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Nurse - Clinical Review Performs utilization review of cases to determine if the request meets medical necessity criteria in accordance with medical policies agreed upon with the Client and any applicable governing body. Facilitates...

Company Overview Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing...

Utilization Review Case ManagerUnder general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the...

Care Manager, RN Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing...

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...

Job Description A bit about this role: As a Clinical Guide on our Outpatient Utilization Management team, you'll have the opportunity to make a difference in the lives of our members. You'll be responsible for clinical...

RN - Case Manager About the Position Specialty: RN Case Manager Experience: 1+ year of recent case management or discharge planning experience preferred License: Active State or Compact RN License Certifications: BLS – AHA Must-Have:...

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 Description Client Summary: Healthcare technology company helping large hospital systems discharge complex patients faster, reduce length of stay, and free acute bed capacity Embeds expert case...

Travel Rn Case Management Job Type: Travel Profession: RN Specialty: Case Management Shift Details: Shift Day - 8 hours Job Order Details: Start Date 10/05/2026 End Date 01/04/2027 Duration 13 Week(s)...

Employment Type: Full timeShift: Day Shift Description: This is not a remote position The licensed Registered Nurse (RN) plans & provides...

Req #655 Job Description Summary The registered nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse...

Job Opportunity Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the...

Join Vynca Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We're more than just a team; we're a close-knit community. Our shared commitment to caring for each other and...

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

Optum is seeking an RN Case Manager to join our team remotely anywhere in the U.S. The role focuses on coordinating referrals, educating high-risk members, and supporting case management and quality improvement programs. The Case Manager...

RN Reviewer (Workers' Compensation Utilization Review) iMPROve Health is seeking an RN Reviewer (Workers' Compensation Utilization Review) to serve as an independent contractor (1099) performing independent external medical reviews...

Bestica is seeking a travel nurse RN Care Manager for a travel nursing job in Glendale, California. Job Description & RequirementsSpecialty: Care...

Location: Fully remote. Candidates must be available to work Pacific Time hours, Monday through Friday, from 8:00 a.m. to 5:00 p.m. Description: Join a fast-growing, dynamic team that is redefining how...

Description The Care Manager Registered Nurse (RN) serves as a key clinical member of the interdisciplinary care team as part of the Care at Home Solutions program. The Care Manager RN partners closely with the Medical...

UCI Health Utilization Management Position UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a...

Registered Nurse Primary Care Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health...

RN, Case Manager Care Career is looking for Case Manager RN's to fulfill an assignment in Glendale, California. Gross Pay: $3,075 Hourly Rate: $27 Weekly Stipend: $1,995 Shift: 5x8 Hour Day Shift Shifts...

Acute Care Case Manager This is a 13-week contract position. Day shift, 5 days a week from 08:00 AM to 04:30 PM, with weekend coverage required every other weekend. The Acute Care Case Manager plays a crucial role in the...

Join Silverado Hospice LA Silverado Hospice LA covering our Torrance and surrounding areas and be part of a nationally recognized team ranked in the top 10 nationwide by Fortune Magazine's Best Workplaces in Aging Services™. Since 1997,...