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Job Description Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals 2024-25" rankings, as well as placed...

Nurse Care Manager - Telephonic (Local Remote) Tandigm Health, a transformational leader in population health management, is looking for a Nurse Care Manager - Telephonic in the greater Philadelphia area. We offer a competitive...

Job Summary: The LVN Case Manager works under the direction of an RN following assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care...

Joining a dedicated team, the remote full-time Oklahoma RN Case Manager will manage utilization review processes, coordinate patient care transitions, and develop discharge plans while working days and every other weekend.Key...

Facilitates, in collaboration with the Manager of Quality Management accurate, timely and consistent clinical data to public reporting databases and agencies, including The Joint Commission (Oryx), and CMS. Reviewing paper and electronic medical...

CorVel Corporation is seeking a Utilization Review Case Manager for a fully remote role in the United States. The position requires current nursing licensure and 4+ years of clinical experience with preferred exposure to utilization review.

This Job at a Glance Job Reference Id: ORD-224258-NP-CATitle: NPDates Needed: ASAP - OngoingShift Type: Day ShiftAssignment Type: OutpatientCall Required:...

A leading organization in healthcare quality is seeking a Clinical Quality Reviewer to review clinical cases and identify potential quality or safety concerns. This remote position is ideal for licensed clinical professionals with a strong...

Utilization Review Rn Job Type: Travel Profession: RN Specialty: Utilization Review Shift Details: 8 Hour Days Job Order Details: Start Date 10/19/2026 End Date 01/18/2027 Duration 13 Week(s) Client...

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted,...

Clinical Reviewer, Precertification RN The Clinical Reviewer, Precertification RN, is a licensed Registered Nurse that is expected to function independently in her / his role and is responsible for managing a clinically complex caseload...

Are You Ready to lead in Healthcare? We are currently seeking a Full-Time Case Manager(LPN/LVN) to join our outstanding healthcare team! Salary Range: $83,203-$93,936 per year We are passionate...

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,...

Pay: $30 - $35 / hour Weekly Pay | Flexible Scheduling Provide Care One Patient at a Time Join Maxim Healthcare and deliver personalized 1:1 nursing care in patients' homes. Enjoy consistent assignments, a manageable pace, 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,...

Registered Nurse - VNA Home Care Nurse Join Our Team as a Home Health Registered Nurse (RN) - Make a Real Difference! Are you a compassionate and skilled nurse looking for a rewarding career outside of the hospital setting? Join our...

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

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility: Sanford Broadway...

UCSF Health Medical Foundation seeks an experienced per diem Primary Care Telephone Triage Registered Nurse to work remotely from home in California. The role requires an active CA RN license and at least two years of full-time experience in...

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices,...

Department: 11200 Atrium Health Pineville - Case Management Status: Part time Benefits Eligible: Yes Hours Per Week: 20 Schedule Details/Additional...

SUD Licensed Vocational Nurse The Licensed Vocational Nurse (LVN) in the Substance Abuse Disorder focuses on delivering compassionate, high-quality medical care to individuals. The LVN will address a range of conditions, including chronic...

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,...

Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you'll perform both inpatient and outpatient...

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...