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WellSky is seeking a registered nurse to conduct telephonic patient evaluations for multiple payer programs, working on Pacific Time hours. The role emphasizes remote care coordination, schedule management, and collaborative protocol development.

Triage Registered Nurse Jefferson Healthcare is seeking an experienced and compassionate Triage Clinic Nurse to join our dynamic team. The ideal candidate will possess a strong clinical background and demonstrate expertise in delivering...

Nurse Case Mgr II (RN) role at Elevance Health offers virtual, full-time care management for members with complex needs. The position emphasizes risk stratification, planning, implementation, and transition of care to optimize outcomes and access...

The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential health problems; utilizes knowledge of basic nursing principles, practices,...

Overview California Rehabilitation Institute A Joint Venture with Cedars, UCLA, and Select Medical Century City - Los Angeles,...

Medication Nurse - Bilingual (English / Spanish) Substance Use Disorder Treatment CRI-Help is a substance use disorder treatment center with several locations across Los Angeles County. We've been around since 1971 and are noted as...

RegisteredNurse-ReviewAnalyst|Remote|Contract...

School Registered Nurse | Inglewood, California Make a meaningful difference in the lives of students by bringing your expertise to a dynamic educational environment as a School Registered Nurse. This contract position offers a chance to...

Medical Management Nurse - AmeriBen Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes...

Hospice RN Case Manager Anchor Health is a unique organization that offers enhanced hospice services throughout San Mateo County. We are currently seeking an experienced hospice RN Case Manager to join our team. Duties of Hospice...

The Ridge Rehabilitation Center is seeking a Certified Nursing Assistant (CNA) for full-time, on-site work in Los Angeles, CA. Shifts include 7AM-3PM and 11PM-7PM with hourly pay between $23.46 and $25.46. You will assist residents with...

Field Nurse Case Manager As a 501(c)(3) nonprofit organization, NTSOC prioritizes client-centered care without the influence of profit-driven interests. Our mission is to serve families in southern Colorado by supporting children and...

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the...

PLEASE NOTE: This job is available to people in the Philippines only. QuickTeam is a company that provides businesses with virtual employees to help them grow and become more productive. We provide virtual assistants,...

Benefits: High Degree of Independence Flexible schedule Elevate Patient Care from the Comfort of Home Are you a highly skilled RN looking for the autonomy of independent practice and the flexibility of a part-time...

CareSource is seeking a Manager of Utilization Management in Massachusetts. The role leads the UM team, ensuring consistent application of authorization criteria and adherence to NCQA/URAC standards. Requires MA RN license and 5+ years in clinical...

A leading healthcare provider is seeking a Registered Nurse for their LTSS department in New York. This role involves providing case management services, evaluating medical services, and managing appeals for denied services. Candidates must...

Job Summary This position is responsible for ensuring compliance with Utilization Management (UM) and Quality Review (QR) functions performed by the health plan. The role supports clinical review activities requiring 5+ years of experience...

Lehigh Valley Health Network, Inc. seeks an experienced RN for care coordination and case management. You will implement individualized care plans, educate patients and families, and collaborate with a multidisciplinary team to ensure seamless...

Telephonic Nurse Case Manager: California RN License (Remote) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States Reporting To:...

Netsmart Technologies, Inc. is seeking a Registered Nurse with utilization management experience to review ED admissions and apply InterQual/MCG criteria for medical necessity. You will discuss documentation with ED physicians and ensure proper...

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...

SCAN seeks a registered nurse to enhance frail seniors' ability to age in place by delivering person-centered care telephonically. You will develop plans of care and educate members to manage chronic conditions, reducing hospital visits and...

HCS 247 is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Acute Care Case Management...

Clinical Nurse Reviewer As one of the fastest growing Independent Physician Associations in Southern California, our organization offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and...