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Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13298 Salary Range:...

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...

Humana is seeking a Telephonic Care Manager to support a remote case management program. You will coordinate care across sites and levels of care, leveraging resources to prevent readmissions and ensure integrated, compliant care plans for...

PURPOSE: Provide nursing care to patients/families by utilizing the nursing process via the telephone for all patients. $5,000 Sign on Bonus! ESSENTIAL DUTIES AND RESPONSIBILITIES: Delivers care to patients...

Registered Nurse, Care Coordination / Incident Triage: Los Angeles, CA Job Type : Assignment City : State : CA Job Description: Registered...

Care Manager—Registered Nurse We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care...

Full-Time, Salaried, Monday-Friday No Weekends & No Holidays This position is Hybrid and will require on-site training. JOB...

LPN/LVN Utilization Management Nurse Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key...

A RN Medical Care Manager contributes to AHF by utilizing strong nursing clinical skills and understanding of the Ryan White Program within their specific area. With a caring and knowledgeable focus, you will work with our physician...

8 weeks. DAYS - 5x8 SCHEDULE: M-F - 8am to 4:30pm Care Coordinator inpatient. Must Be/Have: Experienced CM • a RN • Discharge planning assessment exp • Excellent UR • Psych social assessment skills • Acute hospital...

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...

Job Summary and Responsibilities As our RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients requiring these services. The RN Care Coordinator performs this...

Job Description Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's “Best Hospitals 2024-25” rankings, as well as...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

Agency Adult Correction Division COO - Health Services Job Classification Title Registered Nurse (S) Position Number 60070732 Grade MH15 About Us...

Employment Type: Full time Description: Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices &...

Elevate Patient Financial Solutions has an exciting career opportunity available as a Nurse Auditor. This position will be a remote based role. The Full Time schedule for this role will be Monday through Friday 8 AM to 5 PM.

Job Description The Case Manager Care Coordinator coordinates the care and service of patient populations from admission through discharge. The Care Coordinator clinically assesses, plans, implements, coordinates, monitors,...

Job Title: Infusion Registered Nurse (RN) Location: Pasadena, CA (Surrounding areas) Job Type: Per-diem Position Overview We are seeking a skilled and detail-oriented Infusion Registered Nurse (RN) with strong vascular access...

Eviction Defense Team Member Change Lives and Transform Communities– Join Our Eviction Defense Team! Neighborhood Legal Services of Los Angeles County (NLSLA) provides free assistance to over 175,000 individuals and families each...

About the Job All Care Home Health Provider is committed to caring. Serving the community for 30 years, we help educate our nurses with continuous clinical skills training for your home care career advantage. About the...

Position Overview As an extension of the providers care team, the Remote RN is responsible for providing telephone communication and assessment of patient's needs. This requires the application of a variety of procedures, policies, and/or...

Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Registered Nurse (Utilization Management). *** Candidate must be authorized to work in USA without requiring sponsorship...

Job Title: Clinical Prior Authorization Reviewer Job Description This role focuses on reviewing prior authorization requests to determine medical necessity and appropriate level of care in alignment with national standards,...

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12...