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A healthcare facility in California is seeking a Utilization Review Case Manager to validate patient admissions and levels of care. The role involves performing patient chart reviews, securing authorizations for clinical services, and...

NeueHealth is a value‑driven healthcare company grounded in the belief that all health consumers are entitled to high‑quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make...

Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity criteria to provide quality care...

Our Company Amerita Overview Seeking a Nursing Role That Transforms Lives Beyond the Hospital Walls? Our home infusion nurses care for our specialty infusion patients...

Job Title: Correctional Nurse Employer: City of Los Angeles Salary: $82,162 to $143,341 Annually Location: CITY OF LOS ANGELES, CA Job Type: FULL-TIME Job Number: 2317 O Opening Date: 11/01/2024...

Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00...

Train patients and caregivers on PD procedures and self-care. Manage a caseload of PD patients, including assessments and care planning. Monitor treatment progress, conduct home visits, and provide on-call support. Collaborate with interdisciplinary...

Description Location: UCHealth UCHlth Poudre Valley Hospital, US:CO:Fort Collins Department: PVH Diabetes Program Work Schedule: Per Request Needed Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant experience This...

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 Harborview Medical Center has an outstanding opportunity for an experienced Registered Nurse to join our Care Management Team. WORK SCHEDULE: Full Time Day shift...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone support to...

Blind Childrens Center Inc in Los Angeles seeks a Registered Nurse Consultant to provide pediatric nursing and health training. Responsibilities include conducting health screenings and developing health plans for children.The ideal candidate...

Job Description Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if applicable): This role is eligible...

Responsive recruiter Benefits: Mileage Reimbursement Referral Bonus Bonus based on performance Company parties Competitive salary Donation matching Employee discounts Flexible...

Emory Healthcare Utilization Review Specialist Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership...

Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, analyzing care services, coding requirements, and resource utilization while collaborating...

Join a leading health care system recognized for excellence, where your role as a Utilization Review Nurse will be pivotal in evaluating medical records and ensuring the delivery of quality care. In this position, you will apply your clinical...

Job Summary The Care Manager—Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as social...

Registered Nurse - Utilization Review Hospitals on Incredible Health are hiring and accepting applications in the Los Angeles, CA area.Work Details Shift(s) available: day shiftJob types available: full time and part timeQualifications RN Diploma...

RN MDS Coordinator We are looking for a kind and passionate RN MDS Coordinator to work in a Skilled nursing facility. The responsibilities will include: Under the direction and supervision of the Director of Nursing Services,...

RN Health Care Facility Surveyor - Georgia Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting...

RN Utilization Mgmt Full-Time Day POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include: the e-TAR process, denials management,...

Referral And Scheduling Registered Nurse Park Nicollet Home Care is looking to hire a Referral and Scheduling Registered Nurse to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that...

Ochsner Health in California is seeking a registered nurse to lead in patient care and utilize the nursing process effectively. Candidates must have a nursing license and BLS certification. This position emphasizes the importance of patient care,...

PIH Health, Inc. is seeking a Registered Nurse (RN) Clinical Educator to educate and train nursing staff. The role focuses on ensuring competence and proficiency, using various teaching methods to enhance staff professional development and...