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Registered Nurse (RN) | Administration / Management Location: Glendale, CA Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) ...

Job SummaryThis position is responsible for supervising and monitoring the care management staff; assuring clinical accuracy of content, web and non-web based; monitoring revisions to national standards of care and assuring they are reflected in...

Description Patient Business Services Provide clinical review, audit, analytical, and quality improvement support for utilization management, medical necessity determinations, and denial prevention...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...

Join Our Caring Community The RN Care Navigator (Care Coach) assesses and evaluates member's needs and requirements to achieve and maintain optimal wellness state by guiding members and families toward and facilitate interaction with...

Soleo Health is seeking a Per Diem Infusion Nurse to support our infusion patients in the Los Angeles, CA and surrounding areas. Join us in Simplifying Complex Care! Soleo Health Perks:...

Managing the day-to-day operations of the Maternity Case Management department, the fully remote Registered Nurse Case Management Supervisor will oversee staff, adjust work queues, and support team members while ensuring adherence to department...

Utilization Review RN - Remote Utilization Review RN - REMOTE position. This position is Part time and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

RN Triage Nurse (Full-Time) Anchor Health is looking for a compassionate RN Triage Nurse to join a strong supportive team of professionals that provide hospice/palliative care. Position Purpose: Under the general supervision...

UnitedHealthcare is seeking a Maternal Registered Nurse Case Manager to coordinate care for Medicaid members who are pregnant or recently pregnant, including home and social assessments and education. This role supports medical, behavioral, and...

Overview Position Type: Full time Job Title: Care Review Clinician I Location: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH,...

Senior Clinical Admin Nurse At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the...

Job Description The Clinical Documentation Integrity Specialist II(CDI) is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy, and completeness of provider-based...

Nursing QA Specialist The primary function of the Nursing QA Specialist is to review and audit Home Health Agency visit notes for documentation consistency with the patient's Plan of Care and adherence to the quality of care guidelines...

Host Healthcare is seeking a local contract nurse RN Case Manager, Acute Care Case Management for a local contract nursing job in Paramount, California. Job Description & Requirements Specialty: Acute Care Case Management Discipline: RN Start Date:...

Employer Industry: Behavioral Healthcare Management Why consider this job opportunityStarting pay up to $50,000 per year, based on experienceFree Teladoc access and visits for employees and eligible...

Title: QIC Part A Nurse Consultant Location: Remote Duration: 6 months Shift time: Hours; 8:30 am - 5:00 pm EST (Monday - Friday) Pay rate: 30.00/hr Job Description Essential Duties and...

TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective, appropriate utilization of Behavioral Health and Medical/Surgical services.

Job Title: Clinical Operations Manager - Virtual Care Management (RN) Location: Remote - United States Employment Type: FT Exempt Direct Reports:...

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 colleagues who care deeply, innovate with purpose, hold...

About the Job Job Description: All Care Home Health is currently seeking a Licensed Vocational Nurse (LVN) Care Coordinator to join our team supporting the Kaiser region. We...

Care Career is seeking a travel nurse RN Hospice for a travel nursing job in Glendale, California. Job Description & RequirementsSpecialty: HospiceDiscipline:...

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...

Collaborative Practice Nurse (CPN) Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource...

Employment Type: Full time Shift: Night Shift Description: Position Summary: Reviews assigned cases applying specific criteria and payor guidelines and communicates this review to...