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PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

Registered Nurse – Case Manager Day shift, 5x8-hour schedule from 08:00 to 16:30. Start date: ASAP. Typically requires one full weekend per 4 weeks, subject to department needs. CA state license required; pending license...

Job TitleWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity...

RN Case Manager – Care Management Location: Glendale, CA Unit: RevCycle – Care Management Start Date: 10/12/2026 Contract: 13 Weeks Shift: Days | 8:00 AM–4:30 PM Schedule: Tuesday–Saturday Hours: 40 hrs/week On Call: No Job...

Sagility is seeking a Senior Care Specialist (Registered Nurse) to support Medicare/Medicaid and group health plan members from home. You will conduct telephonic health assessments, develop individualized care plans, and coach members to manage...

Utilization Management Nurse Specialist RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary...

About the Job Job Description: All Care Home Health is currently seeking a Licensed Vocational Nurse (LVN) Care Coordinator to join our team supporting the Kaiser region. We...

About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors...

Nurse Case ManagerUnder 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 efficiencies and...

Shearwater Health Registered Nurse, Utilization Review At Shearwater Health, we know that better patient outcomes are never achieved alone – especially when there aren't enough hands to deliver care. That's why we've built something...

Aya Healthcare has an immediate opening for the following position: Case Manager Registered Nurse in Beverly Hills, CA. We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country,...

Benefits: 401(k) 401(k) matching Dental insurance Health insurance Vision insurance Wellness resources Company parties Opportunity for advancement Paid time off Parental...

Case Manager RN Travel Assignment Meda Health is looking for a Case Manager RN to work a travel assignment in an acute care hospital setting. Must have at least two years of experience, state licensure and BLS (at minimum). Competitive...

Telephonic Nurse Case Manager II Telephonic Nurse Case Manager II Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and...

Clinical Eligibility & Intake Nurse Part Time/1099 Contractor Fully Remote Monday-Friday; 3-5 hours per day / 15-20 hours per week*; schedule must overlap intake hours** Clinical Operations Reporting to:...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

Case Manager RN Opportunity This outstanding unit is looking for the right Case Manager RN to join their team of compassionate and driven health care professionals. Join this highly motivated team of caregivers and enjoy a challenging and...

Location This is a hybrid role. Applicants must be able to commute to or travel to Mitchell and Dougherty counties, GA, when required. About Us The Columbus Organization is a nationally...

Company Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage...

The Department of Family Medicine of the Keck School of Medicine of USC provides care for every member of the family, across generations and over lifetimes. We aim to enhance the quality of life for underserved and vulnerable patients while...

Trustaff 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 Start Date:...

Medpace India Corporate Career Info-Session Looking for a better work-life balance without leaving the medical field? Medpace India is hosting an exclusive Corporate Career Info-Session tailored specifically for Nursing professionals. If...

Job Description Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based...

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the...

Summary Provides direct Veteran care and care coordination, as it pertains, to Veterans and their care within the HBPC Program. Responsible for case management, assessment, triage, Veteran education, resource coordination, medication...