...

Concurrent Review Registered Nurse (RN) Location: Fully remote. Our client is seeking an experienced Concurrent Review Registered Nurse (RN) to join its Utilization Management team. In this role, you will perform concurrent...

Description Nurse Case Manager (RN) - Workers' Compensation Location: Los Angeles, CA & Surrounding Areas Salary: $100,000-$130,000 annually +...

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...

Responsible for reviewing medical records and preparing clinical appeals in response to medical necessity denials and diagnosis-related groups (DRG) reassignments Responsibilities Prepare and submit clinical appeals...

AltaMed LVN Case Manager 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...

Clinical Appeals and Grievances Specialist Will this role be fully remote? Yes. Are there any specific locations the candidates should be in (i.e., do they need to live in IL)? No but must have CA license. Work Schedule/Shift & Time Zone:...

Research Nurse - Danbury, Connecticut (Per Diem) Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile...

Case Manager RNWest Hollywood, CA$2534/Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur8H Days13 Weeks40Short Term Acute Care HospitalLevel I913N/ARequirementsAt least 2+ years'...

Discharge Nurse II, RN Arcadia Office - Arcadia, CA 91007; Huntington Beach Office - Huntington Beach, CA 92647 Overview Salary Range $81,500.00 - $100,000.00 Salary Position Type Full Time Description This...

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

Sentara Health Plans in Norfolk, VA is hiring a Clinical Claims Reviewer/RN for a remote role. The RN clinician will conduct utilization management, perform pre- and post-payment claim reviews, and handle authorization reviews across inpatient,...

Job Title This is a remote, PRN position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint Joseph Health System? At Saint Joseph Health System, our values...

Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...

Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We're more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we...

Utilization Management (UM) Nurse Supervisor The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team performance, accountability, and...

Care Manager, Registered Nurse (RN) Wellcove has been recognized as the nation's leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care...