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Overview Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the...

Clinical Grievances Nurse At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the...

Responsible for the retrospective review of medical records and compiling data to validate quality of care, appropriateness of care , and accuracy of documentation. RN Peer Review Analyst will audit charts for appropriateness of admission,...

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...

Landmark Health Care Opportunity Careers at Landmark, part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and...

Job Responsibilities: The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and...

Nurse Case Manager II - Telehealth Provides case management services to a caseload of low- and medium-risk patients. Interviews patients and their caregivers to evaluate needs, goals, and current services. Proposes process improvements...

Expedite Healthcare Solutions is seeking a local contract nurse RN Case Manager, Acute Care Case Management for a local contract nursing job in West Hollywood, California. Job Description & Requirements Specialty: Acute Care Case Management...

Nurse (RN) - Case Manager Hours are as needed, Monday - Friday during business hours; you will work 4, 8 or 10-hour shifts as needed to fill gaps in staffing. Hours can also include weekends but not required. This position is remote.

Job Title Job Requirements: Experience: 3 years acute care case manager experience CA RN License Certs: BLS FLU VACCINE (no exemptions) Flu season starts September Special Requirements: EPIC highly preferred Due to nature of the role,...

Case Manager Registered Nurse (RN) Days Location: Los Angeles, CA We are seeking a Case Manager RN to join our team, focusing on patient care coordination and management. This role requires strong communication and multitasking...

Clinical Documentation Integrity Specialist Evaluates the day to day documentation practices of the Medical Staff and healthcare team on a complex patient population, and offers education and recommendations in accordance with the...

Case Manager - RN / Clinical Liaison Hours: 9 am to 530pm Start date: ASAP Pay rate: $65,000 to $70,000 Position: Remote - Home Base Clinical Liaison / Case Manager Position: Work closely with...

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...

Veterans Health Administration in Los Angeles, within the VA Greater Los Angeles Healthcare System, seeks an experienced Registered Nurse for Inpatient Case Management on an intermittent schedule. You will assess patients, coordinate complex care,...

Job Description Responsible for the retrospective review of medical records and compiling data to validate quality of care, appropriateness of care , and accuracy of documentation. RN Peer Review Analyst will audit charts for...

Nurse Case Manager II Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. The...

UnitedHealth Group is seeking a dedicated RN Case Manager - HouseCalls in Columbia, MD. You will perform telephonic outreach, help coordinate appointments, and connect patients with social work and clinical resources while documenting all...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

Type: Case Manager Los Angeles , CA SkyBridge Healthcare is currently seeking Registered Nurse with Case Manager experience for a 13-week contract in CA. SkyBridge Healthcare is a premier staffing firm dedicated to matching...

Centene Corporation is seeking an experienced appeals liaison to work remotely within the Eastern and Central time zones. The role focuses on review of clinical information to determine medical necessity and preparing compliant appeal letters.

Guidehealth in the United States seeks an experienced RN Case Manager to work remotely with Illinois licensure. You will oversee member management, promote wellness, and support cost-effective care within a value-based care framework.

Job Title Job Description For this role, they are looking for an active Registered Nurse licensed in California, with current BLS certification and at least 3 years of acute care case manager experience. Epic 3 years...

Case Manager Registered Nurse (RN) Setting: Healthcare Facilities Job Type: Travel Pay: $920 / Week Hours: 40.00 Location: Los Angeles, CA The RN Case Manager is responsible for coordinating continuum of...

Centene is seeking a Clinical Review Nurse for a remote role supporting members in Pennsylvania. The candidate will perform concurrent reviews, assess care necessity, and contribute to discharge planning, leveraging case management or utilization...