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Home Health Intake Nurse - Registered Nurse (RN) Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health...

A national healthcare recruiting firm is seeking remote workers fluent in Spanish for a role supporting HEDIS project management. Responsibilities include coordinating the collection and abstraction of medical records, participating in vendor...

Nurse 3 Job Number: 367416 Category: Administrative Description: Job Title: Nurse 3 Location: Redondo Beach, CA Zip Code: 90278 Duration: 12 Months Pay Rate: $65.09/hr. Keyword's: #RedondoBeachjobs;...

Description The Nurse Navigator is a professional Registered Nurse who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients using the nursing...

Job Title Nurse Research Registered Nurse (RN) Duties Help Duties to include but not limited to the following: Responsible and accountable for all elements of the nursing process when providing and/or...

RN Clinical Review Nurse (Utilization Review Nurse) The Clinical Review Clinician for Appeals is responsible for performing clinical reviews to resolve and process appeals by examining medical records and clinical data. This role ensures...

SonderMind Professional Clinical Counselor, P.C (SPCC) SonderMind Professional Clinical Counselor, P.C (SPCC) is seeking a full-time Licensed Psychiatric Mental Health Nurse Practitioner (103 PMHNP) to provide high-quality psychiatric...

Position Summary Baptist Health Brookwood Hospital Schedule: 5x8s, Mon- Fri on days Time: 5:00 AM- 1:30 PM No call, no weekends ...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone...

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude...

Registered Nurse (RN) - Juvenile Corrections: Downey, CA Job Type : Assignment City : Downey State : CA Job Description: Registered...

Job Details Reviews payor denials and audits for potential lost revenue. Writes comprehensive, factual arguments to present to third-party payers, medical review boards, or other responsible parties applying clinical criteria to establish...

Los Angeles, CA Part time R1556315 Position Title: Mobile Nurse (LPN/LVN) – Per Diem, In-Home Services Location: Various U.S. locations (local travel within designated...

Clinical Nurse III - Observation Unit Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's...

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information...

Care Manager The Care Manager is responsible for providing care management to a group of health plan members, creating the Person-Centered Service Plan (PCSP), coordinating services, and documenting care in accordance with health plan...

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...

About the Employer In Glendale Unified schools, we focus on maximizing student achievement, fostering students' social and emotional growth, and creating a vibrant, inclusive environment where all children can learn and...

Job Description The Utilization Review Case Manager is responsible for assessing the medical necessity, appropriateness, and efficiency of patient care services. Utilizing evidence-based clinical criteria such as InterQual, MCG, and the...

Position Summary Utilization management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate,...

Licensed Vocational Nurse COVID-19 Response Santa Monica, CA Named one of the Top 10 Beach Cities in the World by National Geographic, Santa Monica is one of L.A.'s most popular destinations for domestic and international visitors...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

Licensed Practical Nurse (LPN) - Principal Care Management (PCM) Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work...

RN - Utilization Management ID 2026-25367 Category Registered Nurse specialties - Case Manager Facility Nationwide - California Job Description Spectrum Healthcare Resources has...

Certified Nursing Assistant (CNA) at Valley Presbyterian HospitalMake a Difference in Patient Care Every DayAt Valley Presbyterian Hospital, our CNAs are at the heart of patient care. We're looking for a compassionate and reliable Certified...