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Nurse Reviewer - Itemized Bill Review 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. We know...

The Cedars-Sinai Medical Network is seeking a Case Manager responsible for patient management during hospitalization. You will assess needs, coordinate care, and ensure quality while maintaining cost-effectiveness.This role requires a Bachelor's...

Staff Today is seeking a local contract nurse Correctional for a local contract nursing job in Lynwood, California. Job Description & Requirements Specialty: Correctional Discipline: RN Duration: 16 weeks 40 hours per week Shift: 8 hours, days...

About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average...

RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time Hourly Rate: $50/hr...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

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...

Utilization and Care Management Nurse Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are...

A leading healthcare provider in California is seeking a Clinical Educator to oversee new hire training and support nursing staff. This role requires a current Registered Nurse license and at least 5 years of acute care experience, including 2...

Remote Nursing Role Shift: Mid 5x8-Hour (15:00 - 23:00) / Day 5x8-Hour (12:00 - 08:30) Remote Role (facility will provide all equipment needed. Traveler will need to have high speed internet & private office space) This role does not...

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...

A substance use disorder treatment center is seeking a Medication Nurse to oversee medication administration for clients. This full-time role requires experience in clinical nursing and certification as an LVN or RN. The successful candidate will...

Case Manager Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals 2024-25" rankings, as well as placed among the very best...

Clinical Review Nurse Duals Program Details- Brand new program of 2026 for Centene Duals = Medicare + Medicaid line of business. Members have one combined card and one authorization covering both benefit types. The duals...

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...

9amHealth Registered Nurse Clinical Care Specialist 9amHealth is an AI-enabled virtual specialty care platform focused on managing high-cost chronic conditions at scale. The company partners with employers, health plans, and pharmacy...

Clinical Rehabilitation Specialist - Acute RehabilitationPer DiemWage scale: $45-$55Supportive Leadership, Superior Outcomes, Advancement OpportunitiesYour experience mattersAt Kindred Hospital Paramount ARU, we are driven by a profound commitment...

Cabell Huntington Hospital is seeking a casual, as needed Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and...

QI Nurse Specialist (RN) (PQI) CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs...

Job Details: Location: Northridge, CA 91325. Position Type: Part Time. Salary Range: $55.00 - $62.00 hourly. Travel Percentage: Negligible. Job Category: Nursing.Job Summary This position is responsible for performing regulatory testing,...

Position Status: Full time Shift: 12 Hour Day Shift (United States of America) Hours per week: 36 Job Information Exemption Status: Non-Exempt A Brief Overview Member of the care delivery team will function...

Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary Responsibilities The Utilization Management Nurse will determine the...

Job Opportunity Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the...

CD RN (Clinical Documentation Specialist)-Level 2 The Clinical Documentation Specialist (CDS) is responsible for distributing documentation information to respective departments; performing educational outreach to individual units and...

Remote - Candidate is required to reside in California. The RN School Support Manager is responsible for the clinical oversight of the designated medical care needs per the district contract. This oversight includes support of care...