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Clinic Supervisor - Registered Nurse Reports to: Executive Director Supervises: Clinic Nurses (RN, CNA) and Clinic Clerk About the Role...

Case Manager Utilization RNWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the...

CVS Health is seeking a Case Manager Registered Nurse to work remotely with travel to Maricopa County, AZ. You will coordinate and document utilization management activities, provide care coordination, support, and education to members, and apply...

Senior Clinical Quality of Care RN 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...

Permanent Case Manager Registered Nurse in Torrance, CA Job Details Profession: Registered Nurse Pay: $58.54 to $91.82 per hour Schedule: 5x8-Hour 08:00 - 16:30 Openings: 1 Experience: 1 year For...

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

Case Manager Care Coordinator The Case Manager Care Coordinator coordinates the care and service of patient populations from admission through discharge. The Care Coordinator clinically assesses, plans, implements, coordinates, monitors,...

PIH Health in Los Angeles is seeking an RN Peer Review Analyst responsible for retrospective medical record reviews, data compilation to validate quality and accuracy of documentation, and auditing charts for admission/continued stay. You will...

Nurse - Clinical Review The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp's specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical...

Job Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to the members. Providence caregivers are not...

Benefits: 401(k) Competitive salary Dental insurance Health insurance Paid time off Signing bonus Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301...

Open Non-Competitive Job Opportunity Exam Number: Y5134L First Day of Filing: 3/3/2026, 8:00 A.M., PT, until the needs of the service are met and is subject to close without prior notice. COVID-19 Vaccination Mandate: All...

*Job Summary and Responsibilities* As our Registered Nurse (RN), in Surgery you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you...

Sagility invites an experienced RN to join as a Senior Care Specialist in a full-time, remote role. You will conduct telephonic health assessments for Medicare/Medicaid populations, craft actionable care plans, and foster coaching relationships to...

Telephonic Nurse Case Manager II Telephonic Nurse Case Manager II Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and...

CareHarmony's Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN)...

Case Manager RNBurbank, CA$2537 /Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur8H Days26 Weeks40Short Term Acute Care Hospital368EPICRequirementsAt least 2+ years' experienceEither an...

Job Description Clinical Quality Assurance Nurse (RN/LPN) - Remote | $26.50/hr Title: Clinical Quality Assurance Nurse (RN/LPN) - Remote Location: Remote (U.S.-based)...

Registered Nurse (RN) For Utilization Management Team We are seeking a Registered Nurse (RN) to join our Utilization Management team. In this role, you will perform concurrent reviews, prior authorizations, medical necessity reviews,...

OverviewAs our Educator, RN in Periop, you will serve as a consultant/resource professional by providing staff development expertise as an educator, facilitator, change agent, leader, and researcher, ensuring educational initiatives are...

RN Career Transition Opportunity – Nurse Case Manager Are you an RN seeking a rewarding career shift that uses your clinical skills and compassion — without the physical demands of bedside care? QuestPro has the exclusive...

Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the...

POSITION SUMMARY The Quality Assurance Registered Nurse is a professional and responsible for all the quality activities of the organization. The Quality Assurance Registered Nurse has accountabilities for the monitoring,...

Position Summary Help us elevate our patient care to a whole new level! Join our team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members.

Sr Utilization Management Nurse 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...