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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...

Cabell Huntington Hospital is seeking a casual, as needed Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and...

At UK King's Daughters, we're not just a healthcare facility - we're a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We're more than just a place to work; we're a place to...

Clinical Quality Assurance Nurse (RN or LPN)Schedule: 3 different openingsM-F 11:30am – 8pm ESTM-F 8am-5pm ESTTues – Sat 8am-5pmPay:$24/hr for Licensed Practical Nurse (non- negotiable)$29/hr for Registered Nurse (non-negotiable)Training &...

Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including...

Remote Triage Nurse Billings, Montana firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on...

Working Nurse is seeking an RN Navigator to provide coordinated care for cancer patients in Los Angeles. This role involves collaborating with a team to support patients from initial referral through treatment and follow-up care.Candidates must...

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Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests...

Chamberlain University on-campus Nursing Faculty in Irwindale delivers high‑quality nursing education across classroom, lab, simulation, and clinical environments, advancing student success through teaching excellence, mentoring, service, and...

Providence is seeking a Care Management Recovery Advocate (CMRA) in Los Angeles, responsible for managing communication of clinically based appeals. The role requires an Associate's Degree in Nursing and a California Registered Nurse License.The...

Working remotely in a full-time capacity, the Registered Nurse Denial Coordinator will manage concurrent denials prevention, evaluate denials from third-party payors, and consult with healthcare teams to formulate appeals, ensuring compliance with...

Travel Rn Case Management Job Type: Travel Profession: RN Specialty: Case Management Shift Details: 5x8 Days Job Order Details: Start Date 06/29/2026 End Date 08/26/2026 Duration 13 Week(s) Client...

WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy - we're a dedicated partner in care, transforming how patients experience long-term, post-acute, correctional, PACE, and specialty pharmacy services. As industry leaders,...

Job Description Summary An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home, or in an alternate infusion suite, to ensure patient safety with continuity and...

Yoh, A Day & Zimmermann is seeking an Occupational Health Registered Nurse for a full-time contract position in Downtown Los Angeles. The role involves conducting assessments, administering first aid, and providing medical care in an occupational...

RN Care Manager *F/T Variable* Santa Monica, California Full Time RN Care Manager with our Care Management Team at our Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This is a full-time...

Clinical Nurse Navigator (RN) Compensation: $80,000 - $85,000 annual salary, plus annual potential for bonus and merit increases Employment Type: Full-Time, Salaried, Exempt Reports to: Director of Oncology and Infusion...

UM Review Nurse Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To:...

Clinical Appeals Specialist The Clinical Appeals Specialist completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Specialist utilizes...

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...

Summary Acts as Team Lead for specialty programs, medical review, utilization management, and case management areas by providing assistance and support to unit supervisor/manager by giving direction/guidance/training to...

Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans,...

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...

Details Client Name CSMN - 1101180 - OBGYN Crisis Response Job Type Travel Offering Nursing Profession RN...