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Your RoleThe Medicare Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post service or claim denial. The Medicare Appeals and Grievances RN Lead will...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

Salary : $52,275.36 - $55,193.52 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: Y5101L Department: HEALTH SERVICES...

Field Nurse Case Manager - Glendale, CA Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every...

Our promise to you:Joining UChicago Medicine AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. UChicago...

Providence Health and Services Anaheim , CANEWPart TimeDescriptionNurse Educator at Providence St. Joseph Hospital Orange in Orange, CA. This position is Part-Time and will work 8-hour Da y shifts.St. Joseph Hospital is four-time designated for...

Supports the Risk Management, Regulatory Compliance and Patient Safety programs through investigation and analysis of potential and actual adverse events, claims, and regulatory compliance and accreditation related occurrences or deficiencies,...

Air Combat Effectiveness Consulting Group, LLC is seeking a Transporter in Monterey Park, California. The role involves bringing patients to and from nursing units and ancillary departments, as well as delivering requisitions and...

LanceSoft is seeking a travel nurse RN Home Health for a travel nursing job in Torrance, California. Job Description & RequirementsSpecialty: Home...

Grow HealthyIf you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to...

Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...

Care Management Coordinator Location: 100% Remote Duration: 6+ Months (Possible FT conversion) Open to Subcontract/C2C - Corp to Corp Would work on Infusion Therapy Team PA RN license (only) required! Job Summary: The Care...

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 with the care, pharmacy benefits, data...

Community Health Nurse Supervisor Do you want to help shape public health programs that improve lives in Pennsylvania? As a Community Health Nurse Supervisor with the Department of Health, you will guide staff, coordinate services, and...

AHMC HealthCare is seeking a Denials Case Manager, RN in San Gabriel, CA. This role involves appealing denials, working with revenue cycle teams, and ensuring compliance with medical necessity standards. Requires a graduate of an accredited RN...

DescriptionThere's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also enjoying the positive, supportive, and...

Registered Nurse Duty Days: 187 Pay Grade: T07-T08 Salary Schedule: Click for Salary Schedule Primary Purpose: Ensure that learning is not hindered by a correctable health problem and educate students toward worthwhile decisions...

Clinical Reviewer, RN/LPN (Remote - TN) Essential Duties and Responsibilities: Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and...

Overview Clinical Liaison VIPC, Inpatient Hospice Admissions RN Location: Cedars Sinai Hospital Position Type: Full Time...

Summary Proficient in practice based on conscious and deliberate planning. Delivers an understanding of adult learning and a lifelong learner that can adapt or change learning strategies based on the assessment of learning needs within...

Registered Nurse/Case Manager Location: Santa Monica, CA Onsite Flexibility: Onsite Contract Details ...

Location Address: 2925 Chicago AveLoading DockMinneapolis, MN 55407-1321 Date Posted: July 15, 2026 Department: 16008746 Information Systems Optimization Solutions Shift: Day (United States of...

Clinical Management Consultants is seeking a Nurse Manager of Labor and Delivery in Altadena, CA. This role offers the opportunity to lead a celebrated maternity program and drive clinical excellence in a supportive environment.Join a recognized...

Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515‑bed hospital, two urgent cares, home care services, comprehensive cardiology care and a vast scope of...

An established healthcare provider in California seeks a Clinical Quality Assurance Nurse to ensure the accuracy of reviews and compliance with policies. The role involves overseeing quality assurance processes, conducting peer reviews, and...