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myPlace Health is built around a simple but powerful belief: older adults deserve the support they need to live safely, independently, and with dignity in their own communities. As a PACE (Program of All Inclusive Care for the Elderly)...

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...

Clinical Policy Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health...

Professional Review Nurse The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range:...

The County of Los Angeles is seeking a dedicated Relief Nurse for the Department of Health Services to provide direct patient care in various community clinics and hospitals. This role involves working with diverse communities across Los Angeles...

Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or...

Our Company Amerita Overview Seeking a Nursing Role That Transforms Lives Beyond the Hospital Walls? Our home infusion nurses care for our specialty infusion patients...

Direct Jobs is hiring a skilled nursing professional at UCLA Health to provide exceptional care for Pediatric and Neonatal patients. Responsibilities include supervising nursing tasks and collaborating with team members to develop patient care...

Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13077 Salary Range:...

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...

Your RoleThe Clinical Quality Team is responsible for reviewing and abstracting medical records to capture data and to ensure accuracy and completeness. The Clinical Quality Reviewer - Nurse, Senior will report to the Manager, Clinical Quality...

Center Nurse Executive The Center Nurse Executive (CNE) will oversee the day-to-day operations associated with nursing practice, direct patient care activities, clinical education, and the continuous improvement (Quality Assurance) of...

Clinical Nurse Specialist At Aspirion, our mission is simple and meaningful: to help healthcare providers get paid accurately, quickly, and transparently for the care they deliver. By combining deep human expertise with advanced...

Join Equum Medical and be a driving force in revolutionizing acute care telehealth. As an innovative leader in the healthcare technology industry, Equum Medical is dedicated to transforming how patients access critical medical services.

CD RN (Clinical Documentation Specialist)-Level 2 The Clinical Documentation Specialist (CDS) is responsible for distributing documentation information to respective departments; performing educational outreach to individual units and...

Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...

Harris Health System is seeking a Utilization Management Review Nurse (UMRN) to assess the necessity and appropriateness of medical services. The UMRN utilizes clinical expertise to ensure care aligns with industry standards, works with healthcare...

Utilization Management Position Provide health care services regarding admissions, case management, discharge planning and utilization review. Review admissions and service requests within assigned unit for prospective, concurrent...

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Job Description Your Role The Clinical Quality Team is responsible for reviewing and abstracting medical records to capture data and to ensure accuracy and completeness. The Clinical Quality Reviewer...

RN Utilization Mgmt Full-Time Day POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include: the e-TAR process, denials management,...

Interested in working for the Golden Isles' healthcare provider and employer of choice? Throughout the many locations that make up the Southeast Georgia Health System network, there is a common thread that pulls everything...

Description Location: UCHealth UCHlth Anschutz Inpatient Pavilion, US:CO:Aurora Department: Cellular Therapies Unit Work Schedule: Part Time, 48.00 hours per pay period (2 weeks) Shift: Day and Night Rotation Pay: $35.29 - $54.71 / hour. Pay is...

Admissions Nurse Salary Range: $50 -$55/ Hour Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty—one that blends clinical expertise with deep human connection? Just like cardiology or...