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Arizona OncologyLos Angeles,CA
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...
AmTrust FinancialLos Angeles,CA
AmTrust Financial Services Inc. is seeking a Telephonic Medical Case Manager, RN, to deliver comprehensive remote case management in Texas. You will drive medically appropriate return-to-work through collaboration with injured employees, providers...
Kaiser PermanenteLos Angeles,CA
The Case Management Utilization RN works collaboratively with physicians to coordinate patient admissions and discharges, ensuring appropriate levels of care and compliance with regulations. This role is ideal for those who excel in a fast-paced...
AllyAlign HealthLos Angeles,CA
Utilization Management Nurse The primary role of the Utilization Management Nurse is to review and monitor members' utilization of health care services with the goal of maintaining high quality cost-effective care. The role includes...
KaplanLos Angeles,CA
CSI Pharmacy is seeking a Regulatory and Compliance Nurse to lead employee health programs across states, ensuring TB screening, immunization tracking, and regulatory adherence under OSHA/CDC guidelines. The role involves collaboration with...
Personify HealthLos Angeles,CA
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...
R1 RCMLos Angeles,CA
Remote, USA Remote, GA Remote, MS Remote, OH Remote, NC Remote, TN Remote, AR Remote, TX Remote, KY Remote, AL Remote, IN Full time R260000007933 At R1, we're...
NCW StaffingDowney,CA
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...
Torrance MemorialTorrance,CA
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...
NetsmartLos Angeles,CA
Job Description Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based...
UHCLos Angeles,CA
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.
Triage BrandDowney,CA
Case Manager RNDowney, CA$3208/Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occurASAP8H Days16 Weeks40Short Term Acute Care Hospital424EPICRequirementsAt least 2+ years' experienceEither an...
LifelancerLos Angeles,CA
CVS Health is seeking a Utilization Management Nurse Consultant to operate in a remote capacity from New York. This role supports a 24/7 utilization management team with weekend, holiday, and evening shifts, coordinating care decisions and...
HumanaLos Angeles,CA
Humana, Inc. is seeking a Behavioral Health Nurse for Utilization Management, coordinating medical services and benefit determinations in a remote-capable role based in Indiana. You will interpret criteria and policies to support member...
Cambia Health SolutionsLos Angeles,CA
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah Preference will be given to current employees and candidates who reside in Idaho and Utah...
WPS Health SolutionsLos Angeles,CA
WPS Health Solutions is seeking a Case Management RN to coordinate care for members with complex health needs. You will develop and monitor member-centric plans, educate members and families, and liaise with providers to ensure high-quality,...
Heart of Ohio Family Health CentersLos Angeles,CA
Job Details Job Location: COLUMBUS, OH 43213 Position Type: Full Time Salary Range: $57,648.00 - $81,051.00 Salary Summary: The RN Care Coordinator - Remote Patient Monitoring (RPM) functions as a registered nurse...
medical solutionsBurbank,CA
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,...
Yale New Haven HospitalLos Angeles,CA
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,...
ASK Consulting LLCLos Angeles,CA
Description Job Title Nurse Case Manager 2 Location Remote - OK Position Description The Case Manager utilizes a collaborative process of...
The Pennant GroupLos Angeles,CA
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...
Cynet SystemsLos Angeles,CA
Job Overview: Pay Range: $46.76hr - $51.76hr Requirement/Must Have: 5+ years Clinical nursing experience. 2+ years Care Management. Bachelor's Degree in Nursing. In...
Catholic Health ServiceLos Angeles,CA
Triage Registered Nurse Per-Diem Hours: Sundays 12am to 8am Summary & Objective The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive...
NeueHealthLos Angeles,CA
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...
Centurion HealthLos Angeles,CA
Centurion Health is seeking a Full-Time CQI Specialist for our Regional Office team. This remote/traveling position requires residing in Northern Illinois with a commutable distance for site visits (2-4 days/week) and occasional travel to...

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