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Appeals and Grievances Nurse Specialist RN IIJob Category: ClinicalLocation: Los Angeles, CA, US, 90017Position Type: Full TimeRequisition ID: 13049Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)Job SummaryThe Appeals and...

ResCare Community Living, a part of the Sevita family, provides quality services that empower individuals, enhance independence, and help people...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team.Job TitleNurse 3Job LocationRedondo Beach,...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

The Staffing Coordinator will provide support to the Nursing Supervisors, Managers, and Directors during the process of ensuring adequate and appropriate nursing staff for each shift. Will assist in the collection and filing of documentation...

Patient Companion Virtual Care - Sitters Department Bring your passion to Texas Health so we are Better + Together Work location: This is an in-person position at 8200 Walnut Hill Ln., Dallas, TX...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

Registered Nurse Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout...

A community health organization in Los Angeles is looking for a Registered Nurse Manager to oversee nursing patient care services. This role includes administrative and business oversight, collaboration with medical directors, and management of...

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...

Utilization Review Specialist The Utilization Review Specialist will ensure regulatory compliance with CMS Conditions of Participation with regard to Utilization Management. Perform Utilization Review according to CMS and commercial payor...

Responsible for patient transportation from the unit to the procedure department.Required Skills Strong verbal & written communication skillsComputer skillsRequired Experience BLS from American Heart AssociationLA City Fire Card within 6 months of...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

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...

Insurance And Reimbursement Expert Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our...

A healthcare agency in Los Angeles is looking for a Licensed Vocational Nurse (LVN) to provide high-quality clinical services. The successful candidate will manage medication administration, engage clients through motivational interviewing, and...

Benefits: 401(k) 401(k) matching Dental insurance Employee discounts Health insurance Vision insurance Building Stronger Communities At Joyous Ventures, we are committed to providing immediate...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...

LVN Locations: Los Angeles, California Job Category: Nursing Support Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the future of...

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all...

Telephonic Triage And Document Review Services Provides telephonic triage and document review services that require clinical judgement and interpretation and acts as a liaison between the patient, care team(s), and their primary care...

ResponsibilitiesResponsible for independently utilizing the nursing process to safely, therapeutically and efficiently care for a group of patients based on policies and procedures. Delivers individualized quality patient care through a...

Work From Home Nurse Practitioner – Telehealth Women's Health | $125K+2 days ago Be among the first 25 applicantsThis range is provided by NPHire. Your actual pay will be based on your skills and experience — talk with your recruiter to learn...

Nurse Navigator Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...