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Clinical Eligibility & Intake Nurse Part Time/1099 Contractor Fully Remote Monday-Friday; 3-5 hours per day / 15-20 hours per week*; schedule must overlap intake hours** Clinical Operations Reporting to:...

Grievance & Appeals Nurse, RN Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Reporting to the...

LPN/LVN - LVN – LICENSE VOCATIONAL NURSE ~ CONTRACTLocation: Los Angeles, CANumber of positions: 5+Start Date: ASAPEnd Date: Jan. 16, 2017Shift: 3pm to 11pm (PM Shift)Schedule: 40 hours/weekExperience: 2+ years in Skilled Care|Long-term CarePay...

Benefits:401(k)Competitive salaryDental insuranceHealth insuranceProfit sharingTraining & developmentVision insuranceAbout the Role: MEDEX STAFFING NETWORK...

Perform internal and external quality audits of clinical review activities, including interrater reliability and adverse determination notices.Provide quality scoring and trend analysis to management with root cause analysis and recommended...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the...

About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors...

Pursue Your Purpose Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team.

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

Job TitleWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity...

Registered Nurse (RN) - Juvenile Court Health Services: Commerce, CA Job Type : Assignment City : Commerce State : CA Job Description:...

Job Description A-Line Staffing is now hiring Utilization Review Clinician - ABA (Behavior Analyst) in Georgia (Remote). The Utilization Review Clinician - ABA (Behavior Analyst) would...

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...

Description The Peer Review RN is responsible for facilitating the design, implementation and the ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician...

Job Details POSITION SUMMARY RN Case Manager POSITION DUTIES DCP in an acute care setting MINIMUM REQUIRED QUALIFICATIONS 2-3 years' experience in an acute care setting CA license LENGTH OF ASSIGNMENT 13...

Location This is a hybrid role. Applicants must be able to commute to or travel to Mitchell and Dougherty counties, GA, when required. About Us The Columbus Organization is a nationally...

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

Summary Provides direct Veteran care and care coordination, as it pertains, to Veterans and their care within the HBPC Program. Responsible for case management, assessment, triage, Veteran education, resource coordination, medication...

RN Case Manager This is a 13-week contract position. Monday - Friday, 8:00 AM - 4:30 PM The RN Case Manager coordinates management of care and ensures optimum utilization of resources, service delivery, and compliance with...

Case Manager RN Opportunity This outstanding unit is looking for the right Case Manager RN to join their team of compassionate and driven health care professionals. Join this highly motivated team of caregivers and enjoy a challenging and...

Outpatient Case Manager (RN/LVN) Recruiting on behalf of a leading healthcare organization in Southern California About the Opportunity Vivo HealthStaff is proud to partner with our client, a...

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...

description: Provides excellent patient care by assisting in the collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, nurse, physicians,...

Utilization Management Nurse Specialist RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary...