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Appeals Nurse The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare...

Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the...

Position Type: Student Support Services/Nurse Date Posted: 7/6/2026 Location: Melissa ISD Home Office Date Available: 08/03/2026...

Junior Healthcare Risk Manager RN The Location: Falls Church, VA Falls Church is an independent city in the Commonwealth of Virginia with a population of approximately 15,000. Falls Church is included in the Washington metropolitan area.

Job Title Duties and responsibilities include, but are not limited to, the following: Responsible for executing a streamlined approach to receiving, triaging, and directing timely, coordinated care. Bring principles...

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...

Details Client Name Bio-Pacific - The Rehabilitation Center of Santa Monica Job Type Travel Offering Nursing Profession RN...

Registered Nurse (RN), Behavioral Health PRN PRN days Schedule: 3 12-hour shifts, rotating every 4th weekend Your experience matters Frye Regional Medical Center is part of Lifepoint Health, a diversified healthcare...

Details Client Name Little Company of Mary Hospital Job Type Travel Offering Nursing Profession RN Specialty...

Licensed Practical Nurse (LPN) (LVN) CareHarmony's Care Coordinators (LPN) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced...

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

Job Description Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals 2024-25" rankings, as well as placed...

Job Description • 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...

Triage Nurse firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual...

POSITION SUMMARY MLK Community Healthcare is seeking a Registered Nurse (RN) Coordinator to be part of our MLKCH Enhanced Care Management program. The RN Coordinator will be responsible for coordinating the care of patients...

Registered Nurse (RN) On-Call Nights Schedule: Monday-Thursday | 5:00 p.m. – 8:00 a.m. Weekend Hospice Nurse (RN) – Fri - Sun Pilot Mountain and Winston-Salem Service Area Every Patient. Every Family. Every Time.

Job Description Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours support, No holidays Job Summary Are you seeking a unique nursing position that gives you a great...

Case Manager Scope: The Case Manager manages an individual caseload using the case management process in order to meet the needs of the MedWatch, LLC customers and consumers. This includes, but is not limited to, authorization of...

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...

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...

Manager, Nursing Case Management (RN)Program: Nursing Case ManagementReports to: Associate Director, Clinical NursingStatus: 100% Full-Time, ExemptProbation: 180 DaysBenefits: Medical, Dental, Vision; also including Life Insurance, Long-Term...

Job Opportunity Title RN Date Opened 03/18/2026 Job Type Local/Travel Contract Industry Health Care Work Experience 1+ year City Northridge State/Province California Country United States...

Details Client Name ADVENTIST HEALTH WHITE MEMORIAL MEDICAL CENTER Job Type Travel Offering Nursing Profession RN...

Bestica is seeking a travel nurse RN Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date:...

Travel RN Case Manager Assignment length- 13 weeks Near Los Angeles Area Our Client is a nonprofit, independent healthcare organization committed to improving the health status of the...