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Overview The Case Manager leads care coordination throughout hospital levels of care. In this role the Case Manager completes assessments and transition care planning that reflects the wishes and needs of the patient and their family. This...

ForzaCare is seeking a Field Medical Case Manager in Los Angeles, CA to coordinate care among medical providers, employers, insurers, and injured workers. The role emphasizes centralized case management, timely communication, and compliance with...

Where You'll Work Founded in 1887, Dignity Health - California Hospital Medical Center is a 318-bed, acute care, nonprofit hospital located in downtown Los Angeles. The hospital offers a full complement of services including...

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing...

Description Job Title Nurse Case Manager 2 Location Remote - OK Position Description The Case Manager utilizes a collaborative process of...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end...

SCM Associates, Inc. seeks an experienced Case Manager (RN) to assess, plan, coordinate, and monitor care for clients in a home-based setting. You will collaborate with families, physicians, and the care team to ensure quality, cost-effective...

RN - Case Manager RN- Travel - Auto Offer Gross Weekly: $2690 Weekly Taxable: $ 1040 Non- Taxable: $1650 Shift: Days (5*8) 8AM to 4:30PM Every other Weekend Guaranteed Hours: 40hrs Contract Length: 26...

Details Client Name USC Keck Job Type Travel Offering Nursing Profession RN Specialty Case Manager...

Registered Nurse - Case Manager Job Description: If you want to make a significant impact as a Registered Nurse - Case Manager in Los Angeles, CA this position might be what you are looking for!

Case Manager Utilization RNWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the...

Nurse - Clinical Review The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp's specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical...

About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors...

Ecm Case Manager (Lvn)The ECM Case Manager (LVN) provides clinically informed care management, under the supervision and direction of the Manager, Strategy & Operations & RN Clinical Consultant, to a caseload of high-need Medi-Cal members enrolled...

Crossbridge Hospice At Crossbridge Hospice, we believe a role is truly fulfilling when it aligns with your personal values, reflects your interests, leverages your strengths, and supports your professional growth. Our mission—people...

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

Job Overview: Pay Range: $46.76hr - $51.76hr Requirement/Must Have: 5+ years Clinical nursing experience. 2+ years Care Management. Bachelor's Degree in Nursing. In...

Telephonic Nurse Case Manager: California RN License (Remote) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location:...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

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Anticipated End Date: 2026-11-11 Position Title: Nurse Case Manager II - California Job Description: Nurse Case Manager II CA Location: State of Californica...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

JOB DESCRIPTION - REGISTERED NURSE (A) Job Summary: The Registered Nurse provides patient care on a supplemental basis to our client facilities. With the delivery of safe, quality patient care as...

Job DescriptionJob DescriptionPosition Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of...