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Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to...

Description Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los...

Job 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...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Registered Nurse, Phone Triage Remote + Sign on Bonus! Clinical Full Time...

Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by...

Included Health seeks passionate California-Based Nurse Care Managers for their Care and Case Management team. You will coordinate and deliver patient-centered care, helping members navigate their healthcare journey while ensuring they receive...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Registered Nurse Full Time Service Worker Remote-Pennsylvania, US...

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...

Details Client Name Kindred Hospital - Los Angeles Job Type Travel Offering Nursing Profession RN Specialty...

We are seeking experienced Registered Nurses with inpatient clinical expertise to contribute to a project focused on improving the accuracy, safety, and reliability of AI systems in healthcare. In this role, you will apply your nursing...

Prior Authorizations Nurse (RN) (Temporary) Remote in California OUR COMMITMENT TO A HUMAN HIRING PROCESS We believe every candidate deserves thoughtful consideration.That'swhy we do not use AI or automated...

Cambia Health Solutions, Inc. is hiring a Utilization Management Nurse who will conduct reviews to ensure medical necessity and cost-effective outcomes. Working from home within the states of Oregon, Washington, Idaho or Utah, you will...

Details of the RN - Case Management (CCM) opening in Los Angeles, CA: Anticipated Start Date: 11/16/2026 Anticipated Pay Range: $2606.18 - $3009.83 Work Setting: Short Term Acute Care Hospital Anticipated...

Full-Time Hospice Intake & Admissions RN Are you an RN who values meaningful connections and wants to make a difference at one of life's most important moments? Join The Community Hospice as part of our Central Intake & Admissions Team,...

RadHealth+ is seeking a travel nurse RN Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: 13...

Job Title Real Job *Works with any department, if a patient complaint arises* *Experience in Critical Care or ED is a plus* *Weekends will not typically be required unless survey is on site* *2 years experience required, hard stop* *First...

Medlivo is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date:...

Why This Role Matters Every determination you make decides whether a member gets the care they need, when they need it. This role sits at the exact point where clinical judgment meets real-world impact, translating evidence-based criteria...

Centene Management Company LLC is seeking a remote RN reviewer to perform concurrent reviews, determine appropriate level of care, and support discharge planning for members. Strong preference for an active NY RN license; typical hours are Mon-Fri...

3B Healthcare Inc. is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

Company Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage...

Industry: Private Employment Type: Full Time Work Hours: 8 Hours Locations: USA Scope The Medical Review Coordinator will perform her/his duties in accordance with MedWatch procedures, MedWatch review...

A leading health service provider in Kentucky is seeking experienced Registered Nurses for the Field Care Manager role. Nurses will conduct non-clinical, in-home assessments and manage their own schedules. The position offers a competitive salary,...

Registered Nurse (RN) License Patient Advocacy Care Coordination Clinical Experience (Medical-Surgical/Primary Care/Case Management) Electronic Health Records (EHR) Microsoft Office Suite HIPAA Compliance Communication Skills Critical Thinking...

About this role We are looking for a Patient Care Coordinator with an active LVN license and 2+ years of experience in healthcare startups to join a fast-growing surgical navigation company that's redefining how self-insured employers...