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Program Integrity Clinical Compliance AuditorOptum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers.

DescriptionKindred Hospital San Gabriel Valley is a 76-bed long-term acute care hospital offering the same in-depth care you would receive in a traditional hospital, but for an extended recovery period. We partner with your physician and offer...

Clinical Documentation Integrity Specialist IIThe Clinical Documentation Integrity Specialist II (CDI) is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy, and completeness of...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent...

Job Description: Join a compassionate hospice team where your nursing expertise helps patients experience comfort, dignity, and quality of life in the place they call home. As a Hospice RN, you'll provide individualized, patient-centered care...

Medical Solutions is seeking a local contract nurse RN Case Management for a local contract nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN ...

Job OverviewPay Range: $46.76hr - $51.76hrRequirement/Must Have5+ years Clinical nursing experience.2+ years Care Management.Bachelor's Degree in Nursing.In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required...

8 Hours POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care.

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

NK Consultancy LLC in California is seeking a Registered Nurse (RN) Field Case Manager for Workers' Compensation. This field-based role coordinates medical care and advocates for injured workers, helping them safely navigate recovery and return to...

Nurse Case ManagerUnder the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement, acting as a resource to staff and physicians in resource efficiencies and...

Job ID:26-134888 Job Title: Licensed Vocational Nurse Position Type: Full-Time Contract Role Location:Fully Remote Work Type: Work from Home Est. Pay Range: $25.00/Hour to $28.00/Hour on W2 (USD) Schedule: 8-hour shift Monday to Friday anywhere...

Self Fund Health Nurse Navigator Remote · Full time The Nurse Navigator is a remote WI-based RN who acts as the member's single point of contact through the healthcare system — coordinating care, advocating for patients, and steering...

University of California, Irvine Health seeks a qualified Case Manager to coordinate patient care across case management, care coordination, and discharge planning, ensuring adherence to evidence-based practice and regulatory standards.The role...

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 sponsorshipLocation: 100% Remote for California...

Job DescriptionDescriptionThe AN I as a clinical lead and is responsible for coordination of patient care activities and workflow within the Surgery Center Operating Room. Acts as a clinical and administrative resource to staff and provides work...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.Patient...

Supportive Housing Case Manager (Ages 18–25)The Supportive Housing Case Manager (Ages 18–25) supports young adults in securing and keeping stable housing while building life skills and independence. Using a positive, youth-centered approach,...

LVN Inpatient Case Manager – Utilization ManagementPosition DetailsPay Rate:$33–$46 per hourLocation:Montebello, CA 90640 (Onsite)Schedule:Monday–Friday, 8:00...

Enlyte in Downey, CA is seeking a Field Case Manager (RN) to lead workers' compensation case plans, coordinating with physicians, employers, and patients to ensure effective and timely recovery and return-to-work.The ideal candidate has 2+ years...

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Infusion Referral Intake...

Job DescriptionJob DescriptionThe Supportive Housing Case Manager (Ages 18–25) supports young adults in securing and keeping stable housing while building life skills and independence. Using a positive, youth-centered approach, you'll carry a...

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 deeply, innovate with purpose, hold...

Seeking a California RN Telephonic Nurse Case Manager to work full-time in a fully remote capacity, responsible for managing medical claims, coordinating care for injured employees, and facilitating communication among stakeholders to promote...

Job TitleWorks collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify member needs and development of...