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nirvanaHealth, a RxAdvance Corp. company, seeks a part-time Utilization Management Nurse for a remote role in the United States. You will perform prospective, concurrent, and retrospective medical necessity reviews and care coordination to ensure...

Admissions RN Bristol Hospice Northern LA, CA - Glendale, CA 91203 Overview Salary Range $53.00 - $56.00 Hourly Position Type FT Hourly Job Shift Day Description Do you enjoy being at the beginning of the...

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

Hospice RN Case Manager Anchor Health, a premier hospice organization, provides expertise, compassion, and care for patients and their families facing terminal illness. Our team of professionals helps improve quality of life by addressing...

Case Manager, RN- Utilization Review A Brief Overview The Utilization Review Case Manager validates the patient's placement to be at the most appropriate level of care based on nationally accepted admission criteria. Team member uses...

Case Management Rn Travel Job Type: Travel Profession: RN Specialty: Case Management Shift Details: Shift Day - 8 hours Job Order Details: Start Date: 10/19/2026 End Date: 01/18/2027...

Details Client Name UCLA Health Santa Monica Medical Center Job Type Travel Offering Nursing Profession RN...

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...

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

Details Client Name CSMN - 8714016 - Outpatient Ambulatory Care Job Type Travel Offering Nursing Profession Registered Nurse...

Job Summary and Responsibilities As our RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient...

Virtua Health is seeking a remote RN to support the application of medical necessity tools, ensuring compliance and achieving positive patient outcomes. You will collaborate with Physician Advisors, manage denials, and document review activities...

Berkley Medical Management Solutions (BMMS) is hiring a Telephonic Nurse Case Manager to coordinate medical case management and facilitate timely return-to-work for injured workers in the United States. The role involves close communication with...

Call Center: Telecare Registered Nurse (RN) (REMOTE) Mesa AZ Trending Job Info Job Identification 22455 Job Category Registered Nurse Posting Date 08/20/2024, 07:37 PM Locations 20 E Thomas...

Job Title: Clinical Operations Manager - Virtual Care Management (RN) Location: Remote - United States Employment Type: FT Exempt Direct Reports:...

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...

Job Category: Nursing - Registered Nurse Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the...

MedPOINT Management is seeking a remote RN/LVN Case Manager to assess, plan, and coordinate patient care across the continuum under the supervision of Leads & RN Clinical Manager for Case Management. You will advocate for patients and coordinate...

HonorHealth in Phoenix is seeking an Utilization Review RN Specialist to review and monitor utilization, ensuring medically necessary care and appropriate discharge planning within Medicare, AHCCCS, Self-pay, and other payer guidelines. The...

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted,...

EK Health is seeking a Telephonic Nurse Case Manager (RN) for our Case Management Team. The role involves assessing, planning, coordinating and evaluating service options to help injured workers receive cost-effective medical care and expeditious...

Overview Registered Nurse - Case Management travel assignment in Glendale, California. Start date 10/12/2026 for 13 weeks. Weekly pay range $2,748-$2,939 per week. Guaranteed hours: 0.0. Shift: Days, 8-hour shifts (40 hours per week). Work...

Job Summary: Works 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 medical...

Intake CoordinatorIntake Coordinator Location: Los Angeles, CA Hourly Rate: $24.00 – $26.00 per hour + $2,000 Annual Bonus PotentialMaxim Healthcare is seeking a compassionate, detail-oriented Intake Coordinator to join our team and play a vital...

Elevance Health in Florida is seeking a Medical Management Nurse to review complex cases, apply nursing judgment, and determine medical necessity for services. This role combines remote work with required in-person training sessions and periodic...