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Job Title Provides support for healthcare services clinical auditing activities. Job Summary Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired...

Registered Nurse (RN) Care Manager We have an exciting opportunity for an experienced Registered Nurse (RN) Care Manager to join our growing Population Health team! The RN Care Manager will work with patients whose chronic conditions are...

Supervisor of Nursing Clinical Research (RN)Providence Saint John's Cancer Institute (SJCI), located in Santa Monica, CA, pioneers drug discovery, therapeutics, and clinical trials. This full‑time, day‑shift role (8 hour days, no weekends)...

Registered Nurse – Utilization Review (Remote) Contract Length: 13 Weeks (Extension Possible) Facility: Providence Medical Center Location: 4101 Torrance Blvd, Torrance, CA 90503 Shift: Days – 5x8-Hour (08:00 AM – 04:30 PM)...

Job Summary and ResponsibilitiesThe Assistant Nurse Manager (ANM) provides clinical and operational leadership support for assigned perioperative and procedural patient care areas, including Pre-Op / ACC and GI / Endoscopy services. The role is...

Supervisor Of Clinical Operations Rn Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals 2024-25" rankings, as well as...

Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services. To maintain open lines of communication with referral sources and within Americare...

To support healthcare revenue solutions, the full-time Remote Clinical Review Nurse will analyze denied insurance claims, draft persuasive appeal letters, and collaborate with legal teams to optimize patient care revenue without direct patient...

Job Category: Executive Leadership, Revenue Cycle Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. ...

Utilization Management Registered Nurse The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.Administrative Nursing Supervisor Full Time DaysFull Time 72 Hrs CHA HOLLYWOOD PRESBYTERIAN...

Major Responsibilities/Essential FunctionsHouse Supervision & Hospital Command StructureDirect oversight of Administrative Nursing Supervisors (House Supervisors).Ensures effective hospital-wide command during off-shifts.Standardizes escalation...

The Elevance Health Companies, Inc. is seeking a Nurse Appeals-RN to manage medical necessity appeal requests. The position allows for virtual work full-time with in-person training required. Successful candidates will investigate appeals, review...

Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13077 Salary Range:...

Choices Case Management, Inc. is seeking a Medical Case Manager to work from home while providing care coordination in workers' compensation cases. This is a training position for Registered Nurses without prior workers' comp experience, requiring...

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

Care Coordinator 2 (Field Care Manager 2) Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness...

Registered Nurse Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. The Center for...

Utilization Review Specialist The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in...

Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13180 Salary Range:...

Clinical Documentation Improvement Specialist - RN Job Category: Outpatient Nursing Requisition Number: CLINI017160 Full-Time Remote Hourly Range: $28.71 USD to $40.19 USD Description Job Overview: Day-to-day...

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:...

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,...

Job Title: Government Programs RN Care Manager III Location: Fully Remote Eligibility: Candidates may work remotely from any U.S. state except NY, CA, HI, or AK Schedule:...

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...