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Patient Support Nurse The Patient Support Nurse will provide support for Oncology patients and caregivers over the phone, by being able to speak to the end-to-end journey for patients in the context of the Oncology program specifics.

Duration: 8 months contract (with possible extension) Job Summary The Clinical Reviewer, Precertification RN, is a licensed Registered Nurse that is expected to function independently in her / his role...

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...

Registered Nurse Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. The Center for...

Overview A reputable healthcare facility in Los Angeles is seeking a qualified Nurse to join their team. The position is ideal for Malayalee candidates who have experience in nursing and are looking for a job without the need for English...

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...

Prior Authorization RN - Contract Role Location Requirement: Candidate must reside in NJ, PA, NY, CT, or MD Work Model: WFH, but must be able...

Are you our next Change Agent? We are seeking a compassionate and experienced Patient Support Program (PSP) Nurse to deliver exceptional, one-on-one support to patients navigating their treatment journey. You will be part of...

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...

About Us A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and...

Details Client Name CSMN - 1102080 - TACRI Clinical Job Type Travel Offering Nursing Profession Registered Nurse (RN)...

Medical Review Nurse (RN) Remote position, however, candidates must reside in the State of TX or State of IL This position is a contract for about 9 months. Pay: $41/hour RN working in the insurance or managed care...

Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. Make It Happen At Hopkins! Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins...

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...

Clinical Quality Specialist We are seeking a dedicated Clinical Quality Specialist to ensure regulatory and accreditation compliance. The ideal candidate will maintain alignment with DHCS, NCQA, and CMS requirements through ongoing...

DescriptionThe Utilization Management (UM) Nurse supports appropriate level‑of‑care determination, patient flow, and revenue cycle integrity across inpatient, partial hospitalization, and intensive outpatient programs. The UM Nurse functions...

DRG Nurse Reviewer Appeals and Hearings- Remote 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.

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance...

Marketing Clinical Liaison Join our world-class team of driven, passionate healthcare professionals who are focused on service excellence and providing top quality care! Sacramento Rehabilitation Hospital in Sacramento, California...

Registered Nurse Remote Triage Professional Guideway Care is The Patient Activation Company™. We don't just "engage" patients; we activate them. By utilizing our proprietary Motivational Patient Guidance (MPG) model and AI-powered...

Registered Nurse Risk Manager Aptive is seeking a registered nurse risk manager. IHSC's mission is to provide medical care to maintain the health of individuals in the custody of ICE through an integrated health care delivery system,...

Day Shift, 6 North Unit, 36's Education and Work Experience Bachelor's Degree in Nursing (BSN): Preferred. Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice:...

LICENSED VOCATIONAL NURSE II Print ( Apply  LICENSED VOCATIONAL NURSE II Salary $53,450.16 - $72,033.84 Annually Location Los Angeles County, CA Job Type Full time Job...

Clinical Policy Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13084 Salary Range: $88,854.00 (Min.) -...

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...