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Job Description The Clinical Documentation Integrity Specialist II(CDI) is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy, and completeness of provider-based...

RN JobCare Management Specialist II (RN 12 month Contract)ShiftFull TimePay Range$88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)Job ID13214LocationLos Angeles, 90017Job DescriptionThe Care Management Specialist II utilizes clinical...

Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13208 Salary Range:...

Title: Care Management Coordinator/RN Location: 100% Remote Duration: 3+ Months (FT conversion) Job Description This position will be remote but candidate must reside in tri-state area to be eligible for potential conversion.

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 healthcare continuum. The Care Manager...

RN Review Analyst | Remote | Contract Walker Healthforce is seeking an RN Review Analyst with 2-4 years of clinical experience to perform clinical reviews and help ensure...

I Have Found It It's no wonder why California is a favorite state for travelers! If you are a nature lover, wine drinker, or explorer of unique cities, The Golden State might be your next destination! Why PRN Healthcare?

Job Title- Grievance and Appeals RN Location: Phoenix, AZ 85021 or Remote(AZ Time zone only) Duration: 6+ Months Contract Openings: # 4 Pay...

Where You'll Work CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and...

Enterprise Solutions, Inc. is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

Description This posting is for multiple openings of a Call Center Advice RN at The Nurse Advice Call Center in Brea, CA! We offer Part Time and Full Time positions, based on availability. Please ask at the time of...

Remote Utilization Review Registered Nurse (UR RN) Location: Remote (Texas RN License or Compact License Required) Company: Nexus Health Systems Employment Type:...

RN Hospice Workflow Specialist / Weekend Manager (Remote) The RN Hospice Workflow Specialist / Weekend Manager is responsible for overseeing and coordinating hospice clinical operations during weekends while ensuring efficient workflow...

Part C Grievance & Appeals Nurse Become a part of our caring community The Part C Grievance & Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical nursing skills to support the coordination, documentation and...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is...

Overview As a Registered Nurse Case Manager, you will coordinate patient care, ensuring efficient and effective treatment plans are in place. This role emphasizes collaboration with healthcare teams to optimize patient outcomes in a...

Job Description A bit about this role: As a Clinical Guide on our Outpatient Utilization Management team, you'll have the opportunity to make a difference in the lives of our members. You'll be responsible for clinical...

Home Health Nurse Plans, organizes, and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct...

Details Client Name Torrance Memorial Medical Center Job Type Travel Offering Nursing Profession RN Specialty...

Case Manager RN Travel Assignment Meda Health is looking for a Case Manager RN to work a travel assignment in an acute care hospital setting. Must have at least two years of experience, state licensure and BLS (at minimum). Competitive...

Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for...

Job Description • Start date: ASAP • Floating Expectation: No • Ratios: 1:20 • Years of experience REQ: 2-year acute care Hospital Case Manager experience performing Care Coordination and Discharge planning, HOSPITAL EXPERIENCE IS A MUST...

Details Client Name Providence St Josephs Medical Center Job Type Travel Offering Nursing Profession RN...