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Kedren Community Health CentersLos Angeles,CA
ECM Lead Care Manager The ECM (Enhanced Care Management) Lead Care Manager will outreach and enroll clients in enhanced care management and be responsible for overseeing the development and implementation of comprehensive care plans for...
PacifiCare Health ManagementLos Angeles,CA
Pacificare Health Management - Nurse Consultant We are seeking a highly skilled and experienced Nurse Consultant to join our team at Pacificare Health Management in Los Angeles, CA. As a Nurse Consultant, you will be responsible for providing...
LancesoftLos Angeles,CA
Remote Nurse Position in Michigan This position will be a remote role for Nurses in Michigan. Should have a valid MI RN License. Should have utilization management experience. Should have experience completing post-acute reviews for the...
Providence ServiceLos Angeles,CA
Description RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...
IngenesisLos Angeles,CA
RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City :...
CSMN - 1102080 - TACRI ClinicalLos Angeles,CA
Details Client Name CSMN - 1102080 - TACRI Clinical Job Type Travel Offering Nursing Profession Registered Nurse (RN)...
Vanderbilt University Medical CenterLos Angeles,CA
Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of...
divvyDOSELos Angeles,CA
Clinical Review Clinician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...
PIH HealthLos Angeles,CA
The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best...
VariteLos Angeles,CA
Job Description: Participates in the development and ongoing implementation of QM Work Plan activities. Improve quality products and services, by using measurement and analysis to process, evaluate and make...
Option Care EnterprisesSan Gabriel,CA
Extraordinary Careers. Endless Possibilities. 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...
UCLA HealthLos Angeles,CA
General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work...
Gainwell TechnologiesLos Angeles,CA
Pre-Payment Review Nurse Consultant- Wisconsin It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible.
Le CYR ConsultingLos Angeles,CA
Complex Medicare Claims Review Complex Medicare claims/prior authorization requests require the review of medical record documentation to determine the reasonableness and necessity of the billed service in accordance with Medicare rules...
Virtual VocationsLos Angeles,CA
Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, analyzing care services, coding requirements, and resource utilization while collaborating...
Veterans Affairs, Veterans Health AdministrationLos Angeles,CA
Summary The Greater Los Angeles VA Health Care System is seeking 1 experienced Licensed Vocational Nurse's (LVN) in Nursing Service for their Community Living Center 215-3 for Day Shift. Located in Los Angeles, CA. Responsibilities This position...
CHRISTUS HealthLos Angeles,CA
Utilization Review Nurse Health Plans - Case Management US:NM:Alamogordo | Utilization Management | Full Time This position has a remote option for those living close and will be able to come into the hospital as needed.
Critical ConnectionsLos Angeles,CA
Setting: Outpatient Clinic / Ambulatory Care Schedule: Full-Time | Day Shifts (Typically No Nights) About the Opportunity We are seeking a Registered Nurse (RN)...
Dendreon PharmaceuticalsLos Angeles,CA
Nurse Educator The Nurse Educator is responsible for providing support to ensure safe, effective and appropriate use of PROVENGE® (Sipuleucel-T) from enrollment to completed infusion for commercial accounts prescribing the Product and...
Dignity HealthGlendale,CA
**Job Summary and Responsibilities**As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery.Every day, you will leverage your...
Virginia JobsLos Angeles,CA
The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...
Parkview HealthLos Angeles,CA
Summary *This position is located in Fort Wayne, Indiana it is is NOT a remote role. Summary Independently plans and provides excellent professional nursing care for patients in accordance with...
AmpcusLos Angeles,CA
Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Clinical Medical Review Nurse.
Infusion for HealthBeverly Hills,CA
Join Our Team as an Infusion Registered Nurse in Santa Monica, California! Infusion for Health is a premier, referral-based infusion center serving patients across California, Arizona, Nevada, Washington, Colorado, and Missouri. Our...
CSMN - 1102084 - TACRI ImagingLos Angeles,CA
Details Client Name CSMN - 1102084 - TACRI Imaging Job Type Travel Offering Nursing Profession Registered Nurse...
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