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LPN/LVN Utilization Management Nurse Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key...

Job Description The Denials Nurse Auditor works under the supervision of the manager of PFS Denials. The Denials Nurse Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to...

Min USD $100,000.00/Yr. Max USD $103,000.00/Yr. Position Overview SCOPE OF ROLE: The Registered Nurse collaborates with physicians and the...

Our Mission At Whole Person Care Clinic (WPCC), our mission is to provide holistic, compassionate, and accessible care that nurtures the physical, emotional, and social well-being of every individual we serve. Through an integrated...

We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire...

Job ID: 30183 *Description*In this role you will provide direct patient care for diverse patient population. Work with clinic management, administration, faculty physicians, fellows, residents, medical students, and other clinical staff to...

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living...

Academic Advisor Stepful is reimagining allied healthcare training by offering affordable, online, instructor-led, and AI-supported programs that help learners—regardless of background or circumstance—launch high-demand healthcare...

Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Summary of Primary Function In the capacity of a Registered...

Benefits: 401(k) 401(k) matching Dental insurance Employee discounts Health insurance Vision insurance Building Stronger Communities At Joyous Ventures, we are committed to providing immediate...

Job Title Healthcare Manager Job Description Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Make Lives Better Including Your Own. If you want to work in an environment...

Job Description The Longitudinal Care Manager provides ongoing care coordination and management for patients over time, ensuring continuity of care, optimal health outcomes, and appropriate utilization of services. This role...

Description The Clinical Operations Lead/Nurse Case Manager for the IMPACT Program provides clinical and administrative leadership for a statewide prostate cancer treatment initiative. This role oversees...

Legal Nurse (Registered Nurse) At TLC Management, our mission is grounded in compassionate care, accountability, and doing what's right—every time. As a multi-state senior care organization, we are committed to supporting our...

Transform Healthcare With Us At Qualified Health, we're redefining what's possible with Generative AI in healthcare. Our infrastructure provides the guardrails for safe AI governance, healthcare-specific agent creation, and real-time...

Air Combat Effectiveness Consulting Group, LLC in Monterey Park is seeking a Case Manager RN or LVN to join our Utilization Review Department. This per diem position involves coordinating care for patients, conducting admissions, and liaising with...

Clinical Quality Assurance Nurse Auditor Fully Remote • Redding, CA 96002 Overview Salary Range $34.00 - $35.00 Hourly Position Type Full Time Travel Percentage None Description Are you a Registered Nurse...

NURSING ATTENDANT III Print ( Apply  NURSING ATTENDANT III Salary $50,877.84 - $55,193.52 Annually Location Los Angeles County, CA Job Type Full time Job...

Where You'll Work Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of...

Job Description Job #218204 Chipton-Ross is seeking a Nurse 3 for a contract opportunity in Redondo Beach, CA. BASIC QUALIFICATIONS (REQUIRED SKILLS/EXPERIENCE) High School diploma or equivalent, and...

Scope: The Case Manager manages an individual caseload using the Case Management process to meet the needs of MedWatch, LLC customers and consumers. This includes, but is not limited to, authorization of services, review of treatment...

Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including...

Note: We are seeking a highly motivated, skilled and experienced nurse educator for an ‘sweat equity' ownership position in a new allied health ursing program in Redondo Beach. This is a once-in-a-lifetime opportunity for the right person. We...

To support healthcare revenue solutions, the full-time Remote Clinical Review Nurse will analyze denied insurance claims, draft persuasive appeal letters, and collaborate with legal teams to optimize patient care revenue without direct patient...

Salary : $50,877.84 - $55,193.52 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: Y5101L Department: HEALTH SERVICES...