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NeueHealth is seeking an experienced Concurrent Utilization Review (UR) Nurse to perform real-time clinical reviews verifying medical necessity for managed care plans. You will assess inpatient admissions and continue stays, coordinate with...

Elevance Health is seeking a Medical Management Nurse for California HMO to review complex cases and determine medical necessity. You will work with providers to understand clinical pictures, apply guidelines, and advise Medical Directors on when...

About GreyZone Health GreyZone Health is a professional patient advocacy practice specializing in complex, rare, and diagnostically challenging medical conditions. We partner with clients and families to achieve diagnostic...

Case Manager (LVN or RN) - Pediatric/ CCSDepartment: HS - ICMEmployment Type: Full TimeLocation: 1600 Corporate Center Dr., Monterey Park, CA 91754Reporting To: Roselia MaciasCompensation: $31.00 - $45.00 / hourDescriptionDescription Astrana is...

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...

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...

50469973 Overview Remote Registered Nurse (RN) DH Direct Triage Non-Benefit Eligible, 15 hours per week Position Summary The RN - DH Direct Triage provides...

LocationRedondo Beach, United States# Nurse Educator for school ownership at Internexus/AntaresLocationRedondo Beach, United StatesSalary$60 - $80 /hourJob TypePermanentDate PostedMarch 22nd, 2026Apply Now**Note: We are seeking a highly motivated,...

Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including...

Make a Difference on Your Own Schedule and Terms! Hiring Registered Nurse Travels in Iowa Additional Job DescriptionStart Your New Adventure Today - Come Travel With PCM!New Pay Rates and Now Offering...

Registered Nurse (RN) or Licensed Practical Nurse (LPN) The Registered Nurse (RN) or Licensed Practical Nurse (LPN) supports the Chronic Care Management (CCM) and Advanced Primary Care Management (APCM) Programs by providing ongoing care...

Introduction Rio San Juan FSED is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for Clinical Nurse Coordinator...

Medical Review Nurse Analyst The Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical records to ensure compliance with regulatory and payer guidelines. This role ensures that providers are billing and...

A recognized healthcare facility in Los Angeles is looking for a dedicated Case Manager to join their team. The ideal candidate will be responsible for integrating and coordinating patient care services, ensuring quality outcomes. Applicants...

Become a part of our caring community Humana/iCare is seeking an RN Care Manager to join the team in the Family Care Partnership (FCP) program to provide services to members in Milwaukee and surrounding counties. Reporting to the Manager of Care...

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply...

Air Combat Effectiveness Consulting Group, LLC is seeking a Case Manager to evaluate admission appropriateness and coordinate patient care at Garfield Medical Center. This role emphasizes discharge planning and requires constant collaboration with...

Bay Crest Care Center in Torrance, CA is seeking a Full-Time Case Manager (LPN/LVN) to join their healthcare team. The role involves managing resident care through various stages and collaborating with healthcare providers. Candidates must have...

Real Job 3266306 *Works with any dept, if a patient complaint arises* *Experience in Critical Care or ED is a plus* *weekends will not typically be required UNLESS survey is on site* *2 years experience required, hard stop* *First time travelers...

Provider Manager – Food Allergy Institute, Long Beach, CA (Onsite) – Full‑Time, Monday‑FridayBase pay range: $155,000/yr – $155,000/yr (final pay will reflect skills and experience)About the Food Allergy InstituteFounded in 2015, the...

HonorVet Technologies is seeking a travel nurse RN Case Management for a travel nursing job in Santa Monica, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

LPN Care Coach Remote Position CircleLink Health is looking for passionate, tech savvy nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role (about 20-25 hrs. per week),...

RN Utilization Management 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 care...

Nurses Are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates! *Must have Mental Health and/or Substance Abuse...