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L.A. Care Health Plan in Los Angeles is hiring a Utilization Management Claims Review Nurse RN II responsible for conducting clinical reviews of medical claims. The position requires a minimum of 5 years in clinical nursing, with experience in...

ResCare Community Living, a part of the Sevita family, provides quality services that empower individuals, enhance independence, and help people...

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...

DescriptionImplements policies and procedures, along with standards of care and practice related to patient care needs involving various types of wounds. Provides direct patient care and assistance to staff nurses and acts as consultative service...

LocationDepartmentNursingFLSA StatusNon-ExemptShifts HiringFull-time, AM ShiftPay Grade$38 - $45 / hourWe are seeking to hire an IP Nurse to join our team! We are a skilled nursing facility looking for dynamic associates to join our clinical team...

To enhance quality assurance in skilled nursing facilities, the remote Registered Nurse Quality Analyst will perform quality reviews of SNF/PDPM audits, ensuring compliance with regulatory guidelines while identifying trends and opportunities for...

A-Line Staffing is hiring Registered Nurses for a seasonal vaccination program with one of the nation's leading healthcare organizations. This is an excellent opportunity for RNs who enjoy providing immunizations and delivering exceptional patient...

Come care with us at West Coast University! As a Nursing Faculty member for a certified Great Place to Work, you will guide nursing students to do...

Job Description The registered nurse in Home Care Works under the supervision of the Associate Director and/or Lead RN to assist in all facets of the referral process (preadmission, admission, follow-up and discharge). The...

TOP RANKED TRAVEL NURSING COMPANY IN THE NATION BY BLUEPIPES Ready for your next adventure? Axis Medical Staffing, one of the leading Travel Nursing Companies in the nation, has an immediate Case Management opening in Burbank, California.

High-End Private Duty Care Take control of your schedule, your clients, and your income with high-end private duty care. Pay rates starting at $35/hr (varies on case by case basis, negotiated prior to starting case) Who We...

Denials Case Manager, RN The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials,...

Salary: $0.00 Hourly Location : REMOTE - WORK FROM HOME, ME Job Type: Part-Time Job Number: 00814 Department: Online Learning Instr (1350)...

The nation's leading administrator of long-term care insurance services is looking for YOU. This is your opportunity to join a company with a culture that promotes respect for people, integrity, learning and initiative. WE ARE THE...

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...

LVN / LPN Pay: $1,569.00 to $1,799.00 weekly Assignment Length: 13 Weeks Schedule: 5x8-Hour 07:45 - 17:15 Openings: 1 Start Date: 07/27/2026 Experience: 2.0 year(s) Certifications: BLS, IV...

Los Angeles, CA – Seeking Aesthetic Registered Nurse Join our team as an Aesthetic Registered Nurse (RN), where we are focused on outpacing aging...

ABOUT THE ROLE (Full Time) Late Afternoon/Evening Shift 2:30pm to 11pm This position works off a 4 days on 2 days off rotation varying schedule. As a Charge...

The Manager of Nursing Services is responsible for providing direct oversight and coordination of float staffing resources for the nursing gaps at all PACE sites. In addition, this role will be responsible for overseeing the day-to-day nursing...

Flu Clinic Rn Out-patient clinic nurse State CA We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a...

Bristol Hospice seeks an Admissions RN in Lakewood, CA 90712, who is responsible for building community relationships and facilitating hospice care access. The ideal candidate will possess an RN license in California and demonstrate effective...

Replies within 24 hours Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance JOBID: PHS-6925/24 Position: RN ED...

Job Description Make a difference every single day! When the work you do every...