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About Carisk Partners, Inc. Carisk Partners, a Best Places to Work award winning organization, is a specialty risk transfer, care-coordination company servicing insurers, government entities, self-insured plan sponsors...

Float Health is seeking an Intake Specialist to manage new patient referrals and coordinate start-of-care visits. This externally facing role requires quick action, clear communication, and meticulous attention to detail to ensure timely,...

Clinical Appeals Nurse (RN) | Remote | Contract Walker Healthforce is seeking a Clinical Appeals Nurse (RN) with 2+ years of clinical nursing experience to provide clinical review and...

Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for...

Public Health Nurse Employer: County of Los Angeles Salary: $105,247.44 - $157,542.24 Annually Location: Los Angeles County, CA Job Type: Full time Job Number: PH5230H Department: PUBLIC HEALTH...

Job Profile Summary Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's...

Clinical Patient Family Liaison, Registered Nurse Location: Glendale and Los Angeles, CA Find Your Passion and Purpose as a Full-Time Clinical Patient Family Liaison, Registered Nurse Salary: $50 - $60 / hour Schedule: M-F...

Alliance Liaison If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where...

Nurse Case Manager Position Type: Full-Time Contract Role Location: Work from home Work Type: Remote Est. Pay Range: $35.00/hour – $38.46/Hour on W2 (USD) (all inclusive) Schedule: Mon-Fri 8am-5pm EST...

Penn State's SAFE-T TeleSANE program seeks a remote, part-time on-call Sexual Assault Nurse Examiner. Telehealth mentorship and expert consultation occur across ages, with on-call shifts 5 p.m.–5 a.m. Eastern and travel for initial training...

Quality Liaison LVN Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic...

Summit provides independent insurance agents and their clients with market-leading workers' comp insurance and elite customer service. We're growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South,...

A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...

Clinical Nurse Professional Development Educator Advanced How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At...

Physician Care Coordination Consultants (PC3) is seeking an Appeals Nurse Manager to lead the clinical appeals function within a remote healthcare revenue cycle environment. You\'ll oversee a team of Appeals Nurses, establish standardized...

Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts...

About This Role The Case Management Specialist RN - Oncology works collaboratively with a panel of physicians to manage patients' specialized needs, focusing on assessment and development of care management plans. This role is ideal for...

Admissions RN Bristol Hospice Northern LA, CA - Glendale, CA 91203 Overview Salary Range $53.00 - $56.00 Hourly Position Type FT Hourly Job Shift Day Description Do you enjoy being at the beginning of the...

ATC Candidate Medical Clearance Coordinator Serves as a member of a multidisciplinary team to provide assessment, planning, implementation, coordination, evaluation and monitoring of ATC Candidates throughout the medical clearance...

A national virtual care group is seeking Nurse Practitioners for a fully remote telehealth role. This position offers flexibility in scheduling, steady visit volume, and requires virtually conducting acute care consults. Candidates should have an...

Case Manager Utilization RN, Per Diem DayWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient...

Prime Time Healthcare Nursing is seeking a travel nurse RN Care Manager for a travel nursing job in Glendale, California. Job Description & Requirements Specialty: Care Manager Discipline: RN Start Date: 10/19/2026 Duration: 13 weeks 40 hours per...

Job Requirements Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need...

Salary : $105,247.44 - $157,542.24 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: PH5230H Department: PUBLIC HEALTH...

About the Role Mercor is hiring experienced Nurse Practitioners to help evaluate and improve cutting-edge AI systems. In this role, you'll evaluate AI-generated clinical content and workflows, leveraging your real-world expertise in...