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Medical Review RN IV – Commercial Appeals & Grievance Nurse Location: Remote – Candidate Must Reside in California Duration: 6+ Months Contract-to-Hire Schedule: Monday-Friday | 9:00 AM – 5:00 PM Pay Range:...

Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Summary of Primary Function In the capacity of a Registered...

Care Coordinator 2 (Field Care Manager 2) Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness...

Hospitals on Incredible Health are actively hiring and accepting applications in the Santa Monica, CA area for the following position: Registered Nurse - Research Supervisor.Nurses with experience in any of the following areas are strongly...

Clinical Care Manager-Massachusetts The Clinical Care Manager-Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management...

DescriptionJOB TITLE: Nursing Program Coordinator– Nursing ProgramSTATUS: Full Time/Part TimeTYPE: On CampusREPORTS TO: Director of NursingPurposeThe Nursing Program Coordinator is responsible for providing administrative support to the Director...

Clinical Policy Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local to New England States for...

The Staffing Coordinator will provide support to the Nursing Supervisors, Managers, and Directors during the process of ensuring adequate and appropriate nursing staff for each shift. Will assist in the collection and filing of documentation...

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...

Ambulatory Care Manager In the capacity of a Registered Nurse (RN), the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; coordinating care to obtain desired health outcomes, improve...

Adventist Health in Los Angeles seeks a qualified RN Nursing Supervisor. Located in Boyle Heights, you will oversee nursing operations, ensure staff quality, and manage patient care across departments. The role requires strong nursing supervision...

Clinical Documentation Improvement Specialist - RN Job Category: Outpatient Nursing Requisition Number: CLINI017160 Full-Time Remote Hourly Range: $28.71 USD to $40.19 USD Description Job Overview: Day-to-day...

Benefits: 401(k) Competitive salary Dental insurance Health insurance Paid time off Signing bonus Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301...

Working Nurse in Los Angeles is seeking a Clinical Policy Nurse RN II. This full-time position involves analytical research and assessment based on legislation affecting healthcare policies. The ideal candidate will translate regulatory impacts...

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...

Your Future Role At A Glance Location: Remote - Preference to reside in Greater Wichita, KS Area Facility: Via Christi Hospitals Department: Utilization Management Schedule: Day PRN Salary Range: $40.41 -...

Job Title 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 the care,...

Description Join a world-class healthcare organization and play a key leadership role in delivering high-quality, patient-centered care. UCLA Health is seeking a dynamic and experienced Utilization Management Assistant Director to...

DescriptionJOB TITLE : Nursing Program Coordinator– Nursing ProgramSTATUS : Full Time/Part TimeTYPE : On CampusREPORTS TO : Director of NursingPURPOSE:The Nursing Program Coordinator is responsible in providing administrative support to the...

Prime Healthcare is seeking a Clinical Supervisor for Centinela Hospital Medical Center in Inglewood, California. This role involves collaborating with management to support departmental functions while ensuring quality patient care.Qualified...

Elevance Health is seeking a Nurse Appeals RN to work virtually full-time, with in-person training required. The role involves investigating medical necessity appeals requests and requires a high school diploma and 2+ years of managed care...

Description Location: UCHealth Anschutz - Aurora Department: Labor & Delivery Metro Denver Float Pool Will support patients & team at University of Colorado Hospital, Highlands Ranch Hospital, and Longs Peak Hospital Work Schedule: Full Time,...

Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...

Admissions RN Bristol Hospice Greater LA, CA - Lakewood, CA 90712 Overview Salary Range $55.00 - $58.00 Hourly Position Type PRN Hourly Description Do you enjoy being at the beginning of the journey? The...