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Ssbv Clinical Claims Review Rn 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...

myPlace Health is built around a simple but powerful belief: older adults deserve the support they need to live safely, independently, and with dignity in their own communities. As a PACE (Program of All Inclusive Care for the Elderly)...

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform-bringing health plan administration, holistic...

Case Manager I (MSW/RN) Medicare/DSNP This position is remote. We are targeting an individual who lives in the Seattle area and is knowledgeable of the area and its available resources. This is essential in being able to assist our...

UCI Health UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that...

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 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...

Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah *Please be advised that this role is part of our candidate pool, which allows us to identify and attract...

Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Mission Hills, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

Field Case Manager Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an...

Apply Now Certification: Registered Nurse Specialty: Case Manager Location: Santa Monica, California Jobs Available: 1 Job Type:...

Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients'...

Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered Nurse (RN) supporting a health plan or insurance organization, you will use your...

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...

Denials Case Manager, RN The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials,...

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...

Registered Nurse Duty Days: 187 Pay Grade: T07-T08 Salary Schedule: Click for Salary Schedule Primary Purpose: Ensure that learning is not hindered by a correctable health problem and educate students toward worthwhile decisions...

Job Title Details Job Type Local Profession RN Specialty MS / Tele Shift Details Shift Variable Shifts - 36 Hours Job Order Details Start Date 08/16/2026 End Date 11/15/2026 Duration 13 Week(s) Client Details State MA ...

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...

Details Client Name Providence Saint Joseph Medical Center - Burbank Job Type Travel Offering Nursing Profession RN...

RN Case Manager Opportunity The RN Case Manager works with the clinical department and acts as a liaison with our physician practices. The RN Case Manager advocates for personalized treatment options that address a patient's unique care...

Details Client Name Providence Saint John's Health Center - Preferred Job Type Travel Offering Nursing Profession RN...

Job Opportunity Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. Make It Happen At Hopkins! Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine,...

About the Opportunity We are seeking an experienced Case Management RN to coordinate patient care, discharge planning, and utilization review in a hospital setting. This role is ideal for nurses who enjoy...

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