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Payment Integrity Nurse – Medicare Advantage We are currently hiring for a Payment Integrity Nurse – Medicare Advantage to join BlueCross BlueShield of South Carolina. In this role as a Payment Integrity Nurse, you will...

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

First Connect Health is seeking a local contract nurse RN ED - Emergency Department for a local contract nursing job in Los Angeles, California. Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 08/18/2026...

OPEN JOB: Registered Nurse - Home Health Manager LOCATION: Carson, California BASE SALARY: $109,240 to $144,197 INDUSTRY: Healthcare / Health Services - Nursing / LPNs / LVNs JOB CATEGORY: Nurse...

Harris Health seeks a Nurse Manager to lead the operational management and care delivery for one or more clinics or units. This role oversees human resources, quality, and financial performance within the assigned area.You will work with the...

Saint Luke's Is Looking To Add To The Ur Team! Schedule: Day Shift Status: PRN - 1 shift required every 2 weeks The Opportunity: The Utilization Review RN is responsible for assuring the receipt of high quality, cost...

Registered Nurse (RN) – Utilization Management (24/7 Operations) Step away from bedside care and make a system-wide impact. Join our Utilization Management team and help ensure members receive the right care at the right time.

Job Summary: The LVN Case Manager works under the direction of an RN following assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care...

RN - Registered Nurse - School Health Job Description: #LI-jobpost Are you a licensed RN with a passion for working with kids? Are you looking for a role with a great schedule, competitive pay, and development...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

Ambulatory Care Manager In the capacity of a Registered Nurse (RN), the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; coordinating care to obtain desired health outcomes, improve...

Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered Nurse (RN) supporting a health plan or insurance organization, you will use your...

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...

Compliance Nurse 2, Long-Term Care Unit The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for...

Ssbv Clinical Claims Review Rn 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...

SCHOOL NURSE Published Date: Jul 7, 2026 Location: US Company: Los Angeles Unified School District SALARY DETAILS All Salary Tables located at School Nurse Salary Table - N Table APPLICATION FILING DATES...

Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients'...

Position Title: Telephonic Triage Nurse Case Manager (Remote) 2026-1475 Location: Dallas, TX, USA Job Category: Medical Case Management Job Type: Full-Time Description:...

Mentor Community Services,a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person...

At Premier Home Health Providers Inc., our compassionate and experienced clinicians are certified and expertly trained to help you manage your condition, prevent rehospitalizations, and improve your health and quality of life in the comfort and...

Registered Nurse Duty Days: 187 Pay Grade: T07-T08 Salary Schedule: Click for Salary Schedule Primary Purpose: Ensure that learning is not hindered by a correctable health problem and educate students toward worthwhile decisions...

Registered Nurse (RN) - Case Manager - Travel Position (with $7,500 Completion Bonus) Location: West Hollywood, CA Job Type: Travel Contract Duration: 13 weeks Shift: 5x8 Days Pay: $2,400.80/week...

About Abby Care: Powering the Future of Care at Home for All of America Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever.

Manager, Telephonic Nurse Case Management The Nurse Case Manager serves as the clinical resource within the Risk Management & Safety team, providing telephonic nurse case management to support injured employees through the workers'...

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...