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Quality Assurance Specialist (QA RN)Pay Range: $40 - $50 per hourJob Type: Part TimeLocation: RemoteJob Summary Buena Vista Home Health is seeking an experienced OASIS Review Nurse (Registered Nurse – RN) to support clinical quality, regulatory...

Navitus Health Solutions is expanding its Telehealth Registered Nurse position. The RN will conduct telephonic CMRs, stay compliant with CMS/HIPAA, and collaborate with providers to improve patient adherence and care coordination. Ideal...

Supervisor of Utilization Management (UM) RNSalary Range: $102,183.00 (Min.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to...

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DocGo is hiring a remote nurse to coordinate employee health compliance programs across our AI-powered logistics network in the United States. You will manage OSHA respiratory protection, Hep B, TB screening, and related health initiatives while...

Registered Nurse (RN) | Case Manager Location: Paramount, CA Agency: Stability Healthcare Pay: $2,460 per week Shift Information: Days...

Opco-Skilled-Management- is seeking a Central Intake Nurse to obtain referral documentation from physicians, insurers, and providers to determine service appropriateness and facility placement, and to coordinate patient care plans with service...

UnitedHealthcare is seeking an RN Clinical Care Coordinator who will manage a panel of members with complex medical and behavioral needs. You will coordinate care across medical, behavioral, and social needs to improve utilization and outcomes.

NCW Staffing is looking for a Case Manager RN's to work for a hospital in Downey, CA! Case Manager RN Details: Number of Positions: 8 Shift: AM Shift available Shift Length: 13 weeks Start...

Job PostingWork Location: Los Angeles, CA, USAWork Schedule Monday-Friday 8am-5pmSalary Range: $70.59 - 106.80 HourlyEmployment Type 2 - Staff: Career Duration IndefiniteThe position requires flexibility to travel and float to other clinic...

Description Under general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most appropriate...

Job Description The Peer Review RN is responsible for facilitating the design, implementation and the ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician...

Providence California Regional Services is seeking a Care Manager Appeals RN (remote, per diem) to oversee clinically-based appeals and advocate for reimbursement of services. The CMRA will coordinate with Providence and external payers, ensuring...

Collaborative Practice Nurse (CPN) Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource...

Molina Healthcare is seeking a qualified RN Care Manager to join a fast-paced, fully remote care management team. You will support care coordination across the continuum and collaborate with a multidisciplinary group to improve member outcomes and...

8 Hours POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care.

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12...

SCAN Health Plan Job OpportunityFounded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists...

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform-bringing health plan administration, holistic...

Ambulatory Chronic Care Manager (RN) To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect,...

JOB SUMMARY: The care management staff that KPPC employs are all state-licensed Registered Nurses or Licensed Social Workers. These professionals all have thorough knowledge of North Carolina patient resources and...

Medical Solutions is seeking a local contract nurse RN Case Management for a local contract nursing job in Burbank, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 26 weeks40 hours per weekShift: 8 hours,...

WPS Health Solutions in Madison is seeking a Case Management RN to coordinate care for members with complex needs and develop individualized plans of care. You'll educate members and families, act as a liaison among members, families and...

Concurrent Utilization Review (UR) Nurse The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity and appropriateness of healthcare services provided to members...

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living...