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Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply...

Field Nurse 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...

Manager, Telephonic Nurse Case Management The Nurse Case Manager serves as the clinical resource within the Risk Management & Safety team, providing telephonic nurse case management to support injured employees through the workers'...

Direct Jobs is seeking a dedicated Case Manager to join Cedars‑Sinai Medical Network in Beverly Hills, California. This role focuses on managing patient cases during hospitalization and post-discharge, ensuring coordinated patient care while...

Job Overview The RN or LVN Case Manager manages a continuum of care from pre‑admission through post‑discharge for assigned patients. The role ensures patients and families progress efficiently throughout hospitalization. The focus is...

Community Hospital of Huntington ParkHuntington Park, CA 90255, USADescriptionJob Summary:Under the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement,...

Job Description Join Cedars-Sinai 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...

The Registered Nurse (RN) is a vital member of a dynamic, multidisciplinary team, delivering compassionate, evidence-based care in alignment with the Discovery Behavioral Health Clinical Model. In this role, the RN serves as both a clinical expert...

Astrana Health, Inc. is seeking an RN/LVN Case Manager in Monterey Park, CA to support integrated care programs. The role offers standard weekday hours with hybrid onsite/remote work and training if needed.You will coordinate discharge planning,...

RN Case Manager, Home Health Overview: RN / Registered Nurse, Home Health Location: Culver City Position: RN Case Manager, Home Health Position Type: Full Time Remote/Virtual Position: No Coverage...

Description Location: UCHealth UCHlth Anschutz Outpt Pavilion, US:CO:Aurora Department: Hematology Clinic Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's...

Nurse Case Management Senior Analyst Role is for Tuesday thru Saturday 0800AM-5PM this is a remote position within our plan states, IL, TX, NM, OK, MT, TN. Delivers specific delegated tasks assigned by a supervisor in the Nurse Case...

Air Combat Effectiveness Consulting Group, LLC in Monterey Park is seeking a Case Manager RN or LVN to join our Utilization Review Department. This per diem position involves coordinating care for patients, conducting admissions, and liaising with...

Here are the job details for your review: Job Title: Nurse Case Manager II Job Location: Looking in Toledo region. Lucas, Fulton, Ottawa and Wood Counties. Duration: 3+ Months Contract (Potential for extension) ...

Prior Authorization Nurse Case Manager (PACM) The role of the Prior Authorization Nurse Case Manager (PACM) is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of...

Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.

To support the Utilization Management team, the full-time Utilization Management Nurse (RN) will conduct inpatient, behavioral health, and post-acute authorization reviews, ensuring compliance with CMS and Medicare Advantage regulations while...

Nurse Case Manager I Location: The ideal candidate would reside within the following counties within the state of Texas: Angelina, Walker (Huntsville), Tom Green (San Angelo) and Taylor county. Field: This field-based role enables...

Compliance Nurse 2, Long-Term Care Unit The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for...

Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical...

Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States,...

Nurse Care Manager Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the...

Duties Help Prioritizes patients in the disease management program. Performs proactive patient management and education. Organizes internal and community resources to provide ongoing self-management support to...

ICM Case Manager RN Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have a...

OSU Case Manager This is a remote job opportunity (hourly pay only). Shift: 08:00-16:30. Accepts first-time travelers. Require certifications: active RN licensure to practice in Ohio (can be compact) BLS. 2 years of experience required.