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Job Description 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 &...

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 people...

Clinical Care ManagerAt 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 the better. Come build...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Preservice Review RN - Remote in HI (2391946) Preservice Review RN - Remote in HI - 2391946 Optum is a global organization that delivers...

Summary Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assumes responsibility for the coordination of care focused on patient education, self-management, and...

NurseRemotely is seeking a licensed RN for a remote case management role with a Health Insurance client. You will design care plans, assess needs and coordinate services across various teams to ensure quality, cost-effective care.

Aya Healthcare has an immediate opening for the following position: Outpatient Clinic in Beverly Hills, CA.We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country, we've got...

LTC/Skilled Nursing JobType of Facility: Skilled Nursing Unit as part of the acute hospitalPrivate/Semi-private rooms: Semi-private roomsEMR: CernerRatios: RN's: 5:1Required Certifications: BLS for RNs, LPNs and CNAsCommon diagnosis / Types of...

ASAP START JOB REQUIREMENTS: - Experience: 3 years in PACU. Ambulatory Surgery Center and Charge Exp Req - CA RN License - Certs: BLS and ACLS - **FLU VACCINE (no exemptions o declinations)** - ****Special...

Details Client Name Adventist Health Glendale - Westways Job Type Travel Offering Nursing Profession Registered Nurse (RN)...

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)...

Licensed Vocational Nurse (LVN) Shift Care West Covina, CA Assisted is an exciting place to be right now as we are experiencing tremendous growth. We are looking for a LVN for our West Covina patients. Voted #1...

Job Description The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential health problems; utilizes knowledge of...

Behavioral Health Care Manager Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health...

Case Management Specialist RN- Per DiemWorks collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify...

Case Manager The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available...

Cunningham Children's Home in Urbana, IL seeks a Nurse Case Manager to support residential programs serving youth with emotional and physical care needs. Responsibilities include medical case management, screenings, education, counseling, and...

CVS Health Corporation is seeking a Remote Case Manager RN to join the Costco Team in a 100% remote, full-time role with a weekday schedule. You will support members' health outcomes from home, coordinating care and resources. Requirements...

Guidehealth, a data-powered healthcare company, is seeking a licensed RN Case Manager to work remotely from Wisconsin. You will collaborate with clients and members to promote wellness, navigate the health system, and manage case assignments from...

JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state. Three of the positions are open to RNs with at least two years of experience in in Behavioral Health or Substance...

Job Summary and Responsibilities As our RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient...

Elevance Health is seeking a Telephonic Nurse Case Manager I to provide remote care management for members with complex and chronic conditions. The role requires a BA/BS in a health-related field, a current RN license, and multi-state licensure...

About This Role As a Clinical Grievances Nurse, you will review incoming retrospective cases to determine if appropriate care was given and ensure members' immediate needs are addressed. This role is ideal for those who can work PST hours...

Humana Inc. is seeking a Pre-Authorization Nurse to review prior authorization requests, determine medical necessity, and educate providers on utilization management processes. The role requires clinical judgment, independent decision...

Job Description 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 placed...