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Remote Position This position is responsible for performing discharge care coordination and review activities for determining efficiency, effectiveness, and quality of medical/surgical services and serving as a liaison between providers...

Description Join a world-class healthcare organization and play a key leadership role in delivering high-quality, patient-centered care. UCLA Health is seeking a dynamic and experienced Utilization Management Assistant Director to...

Responsibilities Under the direction and supervision of the Chief Nursing Officer, The Vice President of Nursing Operations leads and manages a national team of RN Case Managers. The primary responsibility of...

Home Health Field LVN - Per-diem for LA County Cities Are You Ready to Make a Difference in Healthcare? We are currently seeking a Home Health Field Licensed Vocational Nurse to join our outstanding healthcare team! We are hiring multiple...

Optum HouseCalls Clinical Support Team Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that...

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...

Universal Health Services, Inc. is seeking a Nurse Program Manager for its residential treatment facilities in Pasadena and Arcadia. The Manager will oversee daily operations, ensuring compassionate patient care is provided by the clinical team...

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...

Care Management Nurse (NY License Required) - Remote Title: Care Management Nurse (NY License Required) - Remote Location: Remote About Us: Mobile Primary Care is a home-based primary care practice that specializes in...

Admissions Nurse Have you ever considered hospice as a clinical specialty—one that blends clinical expertise with deep human connection? Just like cardiology or pediatrics, hospice is a specialty rooted in skill, compassion, and...

Clinical Instructor, Nursing (Training & Education/ Office Hours) Singapore | Posted: Jun 15, 2026 Job Description: Establish optimal clinical learning environment. Assess, plan, implement and evaluate...

Job description: Schedule: Monday-Friday & one weekend on-call per month Responsibilities: Deliver direct skilled nursing care in patients' homes per the physician-ordered plan of care under RN...

Travel Nurses, Inc. 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...

Salary: $70,779.53 Annually Location : Homebased, GA Job Type: Full-Time Salaried Job Number: 2020-02252 Division: Healthcare Facility Regulation...

Remote Rn Mds Consultant-Full Time Engage Consulting is seeking an experienced Registered Nurse (RN) with strong MDS, Case Mix, and Quality Measure experience to join our team. This is a fully remote opportunity for a detail-oriented...

Medical Coding Specialist 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 people...

Position: Women's Health Nurse Practitioner Location: Monterey Park, CA area Visa Eligibility: U.S. Citizen Salary Range: Competitive and commensurate with experience...

Telehealth Nurse Practitioner Opportunity AlediumHR is partnering with a forward-thinking telehealth organization that is redefining how men and women manage their health. Through expert clinical care and modern technology, this group is...

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...

Medical Review Specialist Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or...

Transform Healthcare With Us At Qualified Health, we're redefining what's possible with Generative AI in healthcare. Our infrastructure provides the guardrails for safe AI governance, healthcare-specific agent creation, and real-time...

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any...

Licensed Practical Nurse - CCM The LPN Care Team Member is responsible for conducting Chronic Care Management (CCM) outreach to patients with two or more chronic conditions. This role supports ongoing care coordination, improves patient...

Quick Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...

About CLARE|MATRIX: CLARE|MATRIX "C|M" is a nonprofit organization providing effective and compassionate treatment, recovery, and prevention services for alcoholism and substance use to individuals, families, and the community. Headquartered in...