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Improve the lives of others while Caring. Connecting. Growing together. Job Description - Clinical Grievances RN - Remote in CA (2381848) Clinical Grievances RN - Remote in CA - 2381848 At UnitedHealthcare, we're simplifying the...

CVS Health Corporation seeks an experienced Registered Nurse (RN) to support 24/7 Utilization Management operations. You will review cases, assess medical necessity, coordinate care, and ensure members receive appropriate, high-quality healthcare...

Sentara Health Plans is seeking a Clinical Claims Reviewer/RN for a remote, full-time position. Responsibilities include utilization management, pre/post payment claim reviews, and authorization assessments across inpatient and outpatient cases,...

Ochsner Health in New Orleans seeks an RN Supervisor to lead daily operations within the Virtual Care Center, delivering Remote Patient Quality Monitoring across hospitals. The role emphasizes early risk detection, rapid intervention, and...

Guidehealth is a fully remote organization seeking a Care Manager to guide patients and families through complex health journeys from a Louisiana base. You will combine clinical expertise with holistic care, coordinating medical, behavioral, and...

Details Client Name PIH HEALTH Job Type Travel Offering Nursing Profession Registered Nurse Specialty...

Molina Healthcare is seeking a Care Review Clinician (RN or LPN) for a remote, full-time position operating 8a-5p Pacific Time, Monday through Friday. You will support clinical member services review processes, verify medical necessity, and ensure...

RN Labor and Delivery Partnering for a stronger, healthier world. At CommonSpirit Health, we believe in the healing power of humanity. We invite you to explore our specialty areas and pursue a career in humankindness.

Optum is seeking an experienced Telephone Case Manager RN to support a diverse member population with education, advocacy, and connections to necessary resources. This remote role operates Monday through Friday, 8 AM–8 PM, nationwide across the...

Case Management Nurse The Case Management Nurse delivers comprehensive, client-centered case management services across the continuum of care, ensuring that each individual receives the most appropriate level and type of health, medical,...

To support a mission-driven health organization, the full-time Utilization Review Nurse - RN will conduct medical necessity reviews, escalate non-certifications for secondary clinical review, and analyze clinical records to ensure timely and...

Humana Inc is seeking a Registered Nurse Care Manager to support members in Wisconsin with care coordination, education, and support. The role emphasizes a strong work‑life balance with no night or weekend shifts and requires travel to counties...

Mercy Health St. Vincent Medical Center Mercy Health St. Vincent Medical Center is a faith based Catholic Healthcare Ministry committed to serving the poor and underserved of our community since 1853. Mercy Health St. Vincent Medical...

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides...

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...

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

Summary Boise VA Medical Center (BVAMC) is an interdisciplinary teaching facility with service-lines serving medical, surgical, inpatients and outpatients, with an Emergency Department, and multiple community-based outpatient clinics...

Medix seeks a bilingual Spanish/English LPN/LVN to join a remote healthcare team supporting members through telephonic medication management and outreach. This role suits an LPN who communicates by phone, works independently, and thrives in a...

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...

Job Description Registered Nurse (RN) - Los Angeles,CA Travel Package: Travel Rate (based on 40 hours): Hrly $32.94 Stipend (Lodging $1,337.00 + M&I $602.00 = $1,939.00 ...

Job Description Are you ready to bring your expert clinical skills to a world-class facility recognized as top ten in the United States for transplant services? Do you have a passion for the highest quality and patient...

Centinela Hospital Medical Center At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system...

Job Description Our home health and hospice agencies are located throughout California, Hawaii, Oregon and Washington. They serve the entire community and offer personalized in-home care, and many have been recipients of Home...

Description: #SRN Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures.

Job Description: Full Time Position Night Shift. Short Stay Unit at McKay-Dee Hospital The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the...