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AscensionLos Angeles,CA
Your Future Role At A Glance Location: Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l Full-Time Salary range: $78,561.60 - $110,905.60 per year (Texas) | Pay...
PIH HealthDowney,CA
Provides direct nursing care including: assessment, plan of care, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of...
Honest HealthLos Angeles,CA
Who You Are You're a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don't deter you-instead, you see them as opportunities to find innovative solutions that...
momentum-formerly-ucplaLos Angeles,CA
Schedule Available: 9:00 AM to 5:00 PM, Monday - Friday * With additional hours during evenings, weekends, and on-call; as needed. Benefits Include: Low patient-to-nurse...
Premise HealthLos Angeles,CA
Premise Health Care Manager Premise's mission is to help people get, stay, and be well. We hope you will join us in our mission and experience why amazing health starts with amazing healthcare. As a Full Time Registered Nurse, Care...
Hireops Staffing LlcLos Angeles,CA
Job Title This position is fully remote, however, you must reside in the State of Texas. The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...
Children's Hospital Los AngelesLos Angeles,CA
Registered Nurse Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Evenings Job Description Join a team that's shaping the...
Saint Mary's HospitalLos Angeles,CA
Job Title This is a remote, PRN position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint Joseph Health System? At Saint Joseph Health System, our values...
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...
SagilityLos Angeles,CA
Sagility is hiring an RN Utilization Management Reviewer to perform day-to-day clinical and service authorization reviews for medical necessity, ensuring CMS compliance in decision-making. Requires RN license in Massachusetts, Associate...
ValerisLos Angeles,CA
Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life...
Walker HealthforceLos Angeles,CA
Registered Nurse - Review Analyst | Remote | Contract Walker Healthforce is seeking a Registered Nurse - Review Analyst with at least 2 years of acute care nursing experience to provide clinical documentation review, apply...
wpsLos Angeles,CA
Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to...
CoreMedical GroupLos Angeles,CA
RN - Registered Nurse - Case Manager CoreMedical Group Los Angeles, CA Travel | Days | 40 hrs/wk Up to $2,270/week Client in CA seeking Registered Nurse: Case Manager for the following shift(s): Days We...
Vitability HealthLos Angeles,CA
Chronic Care Manager (RN) Vitability Health of New Jersey Remote Position Our Mission At Vitability Health of New Jersey, we believe great care goes beyond checklists and...
PharmaCordLos Angeles,CA
Valeris Life Sciences Commercialization Partner Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord...
Prime HealthCareLynwood,CA
Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the...
Kaiser PermanenteLos Angeles,CA
Job Summary Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical...
Insight GlobalLos Angeles,CA
Required Skills & Experience • Active RN license (Compact license required)\n• 2–4 years of clinical experience (neurology and/or endocrinology experience preferred)\n• Strong interest in chronic disease management across neuro and...
HealthEdgeLos Angeles,CA
HealthEdge is seeking a highly motivated Utilization Review RN to join our team. The role involves prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity,...
Sentara HealthLos Angeles,CA
Sentara Health is hiring an Integrated Case Manager, RN, to provide case management across the care continuum. The role includes telephonic assessments, developing and adjusting care plans, and coordinating with the health care team to optimize...
Providence Health and ServicesLos Angeles,CA
Job Description The RN Care Transition Coordinator position is responsible for providing care transition services for Providence hospitalized patients. The Coordinator works with the Providence physician team and hospital...
Integra PartnersLos Angeles,CA
Utilization Management (UM) Nurse Supervisor The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team performance, accountability, and...
Tristar Insurance Services LLCLos Angeles,CA
Please make sure to complete all the questions in the application and continue through to the end in order to sign and submit it. The preferred work hours are 8:30 am / 9 am - 5 pm / 5:30 pm central time...
Grand RoundsLos Angeles,CA
Nurse Care Manager We're looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading...

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