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Franciscan Alliance is seeking a Supervisor Utilization Management to lead the Centralized Utilization Management department. The role focuses on staffing, staff development, and delivering high-quality patient outcomes while maintaining strong...

The Columbus Organization is hiring a Clinical Intake Specialist-LPN to act as the primary contact for individuals with complex care needs. You will conduct initial visits, perform needs assessments, and coordinate care with the Case Manager to...

Description The UM Denial Nurse Reviewer supports high-quality, cost-effective care by applying clinical knowledge, policies, and regulatory guidelines to the review and processing of adverse organization determinations. This role...

Prime Staffing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN...

Location: Fully remote. Description: Our client is seeking an experienced Concurrent Review Registered Nurse (RN) to join its Utilization Management team. In this role, you will perform concurrent...

Trauma Nurse St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on...

Adult Nurse Practitioner Join our team at Carease Health - OH and make a difference in the lives of nursing home patients! At Carease Health, we pride ourselves on providing comprehensive preventative care programs, incorporating...

Job Description: The Flight Nurse I provides advanced, autonomous medical care to critically ill or injured patients during air and ground transport. This position demonstrates exceptional critical thinking, technical skills, and collaboration...

Johns Hopkins Medicine in Westminster, MD is seeking a Registered Nurse Case Manager to join a newly established care coordination program. You will support high‑risk patients, coordinate care across providers, and deliver chronic disease...

Medical Management Coordinator Provides medical management to workers compensation injured employees, performing case management through telephonic and in-person contact with injured workers and medical providers. Coordinates with...

We are looking for dedicated 7-3 or 11-7 Shift Certified Nursing Assistants to join our team. The role consists of assisting residents with activities of daily living and provide basic nursing care under the supervision of a licensed...

Nurse Care Manager Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the...

Case Manager RN Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation...

Job Description: The Registered Nurse (RN) is a compassionate and skilled caregiver who plays a critical role in providing patient-centered care within the comfort of their homes. This position involves taking responsibility and accountability for...

Job Title This position is fully remote, however, you must reside in the State of Texas. The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...

Optum CA is seeking a Nurse Practitioner/Physician Assistant to join our team in Torrance, CA. The clinicians we seek are those who practice medicine with a focus on...

Centene Management Company LLC is seeking an RN for remote utilization management supporting Illinois Medicaid and Ambetter. The role is full-time with standard hours Mon-Fri 8am-5pm CT, with rotating weekends and holidays. The RN will...

Registered Nurse in Mother-Baby / Couplet Care / Post Partum Unit Join our team as a Registered Nurse in the Mother-Baby / Couplet Care / Post Partum unit, where you'll provide essential care to new mothers and their infants. What...

SCAN, a nonprofit health organization, seeks an experienced Medical Management Specialist-RN in California. You will promote quality and cost-effective care, conduct pre-service reviews, and coordinate complex medical needs under clinical...

Atrium Health is seeking a Clinical Appeal Nurse to join our fully remote Revenue Recovery Audit team. This RN role focuses on evaluating denied claims, applying level-of-care criteria, and preparing clinical appeals with medical necessity...

Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan...

Lvl III Staff RN - Clinic Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures.

Job Description: The Registered Nurse (RN) with Homecare is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of Home Health adult and pediatric patients and their...

Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to...

****Must be located in CA! Will work remote but still attend trainings in LA and need to pick up equipment**** JOB REQUIREMENTS: -Experience: 1 year of CM exp - work comp exp required -CA LVN License -Certs: BLS -**FLU...