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Utilization Review Specialist The Utilization Review Specialist will ensure regulatory compliance with CMS Conditions of Participation with regard to Utilization Management. Perform Utilization Review according to CMS and commercial payor...

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...

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Adventist Health in Los Angeles seeks a qualified RN Nursing Supervisor. Located in Boyle Heights, you will oversee nursing operations, ensure staff quality, and manage patient care across departments. The role requires strong nursing supervision...

An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home, or in an alternate infusion suite, to ensure patient safety with continuity and compliance under a physicians...

At Natera, the Clinical Nurse Coordinator will interact with transplant coordinators and allied health professionals at transplant centers regarding transplant rejection monitoring with Prospera..The CNC uses their knowledge of the transplant...

Nurse Practitioner Assumes total nursing care of specific patients under the direction of physician. Follows established nursing standards, procedures and practices and gives specific patient care directions to nursing and other staff.

Staff Today is seeking a local contract nurse RN Med Surg for a local contract nursing job in Downey, California. Job Description & RequirementsSpecialty: Med...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work...

To support patients in managing diabetes and prediabetes, the fully remote Diabetes Nurse Educator with CDCES certification will educate clients on blood sugar monitoring, insulin administration, dietary adjustments, and lifestyle changes.Key...

Medical Coding Specialist Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

Job Summary and ResponsibilitiesAs a Nurse Shift Manager, you'll oversee a department of frontline nurses caring for patients. Your previous experience in acute care, LTC, or nursing homes adds tremendous value to our nursing team.Every day you...

Posting Details Position Information Job Number FAC00392P Position Title College Nurse Position Type Faculty Part Time Pool...

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is...

Harris Health System is seeking a Utilization Management Review Nurse (UMRN) to assess the necessity and appropriateness of medical services. The UMRN utilizes clinical expertise to ensure care aligns with industry standards, works with healthcare...

Medical Coding Specialist Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity criteria to provide quality care...

Insurance And Reimbursement Expert Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our...

RN Manager, Clinic Operations - Hematology / Oncology Nurse NavigatorsThis is a full time, benefited position generally working Monday-Friday from 8am-5pm. Located primarily at Torrey Pines in La Jolla but oversees all Scripps Cancer Clinic sites...

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...

Medical Review RN IV – Commercial Appeals & Grievance Nurse Location: Remote – Candidate Must Reside in California Duration: 6+ Months Contract-to-Hire Schedule: Monday-Friday | 9:00 AM – 5:00 PM Pay Range:...

Clinical Nurse Manager Salem Kidney Center - Winston Salem, NC Health Systems Management, Inc. (HSM) is a full-service healthcare management organization providing a full range of development, management, and administrative...

Surgical Nurse Accountable for the assessment, planning, treatment and evaluation during the pre operative, intra operative and post operative phases of nursing care. Assists the physician during surgery and procedures by functioning in...

DescriptionJOB TITLE: Nursing Program Coordinator– Nursing ProgramSTATUS: Full Time/Part TimeTYPE: On CampusREPORTS TO: Director of NursingPurposeThe Nursing Program Coordinator is responsible for providing administrative support to the Director...