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Nurse - Clinical Review The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp's specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical...

Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We're more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we...

Care Ally, SW/LPN/RN Case Manager - Remote - PST Hours Location US-Remote Position Type Full-Time At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults—and we're...

Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $142,166.00 (Max.) Established in...

Utilization Management Policy Initiatives Nurse RN II The Utilization Management Policy Initiatives Nurse RN II, under the purview of the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing,...

Concentric is currently seeking candidates in Registered Nurse profession with focus in Registered Nurse (Case Manager) for a 13 week contract in the Los Angeles, CA area. Concentric is a premier staffing firm dedicated to matching outstanding...

RN - Case Manager About the Position Specialty: RN Case Manager Experience: 1+ year of recent case management or discharge planning experience preferred License: Active State or Compact RN License Certifications: BLS – AHA Must-Have:...

Provides excellent patient care by assisting in the collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, nurse, physicians, multidisciplinary team and...

Dept: MA Inpatient Precertifi Our contractors are work from home and not required to come on site. Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary...

Nurse Practitioner Opportunity in Hilton Head Island Area We are seeking qualified Nurse Practitioner to service patients in the Hilton Head Island area. As a Provider, you play a critical role in delivering exceptional patient care in...

RN Organ Placement Coordinator Our RN organ placement coordinators provide 24/7 coverage, managing services from the initial donor organ offer through the post-transplant recipient phase of a life-saving transplant. We fully support our...

RN Clinical Coordinator Home Health Attention all RN Home Health Clinical Coordinators! You Your new Journey awaits!!! Come share our passion, mission and vision tor extraordinary community-based services around the Hampton Roads. Lake...

Hospice RN / RN Case Manager Lead with heart. Be the difference. Transform end-of-life care. Join our company, where every day is an opportunity to deliver personalized, meaningful hospice and palliative care to patients facing...

$1,000 Sign-On Bonus! Make a Meaningful Impact as a Registered Nurse (RN) Clinical Assessor Are you an RN looking for a rewarding career outside of the hospital? Join Maximus and help Massachusetts...

Description The UM Denial Nurse Reviewer supports high-quality, cost-effective care by applying clinical knowledge, policies, and regulatory guidelines to the review and processing of adverse organization determinations. This role...

Case Management Supervisor (RN) Lead. Influence. Transform Patient Care in Your Community. Jamaica Hospital Medical Center, a 384-bed community teaching hospital serving one of New York City's most diverse populations, is seeking a...

Registered Nurse - Case Manager Job Description: If you want to make a significant impact as a Registered Nurse - Case Manager in Los Angeles, CA this position might be what you are looking for!

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...

Requisition number: 2393851 Job category: Nursing For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the...

Staff Nurse Case Manager 10/12/26 08:00 AM-04:30 PM Day Shift, 8-4:30PM, T-Sat, 40 hrs/week. No on call. Must have an RN CM certification. Looking for staff with IP CM experience, preferred staff that are used to strike force for KP or...

HONESTLOVE GLOBAL PROFESSIONAL STAFFING is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Acute Care Case...

United Energy Workers Healthcare: Where Compassion Meets Care! We are a compassionate company driven by a personal commitment to exceptional care. Founded by the grandchildren of a former Department of Energy worker, we elevate the lives...

Care Coordinator RN - Case Management Profession: RN (Registered Nurse) Specialty: Case Management Duration: 13 weeks Shift: 8H Days Hours per Shift: 8 hours Experience: Minimum 2 years License: CA RN License Certifications: BLS, ACLS...

Lead Utilization Review RN Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as...

Job Type Full-time Description AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation, liability, managed care, and risk...