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Registered Nurse (RN) for Utilization Management Team We are seeking a Registered Nurse (RN) to join our Utilization Management team. In this role, you will perform concurrent reviews, prior authorizations, medical necessity reviews,...

RN - Utilization Management ID 2026-25367 Category Registered Nurse specialties - Case Manager Facility Nationwide - California Job Description Spectrum Healthcare Resources has...

Quality of Care Investigative Nurse (RN) - Remote Join the Arizona Division of Developmental Disabilities' Quality Management team and help protect the health, safety, and well-being of individuals receiving...

Job Overview The RN or LVN Case Manager manages a continuum of care from pre‑admission through post‑discharge for assigned patients. The role ensures patients and families progress efficiently throughout hospitalization. The focus is...

Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed Long Term Services and Supports Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) -...

Health Plan Nurse Coordinator The Health Plan Nurse Coordinator is a Registered Nurse who supports one or more health services operational units, such as Utilization Management, Case Management, Enhanced Care Management, Disease...

Are you ready to bring your clinical competencies to a world‑class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this dynamic...

CCM Case Management RN Hi, we're Oscar. We're hiring a CCM Case Management RN to join our team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our...

Make a Difference in Your Community The Department of Public Health for St. Louis County Government is actively looking to hire a Registered Nurse (RN) to join their team. This Public Health nursing position will carry out the program...

Case Manager (LVN or RN)Department: HS - ICMEmployment Type: Full TimeLocation: 1600 Corporate Center Dr., Monterey Park, CA 91754Reporting To: Jessamine BowersCompensation: $31.00 - $45.00 / hourDescriptionAstrana Health is looking for a LVN Case...

Case Manager At Prestige Healthcare Services, we are committed to delivering exceptional care and support to our patients and their families. Our skilled facilities offer a range of short-term and long-term skilled rehabilitation services...

Job Opportunity Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the...

Rotating weekendsCompanyProvidence at Home with CompassusJob Board Advertising DescriptionTerritory Coverage (candidate must be local and willing to travel to below cities):The San Fernando Valley: Palmdale, Valencia, Santa Clarita, Acton,...

Cedars-Sinai Medical Network is seeking a Case Manager to oversee care from admission through discharge, coordinating with hospitalists and care teams to ensure timely, cost-effective patient care.You will assess needs, plan discharges, and apply...

Business Area Manager (Nursing) Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that...

Case Manager At Prestige Healthcare Services, we are committed to delivering exceptional care and support to our patients and their families. Our skilled facilities offer a range of short-term and long-term skilled rehabilitation services...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider appeals regarding adverse coverage decisions and grievances. The...

Job Posting Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and...

Case Manager position within Cedars-Sinai Medical Network in Southern California focuses on hospital admission-to-discharge case management. You will assess patient needs, coordinate care, and communicate with health plans to ensure...

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...

Health Services Nurse - Occupational Health (Full Time) Job no: HN26-NURSE-GEN Work type: Full Time Location: Los Angeles Categories: USH - Operations, Park & Resorts Operations...

Job Description Grow your career at Cedars-Sinai! At Cedars-Sinai, we take pride in hiring the best, most hard-working employees. Our dedicated doctors, nurses and staff reflect the culturally and...

Registered Nurse Care Manager The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the...

Clinical Clearance Specialist (RN) Remote, United States Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often,...

Care Manager, Registered Nurse (RN) Wellcove has been recognized as the nation's leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care...