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Evolve Adolescent Behavioral Health in Los Angeles is seeking a full-time nurse to provide care for teens aged 12 to 17. Responsibilities include direct patient care, triage medical concerns, and medication management. The position demands a valid...

Position: Role: LVN Case Manager Job Location: Riverside CA Shift: 8:00 AM to 4:00 PM Job Duration: 13+ Weeks [With potential to convert into FTE] Responsibilities:...

Could you be our next Transfer Center Registered Nurse (RN) in our 2 out of 4 weekend program at our Virtual Care Operation Center located in Radnor, PA? Why work as a RegisteredNurse within our Virtual Care...

Job Title Remote Work from Home Job Details Location: Johns Hopkins Health Plans, Hanover, MD 21076 Category: Nursing Schedule: Day Shift Employment Type: Full Time Position Summary: Responsible for...

Telephonic Triage And Document Review Services Provides telephonic triage and document review services that require clinical judgement and interpretation and acts as a liaison between the patient, care team(s), and their primary care...

Mission Driven, Community Focused About | Charles R. Drew University of Medicine and Science (cdrewu.edu)Charles R. Drew University is located in the Watts‑Willowbrook area of south Los Angeles and was founded in 1966 in the wake of the Watts...

Payfuture Technologies is looking for a Project Policy Analyst to join UCLA Health's Nursing Research team. The successful candidate will provide analytical and administrative support to enhance research and innovation initiatives. Key...

POSITION SUMMARYThe RN Utilization Management (RN UM) functions as a support liaison for a variety of UM functions which may include the e‑TAR process, denials management, and the UM process. It coordinates care submission relating to the...

UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To:...

Job Description UW Medical Center-Montlake - Social Work & Care Coordination has an outstanding opportunity for a Nurse Care Coordinator. WORK SCHEDULE Full time / 100% FTE Day shifts,...

# Legal Nurse Consultant## Company DescriptionAt Expert Institute, we are pioneers and disruptors in the legal space. Simply put, we pair attorneys with the perfect expert witnesses to win high-stakes cases and be the hero for the people,...

Overview Would you like to be part of a well-established healthcare organization that is genuinely making a positive impact in our communities? Become a member of our team now! This week, AltaPointe is organizing a hiring...

Travel LVN/LPN Case ManagerNear West Hollywood, CA AreaLength of Assignment: 13-Week Contract (Full-Time / Part-Time / Per Diem Shifts Available)Our Client is a nonprofit, independent healthcare organization committed to improving the health...

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any...

Description RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity criteria to provide quality care...

RN Triage Nurse (Full-Time) Anchor Health is looking for a compassionate RN Triage Nurse to join a strong supportive team of professionals that provide hospice/palliative care. Position Purpose: Under the general supervision...

Revenue Cycle Audit Position Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D...

Denials Case Manager, RN The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials,...

RN Triage Specialist The RN Triage Specialist provides telephonic triage to assist callers to determine the most appropriate level of care needed for the current situation expressed or assessed, following workflows and utilizing...

Utilization Review Specialist The Utilization Review Specialist will ensure regulatory compliance with CMS Conditions of Participation with regard to Utilization Management. Perform Utilization Review according to CMS and commercial payor...

Join Our Team as a Clinical Quality Assurance Coordinator! Are you passionate about healthcare quality and compliance? Do you thrive in a detail-oriented environment where your work directly impacts patient care and regulatory excellence? If...

DSS, Inc. is a leading health information software development and systems integration company, offering services and solutions utilized daily by thousands of clinicians and administrative staff across both public and private sectors nationwide.

Empassion is one of the most impactful and exciting start ups in health care. We are focused on improving the experience and lowering costs for seniors at end of life. Specifically, we provide palliative and hospice care for seniors with serious...

LPN Clinical Research Coordinator LPN Clinical Research Coordinator organizes, analyzes, researches and manages complex programs, medical data and activities, which integrates multiple functional areas including case management,...