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Genoa TelepsychiatryLos Angeles,CA
Concurrent Review Case Manager Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations...
prince george's countyLos Angeles,CA
Salary: $106,546.66 - $144,604.83 Annually Location : Clinton, MD Job Type: Probationary FT Remote Employment: Flexible/Hybrid Job Number: 10627...
WPS Health SolutionsLos Angeles,CA
Medical Review Nurse Analyst Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical records to determine whether services are payable based on TRICARE policy, reference materials, and evidence-based...
StateJobsNYLos Angeles,CA
Medical Analyst The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst in its Syracuse office. Medical Analysts support the...
ChenMedLos Angeles,CA
We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire...
Sentara HealthcareLos Angeles,CA
City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Medical Group is now hiring an RN Integrated Care Manager in the Northeast North Carolina area! Hours:...
Reliant Medical GroupLos Angeles,CA
Optum HouseCalls RN Case Manager Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically...
NwregionalheartLos Angeles,CA
Job SummaryEstablishes, coordinates, and maintains the process to increase patient throughput to the most appropriate level of care while facilitating interdisciplinary care across the continuum for the Emergency Department (ED). Collaborates with...
COPE Health SolutionsLos Angeles,CA
Care Manager (CM) RN The Care Manager (CM) RN will lead a multidisciplinary healthcare team in a primary care / telephonic setting, focusing on coaching and coordination of care for patients needing navigation, addressing nursing care...
BlueCross BlueShield of South CarolinaLos Angeles,CA
Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests...
Umpqua HealthLos Angeles,CA
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health...
Cedar Sinai TACRI ImagingLos Angeles,CA
Details Client Name Cedar Sinai TACRI Imaging Job Type Travel Offering Nursing Profession RN Specialty...
Option Care HealthSun Valley,CA
Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home...
Included HealthLos Angeles,CA
We're looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. As a telephonic...
GovernmentJobs.comLos Angeles,CA
Grievance & Appeals Nurse Specialist Join Us in this Amazing Opportunity We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If...
VariteLos Angeles,CA
Duration: 12+ Months Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in her / his role and is responsible for managing...
St. Louis County, MOLos Angeles,CA
Salary: See Position Description Location : North Central Community Health Center - St Louis County, MO, MO Job Type: Full-Time Remote Employment: Flexible/Hybrid...
WalgreensLos Angeles,CA
Job Description: Job Summary: Responsible for patient focused programs which may include but is not limited to: collaborating with health care team in providing direction for maintaining high quality...
Centra HealthLos Angeles,CA
Job Description The Clinical Appeals RN is responsible for the identification and resolution of technical and/or clinical based denials through appeals. The Appeals Nurse will work with Revenue Cycle staff, case management,...
Northeast Georgia Health SystemLos Angeles,CA
Job Category: Executive Leadership, Revenue Cycle Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. ...
Pacer GroupLos Angeles,CA
Job Description - RN Care Manager / Field Case Manager Location: Hybrid - Remote & Field-Based in Northeast Ohio (Loraine, Medina, Lake, Cuyahoga areas) Duration: 6 Months + Possibility for extension or conversion...
FC Compassus LLCTorrance,CA
Company: Providence at Home with Compassus Position Summary The Clinical Liaison serves as the primary connection between Providence hospital facilities, Compassus Providence Joint Venture (JV) Agencies, and...
Firsthand HealthLos Angeles,CA
firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking...
West Coast UniversityNorth Hollywood,CA
Choose To Make A Difference Come care with us at West Coast University! As a Nursing Academic Specialist for a certified Great Place to Work, you will guide nursing students to do more than change their own lives - you will...
ArchWell HealthLos Angeles,CA
Nurse Care Manager ArchWell Health is re-imagining the practice of primary care. We are putting the relationship between patient and physician at the center of a value-based model focused on outstanding patient experience, improved...

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