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Tennova Healthcare- Turkey Creek Medical Center is seeking a PRN Remote Clinical Utilization Review Specialist to evaluate the necessity and efficiency of hospital services and to support payer requirements. You will review admissions and...

Reviewing and resolving insurance denials, the full-time remote RN Appeal Specialist II will analyze claims for reimbursement accuracy, collaborate with internal teams for appeal resolutions, and provide trend reporting on denials.Key...

CANDIDATE MUST LIVE WITHIN 50 MILES OF SAINT LOUIS, MISSOURI AND BE LICENSED IN MO OR IL AW Health Care is a St. Louis based, independently operated, women-owned enterprise. We recently celebrated our 20th anniversary in the...

DocGo is seeking a remote Employee Health Nurse (LPN) to administer and coordinate our employee health compliance programs for a distributed field-based workforce. You will manage OSHA respiratory protection, N95 fit-testing, and clearance...

Travel Nursing Case Management Position Nursing Profession RN Specialty Case Management Regular Pay Rate $24 Shift Details Shift 8 hour days Job Order Details Start Date 11/02/2026 End Date 05/03/2027 Duration 26 Week(s) Client Details...

Logan Health Medical Center is seeking a Utilization Management Specialist to review admissions across the system and determine appropriate status. This role suits an RN or Social Worker with acute care experience, capable of collaborating with...

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

Clinical Case Manager Utilizes clinical expertise, discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management, and patient advocacy. Responsible for assuring medical...

Case Manager Registered Nurse (RN) Days Location: Los Angeles, CA We are seeking a Case Manager RN to join our team, focusing on patient care coordination and management. This role requires strong communication and multitasking...

Grow Healthy 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 promoted,...

Details Client Name Kindred Hospital Paramount Job Type Travel Offering Nursing Profession RN Specialty...

Summary Home Telehealth Care Coordinator (HTCC) Registered Nurse (RN) demonstrates leadership - experience - and creative approaches to management of complex patient care. The HTCC is responsible for coordination of health care for a...

Hiring multiple RNs in various locations Care that meets patients where they are. Nursing that meets you where you thrive. UVA Health's Continuum Home Health team is redefining what high-level nursing looks like outside the hospital walls. We are...

Details Client Name California Hospital Medical Center Job Type Travel Offering Nursing Profession RN...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end...

Logan Health is hiring a Utilization Management Specialist to join the UM team. The role focuses on reviewing admissions, validating documentation and determining appropriate admission status across the hospital system. You will collaborate...

KalCare Health Care is seeking an experienced LPN to join our clinical team as LPN Care Coordinator & Clinical Education Coordinator. This role focuses on care coordination, caregiver education, clinical supervision, teaching, mentoring, and...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. LVN Full Time Clerical Beverly Hills, CA, US 3 days ago Requisition...

Care Manager LPN LVN – Remote Candidates residing in Oregon are encouraged to apply. The purpose of this position is to provide care coordination services to Providence Health Plan (PHP) members. Care coordination services include...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

UCLA Health Advanced Practice Nurse Work Location: Santa Monica, CA, USA Work Schedule 4-day 10-hour shifts, 7:00am-5:30pm; may include weekends and holidays Salary Range: $68.81 - 88.99 Hourly Employment Type 2 - Staff:...

Integra Partners is seeking an LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to review benefit and...

Details Client Name Cedars-Sinai Medical Center Job Type Travel Offering Nursing Profession RN Specialty...

Roze Room is a leading provider of Hospice and Palliative Care, celebrating 25 years of service to Southern California communities. What You'll Do Lead and coordinate individualized hospice care plans Provide skilled...

Position Summary The RN Case Manager is responsible for performing clinical assessment and reassessment of acute care Inpatients for the purpose of performing utilization review, resource management and safe discharge...