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Details Client Name Providence Little Company of Mary Medical Center Torrance - Case Management Job Type Travel Offering Nursing...

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides...

Chief Nursing Officer III LA Health Services is LA County's integrated healthcare system and the second-largest public health system in the nation. Our system includes four public hospitals, more than 20 community health centers,...

JOB SUMMARYThe Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures the correct level of care critical, telemetry, acute, observation, for all patients. The...

About This Role The Case Manager Extended Care Coordinator RN is responsible for overseeing and managing skilled patients in rehabilitation at contracted Skilled Nursing facilities. This role is ideal for those who excel in coordinating care and...

A health services provider is seeking a Care Manager RN for a remote, contract role in Detroit. This position involves leading a multidisciplinary team to deliver holistic care and requires a Nursing Diploma or Associate's degree, with a...

Enhanced Care Management Lead Care ManagerThis position reports to the Enhanced Care Management (ECM) Program Manager this position provides support to the ECM Program to ensure engagement, enrollment and follow up on members related to the ECM as...

Registered Nurse The registered nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community...

Landmark Health Care Opportunity Careers at Landmark, part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and...

Summary The Home Based Primary Care (HBPC) Outpatient Staff Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex HBPC care. This nurse...

Nurse Case Mgr II Anticipated End Date: 2026-09-21 Hours: M-F 8am-4:30pm with 2-3 late evenings a month 1:130am-8pm Virtual: This role enables associates to work virtually full-time, with the exception of required in-person...

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through...

Utilization Management Nurse 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...

Case Manager Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals 2024-25" rankings, as well as placed among the very best...

Job Description This posting is for multiple openings of a Call Center Advice RN at The Nurse Advice Call Center in Brea, CA! We offer Part Time and Full Time positions, based on availability. Please ask at the time...

Job Category : Registered NurseRequisition Number : CASEM003725Full-TimeOn-siteSalary Range : $112,278.40 USD to $165,068.80 USDLocationsShowing 1 locationCommunity Hospital of Huntington ParkHuntington Park, CA 90255, USADescriptionJob Summary:...

Namely is seeking California Based Nurse Care Managers for remote work to support members through their healthcare journey, ensuring needs are met with leading interventions. The position requires a Bachelor of Science in Nursing, 5+ years...

Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah *Please be advised that this role is part of our candidate pool, which allows us to identify...

WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...

Case Manager RNGlendale, CA$2824/Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur13 Weeks40Short Term Acute Care Hospital313EPICRequirementsAt least 2+ years' experienceEither an Associate...

Nurse Case ManagerUnder the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement, acting as a resource to staff and physicians in resource efficiencies and...

Registered Nurse Provides direct nursing care including assessment, plan of care, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of patient care as well as coordinates the delivery...

City/State Virginia Beach, VA Work Shift First (Days) Overview: Talent Acquisition Specialist Nurse Recruiter The Talent Acquisition Specialist Nurse Recruiter will partner with hiring...

Prime Staffing is seeking a travel nurse RN Care Manager for a travel nursing job in Glendale, California. Job Description & RequirementsSpecialty: Care...

Inpatient Case Management Service Registered Nurse VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking to hire an experienced Registered Nurse to work in our Inpatient Case Management Service. Incumbent is expected to function...