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ParadigmLos Angeles,CA
Field Case Manager Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an...
ResPro HealthLos Angeles,CA
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...
XstremeMDLos Angeles,CA
Bilingual Case Manager-LPN Salary Range $24.00 - $26.00 Hourly Travel Percentage Negligible Category Health Care Bilingual LPN Case Manager (English/Spanish) LA Case Management XstremeMD is seeking a bilingual...
CareFirst BlueCross BlueShieldLos Angeles,CA
Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is...
Charlie HealthLos Angeles,CA
Clinical Clearance Specialist (RN) Remote, United States Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often,...
Cambia Health SolutionsLos Angeles,CA
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah *Please be advised that this role is part of our candidate pool, which allows us to identify and attract...
MaximusLos Angeles,CA
Essential Duties and Responsibilities: - Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations. - Render determinations for cases assigned. - Resolve all other technical...
Harris Health SystemLos Angeles,CA
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...
Trinity HealthLos Angeles,CA
Employment Type: Full time Shift: Day Shift Description: Purpose Work Remote Positon The Nursing Support (NS) colleague (uncertified,...
Memorial HospitalGardena,CA
Case Manager - RN Per Diem Day ShiftUnder the general supervision of the CM Director, the nurse case manager manages clinical resource utilization and documentation affecting reimbursement, acting as a resource to staff and physicians in resource...
VITAS HealthcareGlendale,CA
Job Title: Admissions Nurse Salary Range: $48 - $51 / Hourly Job Description Have you ever considered hospice as a clinical specialty—one that blends clinical expertise with deep human connection? Just like cardiology or...
University of IowaLos Angeles,CA
Staff Nurse RN Caller - Day of Surgery Admissions (DOSA) 50% The University of Iowa Health Care Department of Nursing is seeking a Staff Nurse in the Day of Surgery Admissions RN Phone Caller to perform specific tasks to assist members of...
LOS ANGELES CARE HEALTH PLANLos Angeles,CA
Utilization Management Nurse Specialist RN II (Outpatient) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) -...
Integra PartnersLos Angeles,CA
LPN/LVN Utilization Management Nurse Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key...
AHMC HealthcareMonterey Park,CA
Case ManagerThe Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures the correct level of care: critical, telemetry, acute, observation, for all patients.
3B HealthcareBurbank,CA
Job Description • Start date: ASAP • Floating Expectation: No • First Time Traveler: Yes but 1st time travelers must be screened • Ratios: Days 1:25 • Years of experience REQ: 2-year acute medical Care Manager...
24-MAG LLCLos Angeles,CA
Specialised Part-Time Consulting Opportunity for Nursing Professionals We are sharing a specialised part-time consulting opportunity for nursing professionals experienced in patient care, clinical monitoring, medication administration,...
Gallagher BassettGlendale,CA
Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging...
Veterans Health AdministrationLos Angeles,CA
Summary The VA Northeast Ohio Healthcare System is recruiting for Registered Nurse. The Registered Nurse will function within Home Based Primary Care section of the Community Outpatient Services. Learn more about this...
Salvation Army Western TerritoryLos Angeles,CA
LVN Nurse The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of...
ProvidenceLos Angeles,CA
Supports the Risk Management, Regulatory Compliance and Patient Safety programs through investigation and analysis of potential and actual adverse events, claims, and regulatory compliance and accreditation related occurrences or deficiencies,...
integrated resourcesLos Angeles,CA
Location: Remote in any state except, NY, CA, HI and AK Summary: Nurse Case Management Senior Analyst Delivers specific delegated tasks assigned by a supervisor in the Nurse Case Management job family. Plans, implements, and...
Cottingham & ButlerLos Angeles,CA
Utilization Management Nurse We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients, and prefers working in a professional office setting with daytime office...
SavianceLos Angeles,CA
Senior Specialist, Quality Improvement (Registered Nurse) Reason for opening: FTE support needed for "Q4 Push" to close Medicare/MMP gaps in care with member & community events Will this role be fully remote? Yes Are there...
Arizona StaffingLos Angeles,CA
District Nurse – Health Care Services This position may serve District Central, District West, and District East or other areas statewide based on business needs. Salary: $67,000.00 – $78,000.00 Grade: N1 Closing Date: August...

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