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SCAN is seeking a Medical Management Specialist-RN in California to promote quality and cost-effectiveness of care under regulatory guidelines. You will support utilization management, conduct reviews, and coordinate with the Medical Director for...

Now Hiring: Certified Nursing Assistants(CNA)Leisure Vale Assisted Living Leisure Vale Assisted Living is a pillar in assisted living in Glendale, CA. We approach every day with one goal: To improve the lives we touch through...

Details Client Name Cedars-Sinai Medical Center Job Type Travel Offering Nursing Profession RN Specialty...

Centene Corporation seeks an experienced RN to analyze prior authorization requests from a remote location within the United States. The role evaluates medical necessity and appropriate level of care in line with national standards and contract...

LTSS Service Coordinator – RN Clinician (RN Case Manager) Eastern Ohio Hiring in the following counties: Richland Franklin Muskegum Guernsey Noble Washington Morgan...

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Work Schedule Monday - Friday, 8:00am - 5:00pm PST ...

Nurse Practitioner Opportunity Hi, we're Oscar Medical Group. We're hiring a Nurse Practitioner to join our Virtual Health Assessment team in a part-time capacity. At Oscar Medical Group, we are refactoring healthcare. We want to...

Seasoned Recruitment is seeking licensed Psychiatric-Mental Health Nurse Practitioners (PMHNPs) to perform online clinical assessments and direct psychotropic medication management. Enjoy autonomy over your schedule and strong administrative...

On-Call Registered Nurse We are seeking a dedicated On-Call Registered Nurse to join our team. This unique role offers full-time pay for working every other week, providing after-hours and weekend care and support to our participants in...

Meadow Creek Post-Acute is a 104-bed Skilled Nursing Facility located in central Paramount, CA. We are proud to be serving the community for more than 30 years providing the highest quality care to our residents throughout the years. Our...

Remote Care Manager (RN) - MUST LIVE IN TEXAS TX, United States Trending Job Description JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state.

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...

Case Manager - RN / Clinical Liaison Hours: 9 am to 530pm Start date: ASAP Pay rate: $65,000 to $70,000 Position: Remote - Home Base Clinical Liaison / Case Manager Position: Work closely with...

Centene is seeking a RN/UM Supervisor to oversee Prior Authorization, Concurrent Review, and Retrospective Review teams, ensuring compliant and quality care for members. The role collaborates with the UM team and senior management to improve...

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...

POSITION SUMMARY The purpose of your job position is to provide each resident with routine daily nursing care in accordance with the residents assessment plan, with current federal, state and local standards and regulations that govern...

PayPal is seeking a freelance Licensed Practical Nurse in Downey, CA to translate care plans into actionable nursing tasks and manage charting workload. The role combines bedside care with the required documentation and independent decision-making...

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

Registered Nurse (RN) – Remote Care Management & Coordination Location: remote Job type: Contract Job Summary: The Registered Nurse (RN) plays a critical role in delivering remote patient support, care management, and care...

RegisteredNurse-ReviewAnalyst|Remote|Contract...

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.

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...

Company Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage...