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Details Client Name The Angeles Clinic and Research Institute - Crisis Response Job Type Travel Offering Nursing Profession...

Clinic Supervisor - Registered Nurse Reports to: Executive Director Supervises: Clinic Nurses (RN, CNA) and Clinic Clerk About the Role...

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...

SCAN is seeking a part-time, telephonic care coordinator RN to support frail seniors in navigating the healthcare system and living independently. You will work with members remotely to assess needs, develop plans of care, and deliver health...

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...

Spectrumforce Technologies, Inc. is seeking a Clinical Review Nurse - Concurrent Review for a 3-month contract to hire. The role is remote with work location listed as Remote-MS CST, schedule 8 am-5 pm Central time, with occasional weekend...

The Care at Home Care Manager – Licensed Vocational Nurse (LVN) facilitates patient continuity of care with the Care at Home healthcare team and managed care plan. Under the clinical direction and oversight of the Primary Care Physician and...

Overview Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state's most vulnerable and underserved residents. Founded in 1999, we've...

Summary We are currently hiring for an RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as an RN Appeals Analyst, you will research the substance of complex appeal or retrospective review...

UF Health is seeking a Clinical Denial Management Nurse to support enterprise denial processes across UF hospitals. The role requires RN or LPN licensure in Florida, a BSN preferred, and clinical denial/appeals experience. You will...

LVN – Outpatient Clinic Infusion Day 5x8-Hour (08:00 - 17:00) Assignment Details Floating required. Requirements 2 years of outpatient clinic experience Active California LVN license...

Health Care Service Corporation is hiring a Nurse Liaison I for Utilization Management & Quality Review. This remote nationwide role supports clinical review activities, benefit determinations and medical necessity assessments, ensuring compliant,...

CHA Hollywood Presbyterian Medical Center (HPMC) CNA PositionHPMC is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed to serving local multicultural communities...

Alliance Health is seeking an UM Clinical Specialist RN-Physical Health (Remote, NC Based) to assess medical necessity and oversee reviews across inpatient, outpatient, and elective services. The role emphasizes remote work with occasional...

Elevance Health in Nashville, TN seeks an RN with managed care experience to investigate and process medical necessity appeals from members and providers. The role combines clinical review with documentation and regulatory compliance, with virtual...

Med Surg Float Pool Nurse The Med Surg Float Pool Nurse floats to medicine, post-surgical, and emergency departments. The Clinical Nurse assesses, coordinates, plans, directs, implements and manages the needs of assigned patients...

Salary : $140,070.48 - $209,667.84 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: Y5121S Department: HEALTH SERVICES...

Centene Corporation is seeking a fully remote Appeals Nurse Reviewer to conduct clinical reviews of medical records and data to determine medical necessity under NCQA standards. The role supports NY-state regulatory considerations and operates...

Wellness Nurse (LVN/LPN) Ciela offers seniors a state-of-the-art community which features incredible 360-degree views, expansive outdoor spaces, floor-to-ceiling windows, light-filled residences, gourmet California cuisine, engaging...

Hines & Associates, Inc. seeks a Registered Nurse reviewer to assess patient conditions and certify treatments according to URAC and applicable regulations. The role emphasizes clinical judgment, documentation, and collaboration with case managers...

Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support...

Title: RN PD Location: Long Beach Memorial Medical Center Department: Wound Ostomy Continence Nursing Services Status: Per Diem Shift:...

Registered Nurse At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Director Nursing Practice & Workforce Solutions (Remote) EDUCATION &...

We are seeking to hire a Treatment Nurse - Licensed Vocational Nurse to join our team! We are a skilled nursing facility looking for dynamic associates to join our clinical team and provide our residents with a best-in-class care experience.