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Grievances And Appeals Nurse Pride Health is hiring a Grievances and Appeals Nurse for a well-known client! (Remote Contract) Schedule: 5x8s Day shift Contract: 6 months Pay Rate: 40-45/hr Primary...

Medical Review RN IV – Commercial Appeals & Grievance Nurse Location: Remote – Candidate Must Reside in California Duration: 6+ Months Contract-to-Hire Schedule: Monday-Friday | 9:00 AM – 5:00 PM Pay Range:...

Registered Nurse Clinical Annotator At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for...

RN Case Manager SNP Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united...

Registered Nurse Clinical Annotator At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for...

Would you like to join an international team working to improve the future of healthcare? Do you want to...

Are you ready to bring your clinical competencies to a world‑class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this dynamic...

Trustaff is seeking a travel nurse RN Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date:...

Travel Nurses, Inc. is seeking a travel nurse RN Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start...

OverviewOur mission at Good Seed CDC is dedicated to improving the health status of our members through an integrated managed health care delivery system.Duties and ResponsibilitiesEngages patients and offers and/or facilitates care management...

Job Description EF ACADEMY is a private international boarding school in Pasadena, CA. We seek a part-time compassionate and empathetic Registered Nurse (RN) to join our Nursing Team in the Health Center which...

Clinical Reviewer Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and...

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...

Astrana Health Management is seeking a Case Manager (LVN/RN) based in Monterey Park, CA. This full-time position requires handling acute care transitions, collaborating with hospital staff, and meeting compliance standards. Candidates must hold an...

Pathways Critical Incidents Nurse UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. Here, your contributions matter as they will help transform...

Join Us! With 37+ years of experience, Amergis is committed to putting patient care first while supporting our nurses with work-life balance, flexible scheduling, and clear career growth opportunities. Join a stable, nationally recognized...

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...

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...

Care Navigator Position Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations.

Interested in working for the Golden Isles' healthcare provider and employer of choice? Throughout the many locations that make up the Southeast Georgia Health System network, there is a common thread that pulls everything...

UCI Health Position UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed,...

Hours: FT, Mon-Fri 8:30-5p Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of...

Providence Health and Services is seeking an RN Clinician to provide direct nursing services and case management for infusion therapy across home, hospital, clinic or alternate living sites. You will collaborate with patients, caregivers,...

Nurse Abstractor The Suicide Mortality Review (SMR) Program, within the Arizona Department of Health Services' Office of Fatality Review, conducts multidisciplinary reviews of suicide deaths to identify system gaps, risk factors, and...

Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans,...