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Note - Travel Experience RequiredJob Summ aryThe Registered Nurse – Case Manager plays a pivotal role in coordinating and managing patient care throughout the healthcare continuum. This position focuses on ensuring patients receive appropriate...

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...

Adecco Healthcare & Life Sciences is assisting in the placement of a Direct Hire Registered Nurse / Patient Care Manager, Home Health opportunity in Newport Beach, CA with a nationally recognized healthcare organization known for delivering...

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted,...

Payment Integrity Nurse – Medicare Advantage We are currently hiring for a Payment Integrity Nurse – Medicare Advantage to join BlueCross BlueShield of South Carolina. In this role as a Payment Integrity Nurse, you will...

Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary Responsibilities The Utilization Management Nurse will determine the...

Jobtailor in Los Angeles, CA is seeking an RN with case management experience to perform care management for members with complex and chronic conditions. The role involves assessing needs, developing and coordinating care plans, and interfacing...

Event Details Join us for an Interview and Hiring Day! Registered Nurses welcomed! Location: 1680 E. 120th Street, Los Angeles, California 90059 Date: Tuesday, July 28, 2026 Time:...

Case Manager RNLocation: Mission Hills, CAEstimated pay: $2289 weekly gross (does not include taxes, insurance, or other deductions)Start date: 6/8/2026Shift: 8H Days (8:00 AM-4:30 PM)Length: 13 weeksWeekly hours: 40Facility type: Short Term Acute...

Clinical Nurse Consultant As part of the Oncology Field Medical organization, the Clinical Nurse Consultant (CNC) is a trusted clinical expert responsible for developing professional relationships and educating key Health Care...

Nurse Educator The Nurse Educator is responsible for providing support to ensure safe, effective and appropriate use of PROVENGE® (Sipuleucel-T) from enrollment to completed infusion for commercial accounts prescribing the Product and...

Job Opportunity Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the...

Professional Nursing Care 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...

An established industry player in healthcare is seeking a dedicated Utilization Management Nurse to enhance patient care efficiency. In this vital role, you will review patient files and treatment methods, ensuring that every patient receives the...

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus — a rejuvenating place for associates...

Details Client Name California Hospital Medical Center Job Type Travel Offering Nursing Profession RN...

LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date:...

Lakeview Hospice is presently seeking a full time Registered Nurse Case Manager to join our growing Hospice care team.Our Registered Nurse Case Managers enjoy a dynamic environment that focuses on quality end-of-life care delivery. Benefits...

Professional Review Nurse The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical...

Overview The Clinical Manager is responsible and accountable for the quality of staff and functions during their shift. Directly supervises and communicates with all staff along with the Department Director. Assists the Department Director in the...

Work Location : Santa Monica, CA, USAFully On-SiteWork Schedule: 4-day 10-hour shifts, 7:00am-5:30pm; may include weekends and holidaysSalary Range : $65.53 - $84.75 HourlyEmployment Type: Indefinite DurationPrimary Duties and...

AMN Healthcare Revenue Cycle is seeking a travel Utilization Review for a travel job in Woodland Hills, California. Job Description & RequirementsSpecialty: Utilization...

We are seeking a detail-oriented and experienced Clinical Review Nurse to perform clinical assessments and reviews of medical claims to ensure accuracy, medical necessity, and compliance with established guidelines. In this role, you will evaluate...

RN Case Management Alhambra, CA About Seen Health At Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, Seen...