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Concurrent Utilization Review (UR) Nurse The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity and appropriateness of healthcare services provided to members...

Details Client Name PIH Health Hospital - Downey Job Type Travel Offering Nursing Profession Registered Nurse (RN)...

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...

Details Client Name USC Verdugo Hills Hospital Job Type Travel Offering Nursing Profession RN Specialty...

Case ManagerJob Summary: The Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures correct level of care: critical, telemetry, acute, observation, for all...

Details Client Name Providence St Josephs Medical Center Job Type Travel Offering Nursing Profession RN...

Uniti Med 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:...

Why join the Novacore team? Because your next stellar chapter starts here - and we're building something bold and meaningful. At Novacore, we're not your average insurance company.

Details Client Name Kindred Hospital - Los Angeles Job Type Travel Offering Nursing Profession RN Specialty...

Newport News, Virginia Hiring Range $41.00 - $56.38/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. This...

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...

Details Client Name Providence St Joseph Medical Center - Burbank Job Type Travel Offering Nursing Profession RN...

Immediate Hire for Hospice RN Case Manager Immediate hire for Hospice RN Case Manager to join our Hospice Team! We provide high-quality, compassionate care focus on encouraging independence in the comfort and security of our patient...

Telephonic Nurse Case Manager: California RN License (Remote) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location:...

Details Client Name Kindred-South Bay Community Hospital Job Type Travel Offering Nursing Profession RN...

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly...

Job Requirements Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need...

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

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...

Landmark Health Care Opportunity Careers at Landmark, part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and...

Job Category: Registered Nurse Requisition Number: CASEM003934 Posted : October 15, 2026Full-TimeOn-siteSalary Range : $116,812.80 USD to $171,724.80...

Optumcare Medical Behavioral Integration Nurse Case Manager For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care.

Medical Solutions is seeking a local contract nurse RN Case Management for a local contract nursing job in Pasadena, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

• Start date: ASAP • Floating Expectation: No • First Time Traveler: Yes but 1st time travelers must be screened • Ratios: Days 1:20 • Years of experience 2 years acute care case management/discharge planning • Weekend REQ: Every other...

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