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Care Manager The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the...

Job Details Reviews payor denials and audits for potential lost revenue. Writes comprehensive, factual arguments to present to third-party payers, medical review boards, or other responsible parties applying clinical criteria to establish...

Responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically...

Job Summary Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination, and management of member's needs, including physical health, behavioral health, social services and...

Introduction Rio San Juan FSED is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for Clinical Nurse Coordinator...

Concierge Home Health RN In Los Angeles/Orange County Looking for a rewarding nursing career with independence and flexibility? Join us as a Concierge Home Health RN in Los Angeles/Orange County today! Rates starting at $70/hr (varies on...

Case Manager RN Travel Assignment Meda Health is looking for a Case Manager RN to work a travel assignment in an acute care hospital setting. Must have at least two years of experience, state licensure and BLS (at minimum). Competitive...

Chronic Registered Nurses Jobs for Humanity is collaborating with Upwardly Global and Unclassified to build an inclusive and just employment ecosystem. We support individuals coming from all walks of life. Company Name: Unclassified...

About Abby Care: Powering the Future of Care at Home for All of America Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever.

Nurses Are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates! *Must have Mental Health and/or Substance Abuse...

Location: Avera McKennan HospitalWorker Type: RegularWork Shift: Day Shift (United States of America)Pay Range: $34.50 - $51.50 (Actual pay rate dependent upon experience)Position HighlightsYou Belong at Avera. Be part of a multidisciplinary team...

Mentor Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person...

Triage Registered Nurse CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. Our programs are designed to align with each client's...

Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer...

Nurse Care Manager ArchWell Health is re-imagining the practice of primary care. We are putting the relationship between patient and physician at the center of a value-based model focused on outstanding patient experience, improved...

Health Advocates Network is currently seeking a **Licensed Vocational Nurse** to work at a facility in **Downey, California.** These are _registry_ positions with our company.**Pay Rate:** $30 / hour**Shifts Available:**+ Minimum of 2 shifts per...

Position SummaryThe individual in this position is responsible for coordinating patient care activities to conform to evidence-based practice and/or regulatory/payor requirements. This position integrates functions typically considered to be case...

Virtual Care Nurse RN Virtually Integrated Care supporting CHI Health St. Elizabeth Hospital in Lincoln, NE. As our Virtual Care RN, you will revolutionize patient care, leveraging cutting-edge technology to deliver expert nursing...

Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients,...

Benefits: 401(k) Competitive salary Dental insurance Health insurance Paid time off Signing bonus Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301...

DescriptionThere's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also enjoying the positive, supportive, and...

Work From Home Nurse Practitioner – Telehealth Women's Health | $125K+2 days ago Be among the first 25 applicantsThis range is provided by NPHire. Your actual pay will be based on your skills and experience — talk with your recruiter to learn...

Concierge Home Health RN In Los Angeles/Orange County Looking for a rewarding nursing career with independence and flexibility? Join us as a Concierge Home Health RN in Los Angeles/Orange County today! Rates starting at $70/hr...

Saint Luke's Is Looking To Add To The Ur Team! Schedule: Day Shift Status: PRN - 1 shift required every 2 weeks The Opportunity: The Utilization Review RN is responsible for assuring the receipt of high quality, cost...

LVN Case Manager Job Location: Riverside CA Shift: 8:00 AM to 4:00 PM Job Duration: 13+ Weeks [With potential to convert into FTE] Responsibilities: Coordinates and monitors patients through the...