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RN Clinical Manager / Clinical Consultant (RN or MSW) – California Pay Rate: $52.50–$53.00/hr Position Type: Special Projects – 12-Month W2 Contract (renewal based on performance, project continuation, and health plan needs)...

Registered Nurse Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. The Center for...

Ocean State Job Lot is seeking an RN for Utilization Management in Los Angeles, CA. This role involves coordinating care submissions and documentation for patient admissions, focusing on high-quality care and efficiency. Candidates must hold 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...

RN / LVN Regional Clinical Liaison - Los Angeles, CARESPECT. RELIABILITY. POSITIVE ATTITUDE. ALWAYS MOTIVATED. HUMILITY.These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the...

Job Type Full-time Description REMOTE RN MDS CONSULTANT-Full Time Engage Consulting is seeking an experienced Registered Nurse (RN) with strong MDS, Case Mix, and Quality Measure experience to...

Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services. To maintain open lines of communication with referral sources and within Americare...

RN Clinical Documentation Improvement Specialist This is a REMOTE opportunity Your experience matters: Frye Regional Medical Center, located in the beautiful foothills of North Carolina is a 355-bed acute care hospital,...

Scion Nonprofit Staffing has been engaged to conduct a search for a Registered Nurse (RN) - Research for a mission-driven clinical research organization advancing equitable healthcare access and innovative treatment...

L.A. Care Health Plan in Los Angeles is hiring a Utilization Management Claims Review Nurse RN II responsible for conducting clinical reviews of medical claims. The position requires a minimum of 5 years in clinical nursing, with experience in...

Regional MDS / PDPM / CMI / RAI Consultant Are you ready to make a change? We are seeking an experienced Regional MDS / PDPM / CMI / RAI Consultant to provide remote reimbursement, MDS, PDPM, Case Mix Index, and RAI support to our...

Nurse Navigator Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

GQR Healthcare is seeking a travel nurse RN Infection Control for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Infection Control Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days...

DescriptionTake on a high-impact role within a world-class health organization. Help drive the continued delivery of exceptional patient care. Take your career to the next level. You can do all this and more at UCLA Health.As a Manager for...

RN - Quality & Safety Improvement Consultant V, Patient Safety Onsite Downey, CA Travel: Yes, 10 % of the Time Patient Safety Officer RN in acute care hospital setting. You will attend national safety goal monitoring...

Please contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Nikhil Jhajharia at email address [email protected] can be reached on # 630-576-1935. We have...

NeueHealth is a value‑driven healthcare company grounded in the belief that all health consumers are entitled to high‑quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make...

A leading medical facility in California is seeking a Registered Nurse - Care Coordinator for a per diem weekend position. You will coordinate patient care from admission to discharge, ensuring a high standard of service. The ideal candidate has...

The University of Southern California (USC), founded in 1880, is the largest private employer in the City of Los Angeles. As an employee of USC, you will be a part of a world-class research university and a member of the "Trojan Family," which is...

AccentCare in Glendale, CA is seeking a Clinical Patient Family Liaison, Registered Nurse to join its dedicated team. This role involves managing patient family information, communicating with healthcare providers, and assisting in medical...

Nurse Reviewer – State of Illinois Location: Remote with on-site visits across Illinois We are currently seeking Nurses who reside in Central Illinois - preferably in McLean and Sangamon Counties. Position Overview...

Complex Medicare Claims Review Complex Medicare claims/prior authorization requests require the review of medical record documentation to determine the reasonableness and necessity of the billed service in accordance with Medicare rules...

Remote Rn – Medical Claims Reviewer At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled...

A Top Workplace in HealthcareJoin Our Thriving Hospice Team We know you might have questions about what it's like working in hospice care, or working for VITAS. Our recruiters would love to hear from you!We know you might have questions about what...

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...