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OverviewPosition Type: Full timeJob Title: Care Review Clinician ILocation: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle),...

Complex Medicare Claims Review Complex Medicare claims/prior authorization requests require the review of medical record documentation to determine the reasonableness and necessity of the billed service in accordance with Medicare rules...

Elevance Health is hiring a Nurse Care Manager I to work virtually, focusing on personalized health management for plan beneficiaries. Responsibilities include providing quality case management, conducting clinical assessments, and ensuring...

Clinical Documentation Improvement Specialist - RN Job Category: Outpatient Nursing Requisition Number: CLINI017160 Full-Time Remote Hourly Range: $28.71 USD to $40.19 USD Description Job Overview: Day-to-day...

The University of Southern California (USC), founded in 1880, is the largest private employer in the City of Los Angeles. As an employee of USC, you will be a part of a world-class research university and a member of the "Trojan Family," which is...

At American Career College, we share a passion for students and transforming healthcare education! As a faculty member for a certified Great Place to Work, you will join a collaborative, student-centric culture...

Ocean State Job Lot is seeking an RN for Utilization Management in Los Angeles, CA. This role involves coordinating care submissions and documentation for patient admissions, focusing on high-quality care and efficiency. Candidates must hold an...

RN Triage Nurse (Full-Time) Anchor Health is looking for a compassionate RN Triage Nurse to join a strong supportive team of professionals that provide hospice/palliative care. Position Purpose: Under the general supervision...

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...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work...

Description: Job Summary: Works collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify...

RN / LVN Regional Clinical Liaison - Los Angeles, CARESPECT. RELIABILITY. POSITIVE ATTITUDE. ALWAYS MOTIVATED. HUMILITY.These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the...

Job Title We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with...

RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time Hourly Rate: $50/hr...

RN Clinical -Outcomes Coordinator To support and coordinate clinical quality improvement initiatives. To perform job duties in accordance with the medical center's purpose. Master's degree plus one (1) year of experience in...

Utilization Management Registered Nurse The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration...

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres...

Utilization Management Review Nurse The Utilization Management Review Nurse reviews the medical necessity and appropriateness of healthcare services and treatments through the medical information of individual patients and the limited...

RN Utilization Mgmt Full-Time Day POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include: the e-TAR process, denials management,...

A Top Workplace in HealthcareJoin Our Thriving Hospice Team We know you might have questions about what it's like working in hospice care, or working for VITAS. Our recruiters would love to hear from you!We know you might have questions about what...

Staff Today is seeking a local contract nurse Correctional for a local contract nursing job in Los Angeles, California. Job Description & Requirements Specialty: Correctional Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days...

NeueHealth is a value‑driven healthcare company grounded in the belief that all health consumers are entitled to high‑quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make...

Company Description Lumen Solutions Group Inc. is a technology consulting Services Company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to...

#19353 Contract role- 8/8/23-12/31/23, with possible extension Payrate: $50-$65 Hourly Location: Remote IL Required License: RN, LCSW, LCPC BASIC FUNCTION: This position is responsible for discharge care...

DescriptionTake on a high-impact role within a world-class health organization. Help drive the continued delivery of exceptional patient care. Take your career to the next level. You can do all this and more at UCLA Health.As a Manager for...