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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...

Registered Nurse APLA Health Center Mid Wilshire - Los Angeles, CA 90036 Overview Salary Range $45.98 - $59.90 Hourly Position Type Full Time Job Shift Day Education Level AA - Associates Degree Travel Percentage Up to 25%...

Bilingual Nurse Case Manager The Nurse Case Manager (NCM) is responsible for managing all aspects of the reimbursement environment and program support for assigned physicians in each geographical area. An expert in regional government...

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Nurse 3 Job Location: Redondo...

Ambulatory Care Coordinator RN Could you be our next Ambulatory Care Coordinator RN at Main Line HealthCare? Why work as a Ambulatory Care Coordinator RN with Main Line Health? Make an Impact! Coordinating the care of a patient's...

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

Baptist in Meridian, MS seeks a Specialist-Clinical Documentation III RN to evaluate day-to-day documentation practices and advise the clinical team on accurate diagnoses and coding. The role requires five years of acute care experience,...

Case Manager RNTorrance, CA, United StatesSalary - $51.44 to $64.87 (US Dollar)Job Summary:Salary - $51.44 to $64.87Experience: Requires Case Management (Care Coordination or Utilization Management) in acute care.Job Location: Torracne, CAJob...

Hospice RN / RN Case Manager Lead with heart. Be the difference. Transform end-of-life care. Join our company, where every day is an opportunity to deliver personalized, meaningful hospice and palliative care to patients facing...

Description Nurse Case Manager (RN) - Workers' Compensation Location: Los Angeles, CA & Surrounding Areas Salary: $100,000-$130,000 annually +...

NK Consultancy LLC in California is seeking a Registered Nurse (RN) Field Case Manager for Workers' Compensation. This field-based role coordinates medical care and advocates for injured workers, helping them safely navigate recovery and return to...

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

Sentara Health Plans is seeking a Clinical Claims Reviewer/RN for remote work with standard hours 8am-5pm EST. You will perform utilization management and comprehensive claim reviews pre- and post-payment, including authorization reviews across...

Ansible Health Ansible Health is a virtual multi-speciality medical group that unites physicians, nurses, respiratory therapists, and tech experts from Columbia, Johns Hopkins, Google, Amazon, and other top institutions to revolutionize...

Registered Nurses| School Cases | 1 on 1 | Full Time | | Pediatrics | ASAP | 27402 Job Description: Are you a licensed RN with a passion for working with children? Do you want a role with a...

University of California, Irvine Health seeks a qualified Case Manager to coordinate patient care across case management, care coordination, and discharge planning, ensuring adherence to evidence-based practice and regulatory standards.The role...

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health,...

Allegheny Health Network seeks an RN Utilization Review professional to obtain pre-certifications, coordinate authorizations and manage denials for a seamless patient care continuum. You will liaise with third party payers, clinicians and care...

Overview 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.

Virtual Care Registered Nurse We are seeking a licensed Registered Nurse to deliver virtual care to patients on behalf of one of our partner organizations. This role involves delivering remote patient care, symptom triage, health...

Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...

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...

Elevate Patient Financial Solutions has an exciting career opportunity available as a Nurse Auditor. This position will be a remote based role. The Full Time schedule for this role will be Monday through Friday 8 AM to 5 PM.

Benefits: 401(k) Competitive salary Dental insurance Health insurance Paid time off Signing bonus Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301...

Registered Nurse (RN) Schedule Available: 9:00 AM to 5:00 PM, Monday - Friday. With additional hours during evenings, weekends, and on-call; as needed. Benefits Include: Low patient-to-nurse ratio...