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Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical...

Clinical Specialist As a Clinical Specialist, you will use your practical or vocational nursing experience and knowledge of medical and behavioral health conditions to support timely disability claim decisions. You will identify and...

PACS is seeking a licensed Certified Nursing Assistant to provide routine daily nursing care to residents in accordance with care plans and supervisor directives. You will identify residents, record observations, assist with meals, mobility, and...

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...

Infection Preventionist We are looking for a dedicated Infection Preventionist to support our infection prevention and control efforts. This role helps maintain infection tracking dashboards, assists with outbreak investigations, and...

Medical Necessity Review Nurse Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of...

Job Requirements General Summary Under general supervision, conducts internal audits of hospital bills working with external auditors to ensure that uncompensated patient revenues resulting from...

Remote Registered Nurse Position Join a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all units/staff (commercial, behavioral health,...

Ambulatory Care Coordinator RN Could you be our next Ambulatory Care Coordinator RN at Main Line HealthCare? Why work as a Ambulatory Care Coordinator RN with Main Line Health? Make an Impact! Coordinating the care of a patient's...

LVN Patient Care Coordinator (Hospice)Join Our Compassionate Hospice Team! Are you an organized, compassionate healthcare professional who thrives in a collaborative environment? We're looking for a Patient Care Coordinator to help ensure...

SUD Licensed Vocational Nurse The Licensed Vocational Nurse (LVN) in the Substance Abuse Disorder focuses on delivering compassionate, high-quality medical care to individuals. The LVN will address a range of conditions, including chronic...

RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to 25 hrs/week About the Role We are seeking Nurses & Nurse Practitioners with clinical experience in one or more of the...

Bay Crest Care Center in Torrance, CA is seeking a Full-Time Case Manager (LPN/LVN) to join their healthcare team. The role involves managing resident care through various stages and collaborating with healthcare providers. Candidates must have...

Angel Care Hospice and Palliative is currently seeking an experienced Hospice LVN to provide compassionate end-of-life care for our patients and their families in the Inland Empire area. The ideal candidate lives in and around Bloomington, Colton,...

UMMA Health in Huntington Park, CA seeks a Licensed Vocational Nurse (ICP) to coordinate and deliver clinical services for enrolled clients. This role operates at 0.50 FTE for case management and outreach, under the Integrated Care Program...

Details Client Name Glendale Memorial Hospital Job Type Travel Offering Nursing Profession RN Specialty...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

CenExel Clinical Research Position Each of CenExel's research sites specialize in Phase I to Phase IV clinical trials. Our Centers of Excellence comprise some of the most well respected and long-standing research facilities in the...

POSITION SUMMARY Reporting to the Director, Ambulatory Services of Martin Luther King, Jr. Los Angeles (MLK-LA) Healthcare Corporation, the Ambulatory Clinical RN as the leader of the health care team, provides professional...

Job Summary: This Utilization Review (UR) Registered Nurse (RN) position supports the Mission of Pipeline Health through the provision of distinctive and compassionate care to our patients. This position is responsible for...

Pediatrics Specialty Triage Phone LVNJoin Our Dedicated Team!Glendale Pediatrics (physician-owned private practice) is seeking a Licensed Vocational Nurse (LVN) to join the team as a full-time Pediatric Triage Phone & Administrative Nurse. In this...

Sensorum Health Patient Monitoring and Triage Nurse Job Description ABOUT SENSORUM HEALTH Sensorum Health (sensorum.ai) enables better proactive and preventative healthcare for older adults living at-home.

CareHarmony is seeking an experienced Licensed Practical Nurse (LPN) to join our care coordination team in a fully remote, full-time role. You will work with providers to deliver value-based care and focus on closing gaps in chronic care...

Description Research Nurse (Per Diem) - Oahu, Hawaii Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include...

Job Description Join a purpose-driven team in downtown Los Angeles as a Complex Care Registered Nurse (RN) supporting the PACE Program. We're seeking a dedicated nurse who is committed to providing compassionate, high-quality,...