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RN Case Manager This position functions autonomously and in collaboration with all members of the healthcare team to coordinate and facilitate quality, cost-effective care while minimizing fragmentation of the healthcare delivery system...

Denials Case Manager, RN The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials,...

Job Description This position provides skilled professional nursing care and treatment for students in assigned schools. This position implements the medical components of an integrated school health program, reporting and...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department: Surgical Progressive Care Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Day and Night Rotation Pay: $35.29 - $54.71 / hour. Pay is...

Quality Assurance Nurse The Quality Assurance Nurse is responsible for case management quality assurance and mentorship of operations staff, providing tools and calibrating processes, while ensuring consistent delivery of CorVel's case...

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...

Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Summary of Primary Function In the capacity of a Registered...

Summary The Assistant Chief Nurse for Home Based Primary Care provides high-level leadership over nursing care, staff, resources, and regulatory compliance. They guide quality improvement, interdisciplinary teamwork,...

Top Healthcare company is looking for a Licensed Practical Nurse to work remotely as a Grievance and Appeals nurse. ***MUST hold an Arizona LPN license*** This position serves as a clinical and administrative subject matter...

Care Manager The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the...

The Judge Group is seeking a travel nurse RN Clinic Infusion for a travel nursing job in Tarzana, California. Job Description & Requirements Specialty: Infusion Discipline: RN Start Date: 08/10/2026 Duration: 13 weeks 40 hours per week Shift: 8...

Nurses Are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates! *Must have Mental Health and/or Substance Abuse...

Case Management Nurse II Under supportive supervision, the Case Management Nurse II position supports the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

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...

Case Manager (LVN or RN) - Pediatric/ CCSDepartment: HS - ICMEmployment Type: Full TimeLocation: 1600 Corporate Center Dr., Monterey Park, CA 91754Reporting To: Roselia MaciasCompensation: $31.00 - $45.00 / hourDescriptionDescription Astrana is...

About Scene Health Scene is reimagining medication adherence with our 360° model of care, bringing the gold standard of Directly Observed Therapy into the digital age. Through personalized video coaching, engaging...

Providence Health and Services in Santa Monica, CA is looking for a part-time Care Manager RN. This role focuses on providing comprehensive patient care management services in an acute care environment.The ideal candidate will have an Associate's...

Case Manager RN Travel Assignment Meda Health is looking for a Case Manager RN to work a travel assignment in an acute care hospital setting. Must have at least two years of experience, state licensure and BLS (at minimum). Competitive...

TOP RANKED TRAVEL NURSING COMPANY IN THE NATION BY BLUEPIPES Ready for your next adventure? Axis Medical Staffing, one of the leading Travel Nursing Companies in the nation, has an immediate Case Management opening in Burbank, California.

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...

Position: #710299 Program: Case Management Department: Health Services Reports to: Manager, Nurse Case Management (LVN) Shift Differential Premium: Additional $1.75 per hour for hours worked between 6pm-6am...

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.) -...

Bring your passion as a Direct Observation Unit Nurse to a dynamic healthcare team where advanced technology, professional growth, and exceptional outcomes come together to create an exciting career opportunity! An outstanding healthcare...