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GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Case...

Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers...

LanceSoft is seeking a travel nurse RN Wound Care for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Wound...

NTT DATA is seeking a Clinical Reviewer Specialist to perform clinical and medical necessity reviews for appeals, ensuring compliance with state and federal regulations, Medicaid, and NCQA standards. This fully remoteFlorida-based position...

Sedgwick is seeking an RN Telephonic Case Manager to support injured workers remotely. You will partner with workers, employers, and medical providers to develop care plans that promote medical recovery and a successful return to work. The...

Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most...

Prime Staffing is seeking a travel nurse RN Short Stay for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Short...

OverviewAs our Educator, RN in Periop, you will serve as a consultant/resource professional by providing staff development expertise as an educator, facilitator, change agent, leader, and researcher, ensuring educational initiatives are...

We are looking for a Travel Cath Lab RN for a great Travel nursing job in Lynwood, CA. This Cath Lab Travel nursing job pays for 40 hours a week for 13 weeks. With Wanderly you can compare...

Peraton, through SafeGuard Services (SGS), is seeking a Nurse Reviewer to conduct medical record reviews and determine claim payments with sound clinical judgment. The role involves researching Medicare regulations, identifying billing issues, and...

Registered Nurse Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Evenings Job Description Join a team that's shaping the...

Conduct telephonic nursing assessments and triage using protocols.Provide health education and referrals to diverse patient populations.Work Schedule:Full-time evenings with weekend shifts every two weeks.Virtual training for 2-4 weeks, 100%...

Sentara Health is hiring a Remote Utilization Review Registered Nurse to perform prior authorization and utilization review for inpatient and outpatient services. Candidates must reside in Virginia and hold an active Virginia RN license. As...

TriWest Healthcare Alliance is seeking a Utilization Management Clinical Review nurse to assess medical necessity and manage prior authorizations for Behavioral Health and Medical/Surgical requests. You will apply InterQual criteria, document in...

Manage patients assigned to your Care Team, ensuring visit frequencies align with acuity levels. Communicate via phone and video conferencing, assess and enroll patients, and develop care plans. Manage medications,...

Case Management Utilization RNSalary: $68.95 - $84.38 / hourLocation: Los Angeles, California, Los Angeles Medical CenterEmployee Status: RegularSchedule: Part-time, 32 hours per week, Day shiftJob Summary:Works collaboratively with an MD to...

The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...

We are looking for a Travel Interventional Radiology RN for a great Travel nursing job in Los Angeles, CA. This Interventional Radiology Travel nursing job pays for 40 hours a week for 13...

Intermountain Health is seeking an RN Utilization Review Care Management I for remote work. The role focuses on screenings, assessments, and evaluations to ensure cost-effective, high-quality care while coordinating with patients, families,...

BlueCross and BlueShield of South Carolina seeks an RN Medical Reviewer II to join the Palmetto GBA Medical Review team. You will perform medical reviews using clinical information, apply guidelines, and help ensure accurate coverage and payment...

Responsibilities Plans, implements, coordinates, and evaluates comprehensive care for designated patients to ensure quality of care and continuity of care delivery through telehealth platforms. QualificationsMinimum...

Trinity Health At Home is seeking a Virtual Care Coordinator RN to deliver telehealth hospice care and coordinate individualized care plans for patients and families from a remote setting. The role involves monitoring patient conditions,...

We are looking for a Travel Oncology RN for a great Travel nursing job in Los Angeles, CA. This Oncology Travel nursing job pays for 36 hours a week for 13 weeks. With Wanderly you can...

Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to...

The University of Texas MD Anderson Cancer Center is seeking a Denials Management Coordinator to support revenue cycle operations by coordinating review, analysis, and resolution of insurance denials and to help secure accurate reimbursement. This...