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Cunningham Children's Home in Illinois seeks a Nurse Case Manager to support residential programs with medical case management, screening, education, counseling, and medication management. The role involves coordinating with community providers...

Job Summary and Responsibilities As our Utilization Review Nurse at the Utilization Management Hub, you will be a critical guardian of healthcare efficiency and quality, ensuring integrity in clinical...

Registered Nurse Days Seeking a Registered Nurse for an 8 week contract in Los Angeles, CA. Work 40 hours per week, day shifts only. Key responsibilities include: Deliver nursing care per CA law. Float between...

Humana is seeking a Pre-Authorization Nurse for remote work to review prior authorization requests and determine appropriate care following guidelines. The role involves clinical judgment, data entry in management systems, and collaboration with...

Job Description: Registered Nurse (RN) - Labor & Delivery (L&D) The Labor & Delivery RN provides specialized nursing care to obstetric patients throughout labor, delivery, immediate recovery, and stabilization. This role performs...

Job Description Provides support for clinical facility site reviews. Under the supervision of leadership, uses clinical judgement within appropriate scope to independently conduct reviews and other monitoring activities for primary care...

Sagility is hiring an RN Utilization Management Reviewer for a fully remote, home-based role in the United States. You will perform day-to-day clinical and service authorization reviews for medical necessity and ensure compliance with CMS...

LVN (7-3 Shift) Full Time (Healthcare)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...

OPCO Skilled Management is seeking a Central Intake Nurse for a remote, full-time role. You will collect referral documentation from physicians, insurers, and providers to determine service appropriateness and coordinate patient care plans with...

Monrovia-Gardens-Healthcare-Center is urgently hiring for the PM shift, seeking an LVN to deliver routine nursing care in accordance with standards and under supervision. The role requires strong assessment, wound care, vital signs, charting, and...

Registered Nurse Specializing In Utilization Review Join our team as a Registered Nurse specializing in Utilization Review, where you'll play a crucial role in patient care management. What You'll Be Doing Conduct...

POSITION SUMMARY Reporting to the Director, Ambulatory Services of Martin Luther King, Jr. Los Angeles (MLK-LA) Healthcare Corporation, the Ambulatory Clinical RN as the leader of the health care team, provides professional...

Wellpath / Correct Care Solutions is seeking a Registered Nurse Telehealth to provide remote nursing support and assist in delivering patient care via telehealth services. You will collaborate with onsite staff to assess needs, plan care, and...

MultiCare Health System, Inc. is seeking a Clinical Documentation Specialist RN (Full-time, remote) to enhance documentation quality and ensure proper reimbursement across the patient care continuum. The role requires coordinating with...

Registered Nurse (RN) - Medical-Surgical/Telemetry Department: Medical-Surgical/Telemetry Shifts Available: Day Shift and Night Shift About the Role Mission...

Job Title Starting Pay Range $3,211.53 - $3,721.15 - Bi-Weekly Depending on experience Job Description Essential Functions include, but are not limited to the following: Assess the health and...

Responsibilities: How you'll change lives ...

Benefits: 401(k) Competitive salary Dental insurance Health insurance Paid time off Signing bonus Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301...

Job ID:26-134888 Job Title: Licensed Vocational Nurse Position Type: Full-Time Contract Role Location:Fully Remote Work Type: Work from Home Est. Pay Range: $25.00/Hour to $28.00/Hour on W2 (USD) Schedule: 8-hour shift Monday to Friday anywhere...

Open Non-Competitive Job Opportunity Employer: County of Los Angeles Salary: $102,181.68 - $152,952.96 Annually Location: Los Angeles County, CA Job Type: Full time Job Number: Y5135L Department: HEALTH...

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...

About This Role The Preservice Review RN position at UnitedHealth Group involves assessing customer needs, identifying solutions to complex issues, and conducting clinical research to support medical determinations. This role is ideal for...

Clinical Eligibility & Intake Nurse Part Time/1099 Contractor Fully Remote Monday-Friday; 3-5 hours per day / 15-20 hours per week*; schedule must overlap intake hours** Clinical Operations Reporting to:...

CVS Health Corporation is seeking an experienced Utilization Management Nurse Consultant (RN) for remote work. You will review prior authorization requests, evaluate medical necessity, and apply clinical criteria to support timely, cost-effective...

Registered Nurse Carson, California Full-time Our Clinic Nurse, RN plays a vital role by caring directly for our participants in the clinic including support with clinic overflow, day center triage, checking vital signs,...