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Job Opportunity At Optum 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 people with...

Seeking a California Licensed UM Nurse for a full-time remote position, who will review prior authorization requests for medical necessity, apply CMS and Milliman Care Guidelines, and collaborate with providers to ensure high-quality care, working...

Job Description Utilization Review RN - Remote. This position is Full-time and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

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...

Care Career is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Burbank, California. Job Description & RequirementsSpecialty:...

Nurse Educator At the heart of our business strategies is a commitment to patients. The Nurse Educator Program is a patient-centered, educational initiative designed to support individuals living with chronic conditions who have been...

CVS Health Quality Management Project Manager We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate...

Care Management Team Member The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support...

Job Summary: In addition to the responsibilities below, this position is also responsible for leading the implementation of best practice models; leading the implementation of patient care delivery systems and practice...

Nurse Consultant III RE-ADVERTISEMENT: If you previously applied to this position, it is not necessary to submit a new application. Under general direction of the Statewide Clinical Services Division Deputy Director, the Nurse Consultant...

Gallagher Bassett Medical Management Position At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate...

HonorVet Technologies is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Burbank, California. Job Description &...

Job Description Are you ready to bring your expert clinical skills to a world-class facility recognized as one of the top ten in the United States? Do you...

Stability Healthcare is seeking a local contract nurse RN Home Health for a local contract nursing job in Torrance, California. Job Description & RequirementsSpecialty:...

Details Client Name Kaiser Permanente Los Angeles Medical Center Job Type Permanent Offering Nursing Profession Nurse...

Center Nurse Executive The Center Nurse Executive (CNE) will oversee the day-to-day operations associated with nursing practice, direct patient care activities, clinical education, and the continuous improvement (Quality Assurance) of...

Staff Today is seeking a local contract nurse Correctional for a local contract nursing job in Malibu, California. Job Description & RequirementsSpecialty:...

Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support...

The RN Case Manager will work collaboratively with surgeons and patient/family in developing, implementing and documenting individualized plans of care to ensure continuity, quality and appropriate resource use. • Plan, develop, assess...

Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...

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,...

JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran...

LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Case...

Summary About the Position: This position is located at Los Angeles AFB, CA. A recruitment or relocation incentive may be authorized. Salary negotiation may be available for those candidates who are...