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Job Title This is a remote, PRN position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint Joseph Health System? At Saint Joseph Health System, our values...

Where You'll Work Founded in 1887, Dignity Health - California Hospital Medical Center is a 318-bed, acute care, nonprofit hospital located in downtown Los Angeles. The hospital offers a full complement of services including...

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...

Nurse Care Manager Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the...

Astrana Health, Inc. is seeking a Case Manager II (RN or LVN) in Monterey Park, CA to manage a complex caseload across acute inpatient and post-acute settings. You will review records, coordinate care, and engage with Members and families to...

LPN/LVN - LVN – LICENSE VOCATIONAL NURSE ~ CONTRACTLocation: Los Angeles, CANumber of positions: 5+Start Date: ASAPEnd Date: Jan. 16, 2017Shift: 3pm to 11pm (PM Shift)Schedule: 40 hours/weekExperience: 2+ years in Skilled Care|Long-term CarePay...

Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to...

Aya Healthcare has an immediate opening for the following position: Case Manager Registered Nurse in Los Angeles, 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,...

Primary City/State: Virtual Arizona Category: Case Management Shift: Day Department: Case Management Seeking Applicants That Can Work at Least 8 Shifts per Month...

Case Manager Monterey Park Hospital, a 101-bed acute care facility located in the San Gabriel Valley of Los Angeles County, is seeking a Case Manager for our Utilization Review Department. This is a full-time, 8-hour day shift position...

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...

Peraton Overview Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world's leading mission capability...

Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state regulations, URAC standards, and...

GQR Healthcare 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...

Utilization Management Clinical Quality Nurse Reviewer RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state...

NirvanaHealth Utilization Management Nurse 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...

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...

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...

AvonRisk Utilization Review Nurse AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation, liability, managed care, and risk management across 32...

Job Description Remote Prior Authorization LVN/LPN Location: Remote (United States) Type: W2 Contract (Temporary) | Hours: 40/week Pay Rate:...

Job Title Provides support for clinical member services review assessment processes. Job Description Verifies that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Medica Talent Group is seeking an experienced Licensed Vocational Nurse (LVN) Case Manager to support the Utilization Management department of a healthcare organization in Montebello, CA. The LVN Case Manager will provide care coordination,...

Experience 2-5 years needed. Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific...

Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard...

Utilization Management Nurse The primary role of the Utilization Management Nurse is to review and monitor members' utilization of health care services with the goal of maintaining high quality cost-effective care. The role includes...