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Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...

Manager Of Rn Utilization Management It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Lead a team dedicated to delivering high-quality, cost-effective patient care. As the...

Job Description Job Summary: Seeking an experienced in-patient Case Manager with Utilization Review expertise to assess and coordinate patient care, ensuring appropriate utilization and discharge planning. This role requires strong...

AltaMed Health Services Corporation in Los Angeles, CA is seeking a Registered Nurse to lead the Case Management & Care Coordination Team. The role focuses on managing all PACE participants in the ambulatory setting and coordinating care across...

Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health,...

Exalt Health, an acute rehabilitation hospital, provides an intensive rehabilitation program, and admitted patients must be able to tolerate three hours of intense rehabilitation services per day. Focused on caring for patients with complex...

Utilization Management Admissions Liaison RN II (Nights) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13180 Salary...

Salary : $5,051.00 - $6,138.00 Monthly Location : 2335 Plaza Del Amo, Torrance, CA Job Type: Part-Time Job Number: SUB 27-N-LVN (2627) Department:...

Employee Health Nurse Townsen Memorial is looking for a full-time Employee Health Nurse to join our team! This is a remote position with occasional travel required. The Employee Health Nurse is responsible for coordinating and...

ED RN Case Manager Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout...

Why Kensington Senior Living? Because Our Promise to love and care for your family as we do our own. These are not just words – but something all of us at Kensington Senior Living strive to deliver each day. We're looking for...

Summary The Home Based Primary Care (HBPC) Outpatient Staff Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex HBPC care. This nurse...

At The Bellefontaine Healthcare Center, we are dedicated to providing the highest quality of care for our residents. We are located in Pasadena, CA and are known for our exceptional customer service to all families and communities involved. Our...

Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

Case Manager 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 services,...

Licensed Vocational Nurse (LVN), Medical Services Wayfinder LA Campus - Los Angeles, CA 90043 Overview Salary Range $27.00 - $29.00 Hourly Level Entry Position Type Part Time Education Level Not Specified Travel Percentage...

RN Review Analyst | Remote | Contract Walker Healthforce is seeking an RN Review Analyst with 2-4 years of clinical experience to perform clinical reviews and help ensure...

Reimagining Healthcare Are you in search of a fulfilling and meaningful position? Do you want to work for an organization that promotes growth and development? Here at Men's Health Foundation, we envision a world where inequity and...

Position: #710291 Program: Case Management Department: Health Services Reports To: Supervisor of Nurse Case Management Services Shift Differential Premium: $1.75 per hour for hours worked between 6pm-6am...

Research Nurse - Las Vegas, NV Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile research nursing, patient...

Position: Women's Health Nurse Practitioner Location: Monterey Park, CA area Visa Eligibility: U.S. Citizen Salary Range: Competitive and commensurate with experience...

Job Description The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S)...

Home Health RN Case Manager Lake Prince At Home **$10k Sign on Bonus** Are you currently a Home Health RN or would you like to become a Home Health RN? We encourage RN's with or without Home Health...

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...

Licensed Practical Nurse Duties include but are not limited to: Delivers care to patients in a respectful non-judgmental manner and according to Patient Care Plan. Demonstrates understanding of age- and...