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Carle HealthLos Angeles,CA
Overview Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk of mortality which...
Molina HealthcareLos Angeles,CA
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...
Real Estate Education RocksLos Angeles,CA
Minimum QualificationsCitizen of the United StatesProficient in written and spoken EnglishParticipation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP)Preferred...
Glendale Post Acute CenterGlendale,CA
The purpose of your job position as Care Coordinator Nurse is to provide direct nursing care to residents, including the coordination of care that is safe, timely, effective, efficient, equitable, and resident-centered. You are responsible for...
Broadway VenturesLos Angeles,CA
Remote Rn – Medical Claims Reviewer At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled...
Elevance HealthLos Angeles,CA
Elevance Health is seeking a Nurse Appeals RN to work virtually full-time, with in-person training required. The role involves investigating medical necessity appeals requests and requires a high school diploma and 2+ years of managed care...
St Vincent HospitalLos Angeles,CA
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...
Cedars-Sinai Medical CenterBeverly Hills,CA
Are you seeking an opportunity to demonstrate your positive interpersonal skills and high degree of respect for patients, physicians, and coworkers? Would you like to put your outstanding people skills to work in an environment dedicated to helping...
Vivian HealthBurbank,CA
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,...
AltaMed Health ServicesLos Angeles,CA
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...
North CarolinaLos Angeles,CA
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,...
talent4healthLos Angeles,CA
A healthcare staffing agency is looking for a Travel Nurse RN Clinical Document Improvement Specialist based in Tarzana, California. The role involves managing patient complaints, providing clinical oversight, and performing medical record...
Bristol HospiceLakewood,CA
Bristol Hospice seeks an Admissions RN in Lakewood, CA 90712, who is responsible for building community relationships and facilitating hospice care access. The ideal candidate will possess an RN license in California and demonstrate effective...
CVS HealthLos Angeles,CA
CVS Health Job Opportunity 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...
Generis TEkLos Angeles,CA
Please contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Nikhil Jhajharia at email address [email protected] can be reached on # 630-576-1935. We have...
ActalentLos Angeles,CA
Urgent Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...
Aditi ConsultingLos Angeles,CA
Payrate: $60.00 - $62.00/hr. Summary: The main function of the nurse is to provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and...
Blue Shield of CALos Angeles,CA
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...
Thekey-2Los Angeles,CA
Thekey-2 is seeking Licensed Registered Nurses (RNs) for high-end private duty care in Los Angeles, California. Enjoy a flexible schedule as a 1099 independent contractor, providing personalized 1:1 care in patients' homes. Pay starts at $65/hr,...
VITAS HealthcareSan Gabriel,CA
Admissions Nurse The Admissions RN is a registered nurse and an Interdisciplinary Team member whose primary responsibility is to present VITAS services and philosophy to patients and families in a manner that results in the admission of...
Cohere HealthLos Angeles,CA
Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...
West Coast UniversityLos Angeles,CA
West Coast University is looking for a Nursing Academic Specialist in Los Angeles, California. In this role, you will guide nursing students, enhancing their educational experience through targeted support and collaboration with faculty.
Hireops Staffing LlcLos Angeles,CA
JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...
Oak St. HealthLos Angeles,CA
Join Us At CVS Health 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,...
Bestica HealthcareLos Angeles,CA
RN - Clinic Nurse Out-patient clinic nurse City: Los Angeles State: CA Start Date: 01/06/2025 End Date: 04/07/2025 Duration: 13 Week(s) Shift: 5X8 Days Shifts Per Week: 5 Scheduled...

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