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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...

Prior Authorizations, Case Manager (LVN/RN)#UHM-5092West Hills, California, United StatesWork Model On-SiteJob Description Position Summary:The role of the Prior Authorization Review Nurse, LVN/RN is to promote the quality and cost effectiveness...

Bed Control Coordinator Full Time RN Job Category: Registered Nurse Requisition Number: BEDCO003435 Full-Time On-site Hourly Range: $46.07 USD to $67.73 USD Memorial Hospital of Gardena Gardena, CA 90247, USA Job Details...

Part-Time RN Case Manager (Franklin, IN and surrounding area) Position: Part-Time Registered Nurse Case Manager Department: Guardian Health Reports To: Director of Nursing Status: Part-time Hours: Part-Time; schedule...

Job Description Up To $25,000 Sign On Bonus For Qualified RNs! Position Highlights: This is a community case management position that provides patient-centered care while...

Job Details Telephonic Triage Nurse Case Manager (Remote) 2026-1475 Dallas, TX, USA Medical Case Management Full Time Description Overview Are you looking to make a difference by providing...

Train patients and caregivers on PD procedures and self-care. Manage a caseload of PD patients, including assessments and care planning. Monitor treatment progress, conduct home visits, and provide on-call support. Collaborate with interdisciplinary...

Job Description Summary An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home, or in an alternate infusion suite, to ensure patient safety with continuity and...

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.

Care Navigator Position Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations.

A national healthcare recruiting firm is aggressively seeking an Ambulatory Case Manager RN to join a large healthcare organization in California. This role offers flexible hours and a competitive salary between $38 and $41 per hour. Candidates...

Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans,...

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

Position Description Base pay is influenced by several factors including a candidate's qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and...

Clinical Nurse Manager The WelbeHealth PACE program helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. The WelbeHealth Clinical Nurse Manager is accountable for the...

After Hours - Hospice Nurse Case Manager PRN | Philadelphia, PA Overview: Interested in learning about hospice, seeking more money as a second job and/or love working in the night? Read on!

RN Provider Performance Specialist Senior Step into a high-impact role where your clinical expertise directly influences provider quality and patient outcomes. As an RN Provider Performance Specialist Senior, you will serve as a trusted...

Medical Review RN IV – Commercial Appeals & Grievance Nurse Location: Remote – Candidate Must Reside in California Duration: 6+ Months Contract-to-Hire Schedule: Monday-Friday | 9:00 AM – 5:00 PM Pay Range:...

Description The Clinical Operations Lead/Nurse Case Manager for the IMPACT Program provides clinical andadministrative leadership for a statewide prostate cancer treatment initiative. This role oversees clinical...

Schedule: 40 hours per week; 8:00AM - 5:00PM PT/ 11:00AM - 8:00PM ET; Required to work rotating weekends, as scheduled by Lap of Love Classification: Full Time - Exempt Reports To:...

We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you will provide critical after-hours support, triaging hospice patients and family needs over the phone wit professionalism and empathy. You will help...

University of Southern California Arcadia Hospital is seeking a Case Manager to support the physician and interdisciplinary team in delivering high‑quality patient care while controlling costs and ensuring timely payer information. The role...

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A leading healthcare provider in California is seeking a Lead Case Manager to enhance patient management and ensure quality care. The role involves conducting audits, staffing adjustments, and training new hires in an inclusive and supportive...

AltaMed Health Services Corp in Montebello, California, seeks a qualified RN Case Manager to coordinate care for patients with chronic diseases. This role involves collaboration with an interdisciplinary team to manage cases and ensure...