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DRG Appeals Specialist The DRG Appeals Specialist performs reviews of inpatient DRG payer denials on behalf of our hospital client partners. Responsibilities include reviewing denial letters, determination and data entry of audit...

Job Type Full-time Description AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation, liability, managed care, and risk...

Enloe Utilization Management Compensation range: $54.38 - $73.41. Your rate of pay will be based on applicable experience. Shift: Days. Days off: Variable. Hours per pay period: 0-24. Shift length: 12 Hours. Enloe Health is...

Job Title: Infusion Registered Nurse (RN) Location: Pasadena, CA (Surrounding areas) Job Type: Per-diem Position Overview We are seeking a skilled and detail-oriented Infusion Registered Nurse (RN) with strong vascular access...

Details Client Name Providence Saint Joseph Medical Center (Parent) Job Type Travel Offering Nursing Profession Nursing...

ENL Utilization Management Compensation range: $54.38 - $73.41 Your rate of pay will be based on applicable experience Shift: Days Days off: Variable Hours per pay period: 0-24 Shift length: 12 Hours...

The Home Health Field LVN/LPN plays a critical role in delivering high-quality nursing care to patients within their homes, ensuring comfort, safety, and effective management of health conditions. This position requires the ability to assess...

Details Client Name GLENDALE ADVENTIST MEDICAL CENTER - WILSON TERRACE Job Type Travel Offering Nursing Profession RN...

About the Job The Supportive Housing Case Manager (Ages 18-25) supports young adults in securing and keeping stable housing while building life skills and independence. Using a positive, youth-centered approach, you'll carry a small...

Prodware Solutions LLC is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

Research Nurse - Danbury, Connecticut (Per Diem) Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile...

Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Los Angeles, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

Hospitals on Incredible Health are actively hiring and accepting applications in the Los Angeles, CA area for the following position: Registered Nurse - Case Management Supervisor. Nurses with experience in any of the following areas are strongly...

The RN Case Manager manages a continuum of care from pre-admission through post-discharge for assigned patients. Assure that patients and families proceed efficiently throughout the course of hospitalization. Focus of the position is the...

Details Client Name Adventist Health Glendale (AHGL) Job Type Travel Offering Nursing Profession Nursing...

Care Critical Nursing Role Achieved Date (No Value) Expiration Date (No Value) License # (No Value) Achieved Date (No Value) Expiration Date (No Value) Additional Job Details: (No Value) Role Type: Care Critical - KFH Clinical or Non...

Behavioral Health Utilization Reviewer The Behavioral Health Utilization Reviewer is responsible for conducting clinical reviews of behavioral health service requests, claims, and appeals to confirm medical necessity and appropriateness...

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform-bringing health plan administration, holistic...

Job Type Full-time Description About Us Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you-comprehensive services with the program...

Details Client Name CSMN - 8714016 - Outpatient Ambulatory Care Job Type Travel Offering Nursing Profession Nursing...

Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital role in supporting members...

AltaMed Health Services Corp. in Commerce, CA seeks an LVN Case Manager to coordinate care for hospital and SNF patients, with emphasis on inpatient and ambulatory management.The role requires valid LVN licensure, 3+ years in related fields, and...

Details Client Name Dignity Health - Glendale Memorial Hospital and Health Center - ML Job Type Travel Offering Nursing Profession...

Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri. No matter where you start with us, we're committed to taking our team to the top. If you're ready for the challenge of...

Details Client Name Cedars-Sinai Medical Center Job Type Travel Offering Nursing Profession RN Specialty...