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JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...

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...

Registered Nurse (RN) - Home Infusion Therapy AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity.

Licensed Vocational Nurse - Home Health Excell Home Care is actively recruiting for LVN Case Manager. Our innovative company is focused on the best possible outcomes for our patients, outstanding and highly personalized patient care, and...

Job Description JOB DESCRIPTION This position will offer remote work flexibility, but the selected candidate must reside in Michigan. Opportunity for a Registered Nurse who...

Responsibilities Primary Job Functions: Clinical: Chart Review and Documentation Conduct structured reviews of clinical records to assess service utilization, client engagement,...

Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13208 Salary Range:...

Position: #710299 Program: Case Management Department: Health Services Reports to: Manager, Nurse Case Management (LVN) Shift Differential Premium: Additional $1.75 per hour for hours worked between 6pm-6am...

Position Title: Behavioral Health Nurse – Contract Position, Ventura, Ca Department: Clinical Services / Recuperative Care Reports To: Director of Nursing / Nursing Manager...

Position Overview ACT is an intensive, community-based multidisciplinary treatment team that provides person-centered care to a shared caseload of adults whose needs are not able to be met through traditional outpatient services. In...

Legacy Concierge delivers premier in-home nursing and caregiving across Southern California, bringing hospital-caliber clinical oversight into the comfort of home. Our clients and families choose Legacy for a seamless, high-touch experience rooted...

Overview Your Role: The Nurse Educator is responsible for providing support to ensure safe, effective and appropriate use of PROVENGE® (Sipuleucel-T) (the “Product”) from enrollment to completed infusion for...

Job Summary Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge and issuing denial...

Remote House Calls Nurse Practitioner Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state's most vulnerable and underserved residents.

Job Overview The RN or LVN Case Manager manages a continuum of care from pre‑admission through post‑discharge for assigned patients. The role ensures patients and families progress efficiently throughout hospitalization. The focus is...

Quality Assurance Nurse The Quality Assurance Nurse is responsible for case management quality assurance and mentorship of operations staff, providing tools and calibrating processes, while ensuring consistent delivery of CorVel's case...

To support the Revenue Cycle Clinical Support team, the full-time Clinical Finance Case Manager - RN will manage complex pre-authorizations and clinical denials while working remotely, utilizing clinical knowledge to interpret medical necessity...

Nurse 3 Job Number: 364864 Category: Administrative Description: Job Title: Nurse 3 Location: Redondo Beach, CA Zip Code: 90278 Pay Rate: Up to $65.09/hr. Schedule: 9x80 A Start Date:...

Details Client Name Cedars-Sinai Medical Center Job Type Travel Offering Nursing Profession RN Specialty...

Who We Are UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that...

The Supportive Housing Case Manager (Ages 18–25) supports young adults in securing and keeping stable housing while building life skills and independence. Using a positive, youth-centered approach, you'll carry a small caseload (12–18...

Location: 1600 Corporate Center Dr., Monterey Park, CA 91754Compensation: $30.00 - $45.00 / hourDepartment: HS - ICMDescriptionAstrana Health is looking for a RN/LVN Case Manager. This position works standard day hours M-F, and we are willing to...

Weekend Hospice Nurse (RN) – Fri - Sun Mt Airy, NC Service Area | Schedule: On-call shifts: Friday 5:00pm-8:00am, Saturday, Sunday 4:00 p.m. – 8:00 a.m. Every Patient. Every Family. Every Time. At Mountain Valley, what...

Clinical RN I – Pre/Post Pay Audit Performs pre- and post-pay clinical audits to ensure documentation accuracy, authorization validation, and compliance with medical necessity criteria. Follows defined guidelines and escalates as...

CHA Hollywood Presbyterian Medical CenterCHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed to serving local...