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Insurance And Reimbursement Expert Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our...

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...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

Utilization Review Specialist The Utilization Review Specialist will ensure regulatory compliance with CMS Conditions of Participation with regard to Utilization Management. Perform Utilization Review according to CMS and commercial payor...

Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively.

Description: Job Summary: In addition to the responsibilities listed below, this position is also responsible for applying advanced clinical and regulatory knowledge of evidence-based guidelines, insurance policies, and clinical...

About the Job Job Description: All Care Home Health is currently seeking a Licensed Vocational Nurse (LVN) Care Coordinator to join our team supporting the Kaiser region. We...

Responsive recruiter Benefits: Company car Free food & snacks Paid time off Registered Nurse (RN) – Adult Day Center & IHCC Hybrid Position Empower Lives. Lead with Compassion. Advance Your Career with...

RN Call Assist Optum WA, is seeking a RN Call Assist to join our team in Everett, WA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll...

A healthcare facility in California is seeking a Utilization Review Case Manager to validate patient admissions and levels of care. The role involves performing patient chart reviews, securing authorizations for clinical services, and...

Major Responsibilities/Essential FunctionsHouse Supervision & Hospital Command StructureDirect oversight of Administrative Nursing Supervisors (House Supervisors).Ensures effective hospital-wide command during off-shifts.Standardizes escalation...

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow...

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...

Job Title Job Summary: Review clinical documentation within the medical record to ensure that all principal diagnosis, secondary diagnoses, and PCS procedures have been coded accurately and completely as well as certain abstract items in...

Reliance Hospice and Palliative Care is looking for self-driven, experienced and passionate LVN Clinical Liaison to join our growing Los Angeles area team. Hospice experience is required for the position.Full-Time position, Monday to Friday with...

Job Title This is a remote position but will need onsite training in Mishawaka Indiana. Shift: PRN/Days - 8 hr shift Considering local candidates only!!! Why Choose Saint Joseph Health System? At Saint Joseph Health...

HealthRIGHT360 gives hope, builds health, and changes lives for people in need by providing comprehensive, integrated, compassionate care that includes primary medical care, mental health services, and substance use disorder treatment. ...

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...

Description Qualifications Duly Certified with PTH privileges in good standing; Overall knowledge of medical office patient care; Knowledge of confidentiality issues involved with release of medical...

ECM Lead Care Manager The ECM (Enhanced Care Management) Lead Care Manager will outreach and enroll clients in enhanced care management and be responsible for overseeing the development and implementation of comprehensive care plans for...

ResponsibilitiesSupervises nursing staff assigned to a particular shift. Assigns patients to available nursing staff taking into consideration the patients condition and the employees skill level.Assesses monitors and educates the nursing staff on...

LVN At BHC Alhambra Hospital Are you caring, compassionate and hardworking? Join our amazing team at BHC Alhambra Hospital in Rosemead, California. Our 115 bed facility established in 1924 prides itself on upholding a standard of...

We are looking for Registered Nurses with experience in Home Health in Los Angeles County, Oxnard, Ventura, Ojai, Camarillo, San Fernando Valley, Lancaster, Palmdale, Tehachapi, Santa Maria, San Luis Obispo, Paso Robles, and Lompoc areas.ESSENTIAL...

Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00...