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Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...

TNAA TotalMed RN is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Pasadena, California. Job Description & Requirements Specialty: Acute Care Case Management...

Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans,...

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the...

Admissions RN Bristol Hospice Greater LA, CA - Lakewood, CA 90712 Overview Salary Range $55.00 - $58.00 Hourly Position Type PRN Hourly Job Shift Any Description Do you enjoy being at the beginning of the...

Mission Statement The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to...

Manager Of Rn Utilization Management It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Lead a team dedicated to delivering high-quality, cost-effective patient care. As the...

Title: Care Management Coordinator/RN Location: 100% Remote Duration: 3+ Months (FT conversion) Job Description This position will be remote but candidate must reside in tri-state area to be eligible for potential conversion.

RN, Quality Assurance Professional 2 The RN, Quality Assurance Professional 2 serves as a clinical subject matter expert within Internal Audit, supporting audits across CenterWell, Care Management, Utilization Management, and other...

Job Title: CWP Immunizing Nurse Float - Vaccination Initiative Address: Van Nuys, CA Job Description Administer vaccines (flu, COVID, MMR) to patients. Display empathy and compassion for patients, customers, caregivers, and colleagues. Adapt to...

Nurse 3 Job Number: 367416 Category: Administrative Description: Job Title: Nurse 3 Location: Redondo Beach, CA Zip Code: 90278 Duration: 12 Months Pay Rate: $65.09/hr. Keyword's: #RedondoBeachjobs;...

Travel RN Case Manager Assignment length- 13 weeks Near Los Angeles Area Our Client is a nonprofit, independent healthcare organization committed to improving the health status of the...

ScionHealth's Los Angeles area facility seeks a Director of Case Management to lead Case Management and Utilization Management programs, coordinating care for acutely ill patients and their families, and ensuring high-quality outcomes and...

RN-Management Job in Los Angeles, CA Estimated Gross Weekly Wage $2174 Location Los Angeles, CA Schedule 3x12 Nights Start Date 09/14/2026 Assignment Length 13 weeks ...

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...

Work Comp RN Case Manager Join Cottingham & Butler Claims Services as a Work Comp Nurse Case Manager, where you will provide telephonic case management services to injured employees. This role is ideal for someone who enjoys a fast-paced...

Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13208 Salary Range:...

Registered Nurse Case Manager Voyage is seeking a Registered Nurse with a Case Manager specialty to travel to Torrance, CA. This position requires travel to the assigned location. The salary for this job will include travel costs and be...

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,...

Req #672 Territory: Riverside/Corona Job Description Summary The registered nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community...

Title of Position: Licensed Vocational Nurse - Per Diem Location: Gateways Hospital - Nursing Exempt/Non-Exempt: Non-Exempt Union/ Non-Union: Union ...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

At St. Luke's, our dedicated team of Remote Patient Management RNs are critical in providing exceptional, patient-centered care. We strive to foster an environment that embraces our employees' unique strengths, experiences and perspectives which...

Job Description The Clinical Documentation Integrity Specialist II(CDI) is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy, and completeness of provider-based...

HonorVet Technologies is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Acute Care Case Management...