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Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13180 Salary Range:...

Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...

Clinical Record Reviewer - Full-Time Days (Remote) Manages and supports quality and performance improvement by assisting staff to implement strategies that identify, prioritize, measure, and improve key clinical processes and outcomes.

Description 2 years of recent hospital acute care RN experience strongly preferred. Estes Valley Medical Center offers limited temporary housing for on-duty/on-call UCHealth employees. Housing must be reserved in advance; availability is not...

Job Summary Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge and issuing denial...

00% SNF Opportunity in Los Angeles!Flexible ScheduleBusy, Well Established Private Practice!Be Professionally Challenged While Living a Great Lifestyle!Join a Very Busy, Well Established Private Practice That is Based at a Large Hospital near...

Location Address: 2925 Chicago AveLoading DockMinneapolis, MN 55407-1321 Date Posted: July 15, 2026 Department: 16008746 Information Systems Optimization Solutions Shift: Day (United States of...

MinUSD $95,000.00/Yr.¥n MaxUSD $101,764.00/Yr.¥n Position Overview¥n I. SCOPE OF ROLE: ACT is an intensive, community-based multidisciplinary treatment team that provides person-centered care to a shared caseload of...

Come care with us at West Coast University! As a Nursing Faculty member for a certified Great Place to Work, you...

Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients,...

Itlearn360 is looking for Clinical Research Nurses to conduct home visits across California and Oregon. The role requires licensed nurses who are tech-savvy and capable of handling clinical research duties. Expect varied hours and potential travel...

# RN Case Manager – Surgery ServicesWork Location **Los Angeles,CA**Job **#29435**Work Hours **4-day 10-hour shifts, 7:00am-5:30pm; may include weekends and holidays**Employment Type **2 – Staff- Career**Duration **indefinite**Salary Range...

Job Summary Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination, and management of member's needs, including physical health, behavioral health, social services and...

Bring your passion as a Direct Observation Unit Nurse to a dynamic healthcare team where advanced technology, professional growth, and exceptional outcomes come together to create an exciting career opportunity! An outstanding healthcare...

A healthcare company is seeking a Care Management Nurse to provide telephonic care services to chronic patients. The ideal candidate will have a nursing license and 1-2 years of experience in clinical or telehealth settings. Responsibilities...

Compliance Nurse 2, Long-Term Care Unit The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for...

General Information Press space or enter keys to toggle section visibility Work Location: Santa Monica, CA, USA Onsite or Remote Fully On-Site Work...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

Summary Proficient in practice based on conscious and deliberate planning. Delivers an understanding of adult learning and a lifelong learner that can adapt or change learning strategies based on the assessment of learning needs within...

Clinical Nurse Coordinator Hospitals on Incredible Health are actively hiring and accepting applications in the Mission Hills, CA area for the following position: Clinical Nurse Coordinator. Nurses with experience in any of the following...

Your RoleThe Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post service or claim denial. The Medicare Appeals and Grievances RN Lead will...

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus — a rejuvenating place for associates...

City/State Richmond, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Prevention Nurse Specialist- Richmond, Virginia This is a PRN...

Clinical Content Specialist – Nursing LOCATION: Northeastern U.S. (ME, NH, VT, MA, RI, CT, NY, NJ, PA, MD, DE, OH). Remote position but must reside in a northeastern state. SUMMARY We're seeking a Clinical Content...