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Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical...

We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over the phone wit professionalism and empathy. You will help...

Employment Type: Full time Shift: Day Shift Description: Purpose Work Remote Positon The Nursing Support (NS) colleague (uncertified,...

Registered Nurse (RN) or Licensed Practical Nurse (LPN) The Registered Nurse (RN) or Licensed Practical Nurse (LPN) supports the Chronic Care Management (CCM) and Advanced Primary Care Management (APCM) Programs by providing ongoing care...

Schedule Available: 9:00 AM to 5:00 PM, Monday - Friday * With additional hours during evenings, weekends, and on-call; as needed. Benefits Include: Low patient-to-nurse...

Company : Highmark Inc. Job Description : JOB SUMMARY The Pediatric Shift Care Case Manager plays a crucial role in supporting pediatric members and their families who are...

Health Services Nurse - Occupational Health (Full Time) Job no: HN26-NURSE-GEN Work type: Full Time Location: Los Angeles Categories: USH - Operations, Park & Resorts Operations...

LeaderStat 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...

RN Care Manager *F/T Variable* Santa Monica, California Full Time RN Care Manager with our Care Management Team at our Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This is a full-time position that will work 8-hour...

Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States,...

Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed Long Term Services and Supports Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) -...

Remote Position This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area away from distractions, and must have their own secure...

ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With a...

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...

Senior LTSS Service Care Manager (RN) Location: Remote (Texas) – Must cover Bell, Bosque, Burleson, Comanche, Erath, Gillespie, Grimes, Lampasas, Llano, McLennan, Mills, San Saba & Washington Counties Schedule: Monday–Friday |...

RN Circulator (Surgery) This is a 13-week contract position. Monday to Friday, 7:00 AM - 3:30 PM. Call required once per week and every fourth weekend. Holidays may be included. The RN Circulator will provide high-quality...

Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

Description There's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also enjoying the positive, supportive,...

Details Client Name Kaiser Permanente Los Angeles Medical Center Job Type Permanent Offering Nursing Profession Nurse...

Our Mission At Whole Person Care Clinic (WPCC), our mission is to provide holistic, compassionate, and accessible care that nurtures the physical, emotional, and social well-being of every individual we serve. Through an integrated...

Appeals Nurse The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare...

Registered Nurse (RN) for Utilization Management Team We are seeking a Registered Nurse (RN) to join our Utilization Management team. In this role, you will perform concurrent reviews, prior authorizations, medical necessity reviews,...

*Lahey Clinic | Beth Israel Lahey Health* Londonderry, NH | Full-Time, Hybrid (3 days in-person / 2 days remote) *About the Role* Join our collaborative team of physicians, APPs, behavioral health specialists, and registered dietitians dedicated...

Benefits:Company partiesCompetitive salaryFlexible scheduleNewport Hospice is looking for dedicated health care professionals to join our growing team!Help us provide compassionate care to patients in our community, offering the best care programs...

Inpatient Care Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...