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Clinical Appeals Nurse We are seeking an experienced Clinical Appeals Nurse to support the appeal and grievance processes by analyzing and responding to adverse coverage decisions. This role involves clinical judgment, regulatory...

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:...

Join us at NextStep Care - a place where you'll be valued, recognized and rewarded for the vital work you do each day. We'll surround you with a strong team and leadership that supports every aspect of your life - both inside and...

Grievance & Appeals Nurse, RN Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Reporting to the...

RN, Case Manager Care Career is looking for Case Manager RN's to fulfill an assignment in Los Angeles, California. Gross Pay: $2,779 Hourly Rate: $21 Weekly Stipend: $1,939 Shift: 5x8 Hour Day Shift...

Agency Adult Correction Division COO - Health Services Job Classification Title Registered Nurse (S) Position Number 60070732 Grade MH15 About Us...

Registered Nurse (RN) - Utilization Management We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate...

Hospice RN Case Manager Bring your nursing expertise to one of healthcare's most meaningful specialties. As a Hospice RN Case Manager, you'll provide skilled nursing care and compassionate support to patients and families during life's...

Telephonic Nurse Case Manager (RN) EK Health is now hiring for a Full-Time Telephonic Nurse Case Manager (RN) for our Case Management Team! This role includes assessing, planning, implementing, coordinating, and evaluation of service...

Utilization Review Nurse Auditor Fully Remote • Mount Laurel, NJ 08054 Salary Range $33.00 - $46.00 Hourly Position Type Full Time Travel Percentage 10% ExamWorks is looking for a Utilization Review Nurse Auditor to join...

RN - Case Management: Glendale, CA 91206, California Job Type : Assignment City : Glendale, CA 91206 State : California Job Description: We...

Job Description The Peer Review RN is responsible for facilitating the design, implementation and the ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician...

Description Job Title Nurse Case Manager 2 Location FL - Remote Position Description The Care Manager-Registered Nurse is a key member of our...

Details Client Name Kindred Hospital Paramount Job Type Travel Offering Nursing Profession Nursing Specialty...

LVN Position at Hollywood Presbyterian Medical Center CHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed...

Workers' Compensation Telephonic Nurse Case Manager The Workers' Compensation Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost-effective medical treatment of injured employees with the goal of...

$2529.60/week - Job Summary: Seeking a qualified California RN for hospital case management during the flu season, requiring acute care experience and flu vaccination compliance. The role involves coordinating patient care, ensuring regulatory...

RN Career Transition Opportunity – Nurse Case Manager Are you an RN seeking a rewarding career shift that uses your clinical skills and compassion — without the physical demands of bedside care? QuestPro has the exclusive...

Vocational Case Manager (VCM) 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...

About Sunnyside Nursing Post-Acute Care Centrally located in Torrance, California, Sunnyside Nursing and Post-Acute Care provides sub-acute nursing care, rehabilitation services, skilled nursing, and long-term care. Our...

Voted one of the best companies to work for by Modern Healthcare Magazine: Valley Vista Nursing and Transitional Centeris an award winning family company providing healthcare services...

Job Responsibilities and Requirements KEY RESPONSIBILITIES *other duties as assigned* Job Summary: Reviews all medical (and other) documentation in claim files to answer the specific...

Registered Nurse (RN) – Private Duty Nursing $40–$42/hour | 1:1 Pediatric Care | Flexible Scheduling | Cases Available Across Michigan Looking for an RN position where you can focus on one patient...

Archimedes Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for...

UM Review Nurse - Texas Astrana Health is looking for a Utilization Review Nurse with a Texas LVN license to assist our Health Services Department in reviewing a high volume of outpatient and inpatient cases. This position will require...