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Program Integrity Clinical Compliance AuditorOptum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers.

ABOUT THE ROLE (PRN) Varying Schedule and Shifts As a Charge Nurse at Belmont Village, you will administer medications, support wellness initiatives, help ensure regulatory compliance...

Clinical Nurse Professional Development Educator Advanced How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At...

Workers' Compensation Telephonic Nurse Case Manager The Workers' Compensation Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost-effective medical treatment of injured employees with the goal of...

Farsi-speaking LVN or RN Needed We are looking for a Farsi-speaking LVN or RN for a client in Pasadena. Responsibilities include: ADL Assistance Medication Management Supervision IADL assistance...

Your Role The Utilization Management Concurrent Review team reviews the inpatient stays for our members and correctly applies guidelines for nationally recognized levels of care. The Utilization Management Concurrent...

Benefits: Company parties Competitive salary Flexible schedule Newport Hospice, is looking for dedicated health care professionals to join our ever-growing team!!! Help our team provide compassionate care to the...

Infusion Nurse II With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the...

Clinical Guide Part A The weekly schedule choice is either Monday - Friday 10am-7pm EST OR Tuesday - Saturday 9am-6pm EST A bit about this role: The Clinical Guide Part A will be part of the Utilization Management team,...

Registered Nurse Under the direction of the Charge Nurse, Patient Care Manager, Director, and Vice President of Patient Care, the Registered Nurse administers individualized age-appropriate patient care to the neonate, pediatric,...

Are you in search of a fulfilling and meaningful position? Do you want to work for an organization that promotes growth and development? Here at Men's Health Foundation, we envision a world where inequity and stigma do not...

Arkansas Blue Cross and Blue Shield is seeking an experienced Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, and benefit inquiries. The role evaluates medical necessity using evidence-based...

Job Title: License Vocational Nurse Reports To: Center Manager Summary: The Licensed Vocational Nurse (LVN) is clinically responsible for all patients in a department. He/she/they delegate(s) tasks to ancillary back-office...

Duration: 4 months contract (with possible extension) Job Description: The Clinical Reviewer, Inpatient RN, is a licensed professional that is expected to function independently in her / his role and...

Quality Program Nurse Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direction of the Manager,...

Nurse Case ManagerUnder the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement, acting as a resource to staff and physicians in resource efficiencies and...

Elevance Health is seeking a Nurse Case Manager I (US) to perform care management for members with complex needs. The role can be remote full-time with required in-person training and occasional site visits, centered in Latham, NY. The...

Open Non-Competitive Job Opportunity Exam Number: Y5134L First Day of Filing: 3/3/2026, 8:00 A.M., PT, until the needs of the service are met and is subject to close without prior notice. COVID-19 Vaccination Mandate: All...

Licensed Vocational Nurse The purpose of your job position is to provide each resident with routine daily nursing care in accordance with current federal, state, and local standards that govern the facility and as directed by your...

Registered Nurse, Care Coordination / Incident Triage: Los Angeles, CA Job Type : Assignment City : State : CA Job Description: Registered...

Elevance Health is seeking a Nurse Case Manager I (US) to perform care management for members with complex needs. The role can be remote full-time with required in-person training and occasional site visits, centered in Latham, NY. The...

Clinical Nurse II A Clinical Nurse II (CN II) is a competent clinician who provides nursing care in a skilled and effective manner in an ambulatory setting. A CNII independently prioritizes and delivers dependable and effective patient...

The Department of Family Medicine of the Keck School of Medicine of USC provides care for every member of the family, across generations and over lifetimes. We aim to enhance the quality of life for underserved and vulnerable patients while...

Job Summary and Responsibilities As our Licensed Vocational Nurse (LVN), you will provide vital direct patient care, significantly contributing to patient well-being and recovery as an integral part of our compassionate...

Saratoga Medical Center is seeking a Clinical Nurse - Program Manager in Falls Church, Virginia. This full-time role offers telework options and competitive benefits. A BSN is required with a Master's degree preferred; DoD PM experience is valued,...