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Denials Case Manager, RN The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials,...

Position TitleRegistered Nurse, Case ManagerLocationMontebello, CA 90640DescriptionGrow HealthyIf 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...

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...

A leading medical institution in Beverly Hills is looking for a Virtual Care Nurse. This role involves coordinating remote patient care activities and requires advanced assessment and communication skills. Candidates must have an ADN, California...

Job Opportunity For Remote Nurse In Michigan This position is a remote role for nurses in Michigan. The following qualifications are required: A valid MI RN License Utilization management experience...

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,...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

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

Company : Highmark Inc. Job Description : JOB SUMMARY This job has primary ownership and oversight over a specified panel of members that range in health status/severity...

description: RN, Nurse LeadProvides unit-based leadership working collaboratively with the Nurse Manager, Director, Physicians, and staff. Supervises and directs the activities of various levels of assigned nursing and ancillary...

Job Title : Registered Nurse (RN) Disease ManagerJob Overview :The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or complex health conditions. This role...

Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).

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...

Position Title: Registered Nurse, Case Manager & Care Coordinator Team LeadLocation: Los Angeles, CA 90022DescriptionGrow HealthyIf you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At...

Field Nurse Case Manager Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has...

RN Case Manager Santa Ana, CA At Geiss Med Hospice, we believe in cherishing every moment of life. We understand that facing a life-limiting illness or injury can be overwhelming, which is why we are here to provide a comforting...

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...

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...

Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support...

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Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13208 Salary Range:...

Details Client Name CSMN - 8714015 - Inpatient Specialty Program Crisis Response Job Type Travel Offering Nursing Profession...

Job Details: Location: Northridge, CA 91325. Position Type: Part Time. Salary Range: $55.00 - $62.00 hourly. Travel Percentage: Negligible. Job Category: Nursing.Job Summary This position is responsible for performing regulatory testing,...

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Encino Hospital Medical Center, a member of the Prime Healthcare Foundation, offers incredible opportunities to expand your...

Bed Control Coordinator Full Time RN Job Category: Registered Nurse Requisition Number: BEDCO003435 Full-Time On-site Hourly Range: $46.07 USD to $67.73 USD Memorial Hospital of Gardena Gardena, CA 90247, USA Job Details...