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JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum.

Ocean State Job Lot is looking for a Clinical Educator responsible for enhancing nursing staff education throughout the hospital. This role includes curriculum development, conducting evaluations, and ensuring compliance with standards.The ideal...

AccentCare in Glendale, CA is seeking a Clinical Patient Family Liaison, Registered Nurse to join its dedicated team. This role involves managing patient family information, communicating with healthcare providers, and assisting in medical...

Providing clinical review support on an as-needed basis, the part-time PRN Clinical Review Specialist will review medical records for medical necessity, level of care, and authorization compliance while ensuring timely appeal submissions and...

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Description M-F 10 hours shifts. Day shifts will rotate/work at MCR or PVH. Call requirements of 1 weekend every 6-8 weeks to cover inpatient CV stress testing. 2 years of recent procedural/cath lab prep/recovery, PACU, ED, and/or critical 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...

Description Risk Management Analyst RN at Providence Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This position is Full-time and will work Day shifts. Providence Cedars-Sinai Tarzana Medical Center, recognized...

Description Clinical Program Manager RN at Providence Little Company of Mary Torrance in Torrance, CA. This position is Full-time and will work 8-hour, Evening shifts. Providence Little Company of Mary...

Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards and regulations. This role involves evaluation clinical practices, identifying areas...

A healthcare institution in Los Angeles is looking for a Clinical Education Specialist responsible for designing and implementing education programs for nursing. Ideal candidates must hold an active RN license in California, possess a Bachelor's...

Become a part of our caring community As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts. Reporting to the Manager of Care Coaching, you will support members enrolled in the Wisconsin Family Care Program...

Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, quick-thinker, and ready to be a part of an organization that supports your growth?WHAT WE'RE ABOUTWe...

Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, quick-thinker, and ready to be a part of an organization that supports your growth?WHAT WE'RE ABOUTWe...

Sinceri Senior Living in Glendale, CA is looking for a full-time healthcare provider to monitor daily care and perform nursing tasks. The ideal candidate will have a valid nursing license and experience working with the elderly.This role involves...

Prior Authorizations, Case Manager (LVN/RN)#UHM-5092West Hills, California, United StatesWork Model On-SiteJob Description Position Summary:The role of the Prior Authorization Review Nurse, LVN/RN is to promote the quality and cost effectiveness...

AMN Healthcare Revenue Cycle is seeking a travel Utilization Review for a travel job in Woodland Hills, California. Job Description & Requirements Specialty: Utilization Review Discipline: Therapy Start Date: 07/13/2026 Duration: 13 weeks 40 hours...

A leading health services organization is seeking a Clinical Education RN to support staff development in Los Angeles, CA. This role involves facilitating educational processes for various health staff and requires a Bachelor's of Science in...

Position is Hybrid serving the EAST VALLEY (Time spent in the field, working from home and occasionally in the office for meetings or training) For those who want to invent the future of health care, here's your opportunity. We're going beyond...

Job Description Align yourself with an organization that has a reputation for excellence! Cedars Sinai...

The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best...

Job Summary The Care Manager—Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as social...

Sharoncarela in Los Angeles is seeking a Part-Time Minimum Data Set Assistant to enhance resident care. You will be responsible for conducting and coordinating the completion of the resident assessment following state requirements. Ideal...

Cedars-Sinai in Los Angeles is seeking an RN Clinical Program Manager for the Maternal Fetal Treatment Center. This vital role combines clinical expertise with strategic management to enhance patient experiences and support innovation in maternal...

What You'll DoMake outbound calls to eligible Medicare patientsExplain Shield Health's care management programs in a clear, patient-friendly mannerAnswer patient questions and address common concernsBuild rapport and trust with patients over the...