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Clinical Appeals Specialist The Clinical Appeals Specialist completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Specialist utilizes...

RN Hospice Workflow Specialist / Weekend Manager (Remote) The RN Hospice Workflow Specialist / Weekend Manager is responsible for overseeing and coordinating hospice clinical operations during weekends while ensuring efficient workflow...

Overview What you can expect! 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...

Find Your Calling At Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care...

Unit Nurse Manager (RN/LVN) Department: Nursing Reports To: Director of Nursing Employment Type: NonExempt Location: Skilled...

Supervisor Utilization Management The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management...

RN - Mother Baby About the Position Specialty: RN – Mother Baby Experience: 1–2+ years in postpartum, newborn, or mother-baby nursing License: Active State or...

LVNs needed in San Fernando Valley - shiftwork We are looking for LVNs in San Fernando Valley. Stable full time or part time shiftwork positions.New Grads Welcome - Training Provided.You will work in a stress-free environment, providing quality...

After Hours Care Manager - LPN Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

On-Call Registered Nurse (RN) On-Call Registered Nurse (RN) – 7 On / 7 Off Up to $90,000 Annually | 7 Days On, 7 Days Off Want to be part of an award-winning team—and have 26 weeks off each year? Emblem Hospice is Tucson's #1 choice...

Registered Nurse - Mother-Baby / Couplet Care / Post Partum We are seeking a dedicated Registered Nurse for a high-volume, high-census unit specializing in Mother-Baby and Couplet Care. The assignment length is flexible at either 13 or 26...

Sp Unit Staff RN - Labor and Delivery/Downey Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care,...

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...

Home Health Registered Nurse (RN) Experience a work culture where nurses are valued, management backs you and you're empowered to be a patient's advocate. At Interim HealthCare®, these are just a few of the rewards you'll enjoy as a Home...

Care Manager, LPN (Kansas City, MO / Field-Based) Kansas City, MO FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the...

Buena Vista Home Health, Palliative Care & Hospice (BV) provides positive, life-changing services that have touched the lives of thousands of individuals in the Ventura & Los Angeles Counties in California. At BV, our culture is...

Job Posting Aug 11, 2026 Registered Nurse (RN) - Inpatient Adult Unit - ( 26161922 ) Natchaug Hospital doesn't just take great care of our patients; we take great care of our Registered Nurses too! Our benefit options at Natchaug...

Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services. To maintain open lines of communication with referral sources and within Americare...

Registered Nurse We are seeking a Registered Nurse to service our patients throughout the Augusta area. The role of the Visiting Nurse (Nurse Case Manager) position is a critical part of the patient's care team. The nurse will visit...

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: The Care Manager RN plays a crucial role in...

DRG Appeals Specialist The DRG Appeals Specialist performs reviews of inpatient DRG payer denials on behalf of our hospital client partners. Responsibilities include reviewing denial letters, determination and data entry of audit...

Job Summary: The LVN Case Manager works under the direction of an RN following assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care...

Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the...

Remote Prior Authorization Registered Nurse We are seeking experienced Registered Nurses (RNs) to join a remote Prior Authorization team supporting Dual Eligible (Medicare and Medicaid) populations. In this role, you will review...

Salary: $70,779.53 - $77,857.48 Annually Location : Homebased, GA Job Type: Full-Time Salaried Job Number: 2026-00669 Division: Healthcare Facility...