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Appeals Nurse The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare...

Located In Waterloo DaVita is seeking an organized, self-directed RN to manage Home Hemodialysis (HHD) patients. You'll educate patients and caregivers in-clinic, enabling them to perform dialysis independently at home. This role blends...

Triage RN Hybrid • Health Center - Columbus, OH 43222 Overview Position Type Full Time Description About Lower Lights Christian Health Center Lower Lights Christian Health Center (LLCHC) is a...

CHA Hollywood Presbyterian Medical Center CHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed to serving...

We're looking for California Based Nurse Care Managers for our Care and Case Management team, who resides in California and holds a CA RN license; have experience working with a health plan, health navigator or third-party administrator (TPA). Are...

POSITION OBJECTIVE/SUMMARY: Position allocable to RN I focus on applying recognized nursing principles/practices and developing nursing knowledge and skills while providing professional nursing care to patients in a variety of settings...

Registered Nurse Saratoga Medical is hiring a Registered Nurse in Springfield, VA (remote allowed; onsite required for initial training and as requested by the client). Package includes competitive rate, paid time off and benefit options.

Description: Estimated payment breakdown $2,244 per week in taxable pay and non-taxable stipends Specialty: RN Start Date: 8/3/2026...

We are seeking to hire a Treatment Nurse - Licensed Vocational Nurse to join our team! We are a skilled nursing facility looking for dynamic associates to join our clinical team and provide our residents with a best-in-class care experience.

Job Type Full-time Description Position Summary : The Medical Coordinator (Nurse) is responsible for coordinating and delivering timely, trauma-informed health services for unaccompanied children...

The RN Medical Care Manager (MCM) blends the mission of AHF with Medical Case Management, utilizing their experience, skills and education together with a thorough understanding of the Ryan White Care Act Program within their specific area. With a...

Benefits: Company parties Competitive salary Flexible schedule Newport Hospice, is looking for dedicated health care professionals to join our ever-growing team!!! Help our team provide compassionate care to the...

Join the transformative team at City of Hope , where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system includes its Los Angeles...

Are You Ready to Make a Difference in Healthcare? We are currently seeking a Registered Nurse (RN) to join our exceptional healthcare team! Compensation: $46 - $47 per hour We are passionate about providing...

Description The ECM Care Manager - Licensed Vocational Nurse (LVN) facilitates patient continuity of care with the ECM healthcare team and managed care plan. Under the clinical direction and oversight of the Primary Care...

Job Title Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation and evaluation. Responsible for directing and coordinating all nursing care based on established...

Job Summary The RN Care Coach is an integral part of the ilumed clinical team, providing a comprehensive, patient-centered approach to Chronic Disease Management programs. This role focuses on coordinating patient care and ensuring...

Job SummaryUnder the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement, acting as a resource to staff and physicians in resource efficiencies and...

Staff Nurse - Per Diem Rotating Day - BWH Utilization Management The Insurance Support Nurse participates in the timely management of denials that are received in the Care Coordination Department. Through sound knowledge of utilization...

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...

LVN Hawthorne, CA 90250 Overview Salary Range $34.00 - $40.80 Hourly Level Experienced Position Type Full Time Job Shift Day Description The Licensed Vocational Nurse (LVN) assesses patients and provides...

Job Description 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...

Bristol Hospice Greater LA, CA - Lakewood, CA 90712 is looking for an experienced Registered Nurse Case Manager to provide compassionate, whole-person care to patients and families.You will develop care plans, monitor vitals, administer...

Utilization Management & Clinical Validation Rn 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...

Join Our Team as an Infusion Registered Nurse in Santa Monica, California! Infusion for Health is a premier, referral-based infusion center serving patients across California, Arizona, Nevada, Washington, Colorado, and Missouri. Our...