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Emanate Health in Covina, CA, seeks a Utilization Review Nurse to evaluate medical records and determine medical necessity using policies and guidelines for urgent and standard reviews. You will document decisions and support claims reviews,...

Job Summary and Responsibilities As our Licensed Vocational Nurse (LVN), you will provide vital direct patient care, significantly contributing to patient well-being and recovery as an integral part of our compassionate...

Optum is seeking a remote IRR Clinical Claim Review Nurse to perform clinical review of claims against medical records and guidelines. The role requires an active RN license, 2+ years of acute care clinical experience, and 1+ year in claim review...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the...

Humana is seeking a Pre-Authorization Nurse for remote work to review prior authorization requests and determine appropriate care following guidelines. The role involves clinical judgment, data entry in management systems, and collaboration with...

As a Clinical Documentation Review Specialist (RN), you will help medical staff clarify patient records to ensure appropriate reimbursement and reflect care complexity. You will perform concurrent reviews and engage with physicians...

Job ID:26-134888 Job Title: Licensed Vocational Nurse Position Type: Full-Time Contract Role Location:Fully Remote Work Type: Work from Home Est. Pay Range: $25.00/Hour to $28.00/Hour on W2 (USD) Schedule: 8-hour shift Monday to Friday anywhere...

CareHarmony's Intake 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)...

Sherman Oaks Hospital Lvn OpportunityAt Sherman Oaks Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of the Prime Healthcare Foundation, Sherman Oaks Hospital is...

ExamWorks is seeking a self-driven RN or LPN to join our team as a Clinical Quality Assurance Coordinator. This 100% remote role supports peer review reports, ensuring high quality, evidence-based rationales, and compliance with client...

The Licensed Vocational Nurse is responsible for providing direct or indirect nursing care to patients who present with urgent, emergent, or potential health problems;...

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the...

USC in Los Angeles seeks a Patient Care Technician to support nursing staff in patient care delivery, clerical tasks, and unit organization. You will assist with vital signs, data collection, and ensuring a clean, safe environment.The role...

LVN Clinic NurseExperience: 2 years of outpatient clinic exp CA LVN Certs: BLS (AHA or ARC only), IV, and Blood withdrawal Special Requirements: Epic Req, Previous Urology experience strongly preferred. Job Details: Weekend REQ: No Floating REQ:...

Maximus is seeking a Clinical QA Analyst to conduct quality reviews of nurse assessments and clinical documentation for Colorado Home and Community-Based Services. The role supports compliance, analyzes metrics, and uses QA tools to drive...

Healthcare Management Solutions, LLC is seeking experienced CHSD Audit reviewers to conduct independent medical record reviews for the STS CHSD program. This remote, part-time role focuses on data accuracy, source verification, and adherence to...

Make written and oral reports/recommendations to the attending physician, Medical Director, or the DON concerning the status and care of the residents. • Agree not to disclose resident's protected health information and promptly report...

Job TitleWork Location: Los Angeles, CA, USAOnsite or Remote Fully On-Site Work Schedule Monday - Friday: 8:00am - 5:00pm, hours may varySalary Range: $38.54 - 50.84 HourlyEmployment Type 2 - Staff: Career Duration IndefinitePrimary Duties and...

CVS Health is seeking an RN Nurse Consultant for a remote role focused on utilization management and benefit coordination. The position emphasizes evidence-based decision making and collaboration with providers to ensure appropriate patient care.

Mentor Community Services,a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person...

At Avanta Care, we prioritize the well-being of our employees. Our culture is built on the foundation of compassion, respect, and teamwork. We believe that when our employees feel valued and supported, they are better equipped to provide the...

Responsibilities SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

LVN Infection PreventionistWe are seeking to hire self-motivated, efficient and responsible Infection Preventionist looking to grow and be part of a caring team. This is a direct hire: Full Time position and various shifts available to fit your...

USC Care Medical Group in Beverly Hills, CA, is seeking a licensed LVN to join as Patient Navigator. The role supports physicians, coordinates patient care, educates patients, and ensures smooth enrollment and scheduling across the care...

Job DescriptionCentered in the heart of Montebello, Adventist Health White Memorial Montebello has a 70-year history of providing quality healthcare to the community. We are comprised of a 192-bed hospital, wound care medical office and surgical...