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Job Description Work Schedule: Day/evening, you will work eight 10-hour shifts per pay period including weekend rotation. Holiday rotation required. Hours are based off the operational needs of the...

Details Client Name Keck Hospital of USC Job Type Travel Offering Nursing Profession Registered Nurse...

Sagility is seeking aSenior Care Specialist (Registered Nurse) to work from home, supporting Medicare/Medicaid populations with telephonic health assessments and personalized care plans. The role requires an active RN license, strong clinical...

Provides direct nursing care including: assessment, plan of care, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of...

Registered Nurses| School Cases | 1 on 1 | Full Time | | Pediatrics | ASAP | 27402 Job Description: Are you a licensed RN with a passion for working with children? Do you want a role with a...

Job Description: To show our commitment to you and to assist with your transition into our organization, we will also offer up to a $15,000 sign-on bonus when applicable. Fifth floor is a 26-bed surgical floor that provides great care to...

The Registered Nurse is responsible for overseeing the health, wellness, and psychiatric stability of patients receiving Full-Service Partnership (FSP) and broader outpatient behavioral health services. The position is primarily...

RN Status Review Specialist It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Use your nursing expertise in a strategic, non-bedside role. As an RN Status Review Specialist, you'll evaluate patient...

Conduct prospective, concurrent, and retrospective reviews for medical necessity and appropriateness of services. Collaborate with UM Medical Director on reviews and final determination. Draft denial language to ensure...

Join Silverado Hospice Silverado Hospice covering Los Angeles is part of a nationally recognized team ranked in the top 10 nationwide by Fortune Magazine's Best Workplaces in Aging Services™. Since 1997, Silverado has been delivering...

CVS Specialty Pharmacy Nurse, Clinical Operations CVS Specialty Pharmacy provides medications and support for rare and complex conditions. The Nurse, Clinical Operations position is primarily responsible for supporting the clinical...

JOB DESCRIPTION Opportunity in Southern California for an experienced Managed Care Leader to join our health plan in California. Candidates must have a minimum of 7 years of healthcare experience, 3 of those should be with a Managed Care...

Los Angeles Community Hospitals is seeking a Clinical Educator - RN to plan, design and implement education programs for nursing staff. You will work with nursing directors to assess educational needs and develop orientation for new hires and new...

Registered Nurse Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Encino Hospital Medical Center, a member of the Prime Healthcare Foundation, offers incredible...

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...

BlueCross and BlueShield of South Carolina seeks an RN Managed Care Coordinator I to review medical/behavioral eligibility against benefits and clinical criteria. You will apply clinical expertise and administrative policies to ensure medical...

Research Nurse (Per Diem) - Greater Portland, OR Area Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile...

A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...

Sedgwick is seeking an RN Field Case Manager to join our nationwide team in a remote, home-based role with occasional travel. You will work with injured workers and medical providers to coordinate care, advocate for treatment, and support timely...

Clinical Reviewer – Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home This is an excellent opportunity for an experienced Registered Nurse who wants to transition from direct patient care into a...

Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you...

Elevance Health, Inc. is seeking a Nurse Case Manager I (RN) to perform telephonic care management for members with complex and chronic care needs. The role supports assessment, development, implementation, coordination, monitoring and evaluation...

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 ...

SCAN Health Plan is hiring a registered nurse for clinical review of medical claims and post-service appeals. You will analyze pre/post payments, perform audits, and apply CMS guidelines to determine medical necessity and appropriate care.

BlueCross BlueShield of South Carolina, Palmetto GBA Medical Review team, seeks an RN Medical Reviewer II to apply clinical guidelines and protocols for medical reviews and payment determinations from a home office. This full-time role emphasizes...