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Outpatient Case Manager (RN/LVN) Recruiting on behalf of a leading healthcare organization in Southern California About the Opportunity Vivo HealthStaff is proud to partner with our client, a fast-growing provider organization...

Job Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within...

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job...

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply...

Job Title VITAS Telecare RN Job Description The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of...

Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit...

Job Details Reviews payor denials and audits for potential lost revenue. Writes comprehensive, factual arguments to present to third-party payers, medical review boards, or other responsible parties applying clinical criteria to establish...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

OverviewRN - Registered Nurse Case Manager/Field NursePosition Type: Full TimeCoverage Area: San Fernando ValleyPay: $108-$132k/yr depending on experienceThis position is paid on a per-point basis. The compensation reflected in this posting is an...

Responsibilities Leads best practice implementation and patient care delivery systems across multiple locations.Delegates investigation and resolution of patient/family concerns regarding care and services.Facilitates physician and healthcare team...

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...

Employment Type: Full timeShift: 12 Hour Night Shift Description: The licensed Registered Nurse (RN) plans & provides professional nursing services &...

Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Job Summary We are seeking a Registered Nurse to join our team. In this role, you will primarily be creating and managing a plan of care...

Company Description WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services,...

Assured Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start...

Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating...

Job Title: Registered Nurse (RN) – Residential & Day Habilitation Programs Salary Range: $48–$50 per hour (based on experience) Education Requirements: Graduate of an accredited professional nursing program Licenses/Certifications Required:...

Research Nurse The Research Nurse in collaboration with the physician, is responsible for the implementation and evaluation of clinical research in their specific program/area. The CRN has expert knowledge of cancer as a disease process,...

GLC On-The-Go is seeking a travel nurse RN Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date:...

Description :Overview of Unit/Department This position is not a remote position. This position will be located in our Virtual Care Command Center located at Cox South Hospital Expand your healthcare knowledge and experience while maintaining your...

AHMC HealthCare is seeking a Case Manager RN or LVN for the Utilization Review Department at Monterey Park Hospital, a 101-acute care facility in Whittier, California. This per-diem position involves coordinating care for adult and pediatric...

Nurse, Concurrent Review Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including admission reviews, continued stay reviews, transitional care...

Benefits: 401(k) Competitive salary Dental insurance Health insurance Paid time off Signing bonus Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301...

A Registered Nurse Care Manager (RNCTM) contributes to AHF by satisfying the AHF Core Measure of being Patient Centered, regulatory & contractual compliance requirements and AHF's North Star mission. The RNCTM position focuses on removing access...

About the RoleThe Registered Nurse (RN) Case Manager provides care coordination which emphasizes positive partnerships with nursing, physicians and other key disciplines in order to pace the care for outcomes while meeting core measures within the...