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Nurse, Concurrent Review Performs concurrent inpatient utilization review using InterQual criteria to determine if the request meets medical necessity criteria, including admission reviews, continued stay reviews, transitional care...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability,...

Nurse-SC/Hope Harbor Job Category: Medical & Health Part-Time Location: Los Angeles, CA Description Mission Statement The Salvation Army, an international movement, is an evangelical...

Concurrent Utilization Review Nurse, RN California, United States NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning...

Coast Medical Service is seeking a travel nurse RN Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

Company Description WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services,...

Remote in California onlyAre you ready to make a lasting impact and transform the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.Who Are We?

Inspire Health Alliance is seeking a Registered Nurse, Case Manager in Montebello, CA. The RN Case Manager will coordinate care and provide support for patients with chronic diseases, collaborating with various healthcare professionals.Qualified...

Registered Nurse - Case Manager Location: Burbank, CA Onsite Flexibility: Onsite Contract Details ...

myPlace Health is built around a simple but powerful belief: older adults deserve the support they need to live safely, independently, and with dignity in their own communities. As a PACE (Program of All Inclusive Care for the Elderly)...

Summary: Uniti Med is looking for a Registered Nurse (RN) in Santa Monica, California. This assignment lasts 13 weeks and is scheduled to start on ASAP. Benefits: Day 1...

Prior Authorization Nurse Case Manager (PACM) The role of the Prior Authorization Nurse Case Manager (PACM) is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of...

Full Time Days 7am-4:30pm 40 Hours/Week Utilization management and pediatric nursing experience preferred Summary: The Utilization Management Nurse is responsible for conducting medical necessity...

Job Summary: The LVN Case Manager works under the direction of an RN following assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care...

OverviewMonterey Park Hospital, a 101‑acute care facility located in LosAngeles County's SanGabriel Valley, is seeking a Case Manager RN or LVN for our Utilization Review Department.Position DetailsThis is a per‑diem, 8‑hour variable‑shift...

Inpatient Case Manager Based on an initial review of member care needs at the time of admission, establishes a discharge/transition plan in collaboration with the hospitalist team. On an ongoing basis reviews and identifies changes in...

Summary The Greater Los Angeles Health Care Systems is seeking an experienced Registered Nurse to serve in Outpatient Mental Health for the Caregiver Support Program specialty within Nursing, Mental Health Department. The Caregiver Support Program...

Lakeview Hospice is presently seeking a full time Registered Nurse Case Manager to join our growing Hospice care team.Our Registered Nurse Case Managers enjoy a dynamic environment that focuses on quality end-of-life care delivery. Benefits...

Case Manager (LVN/RN)Department: HS - ICMEmployment Type: Full TimeLocation: 1600 Corporate Center Dr., Monterey Park, CA 91754Reporting To: Dourly GalvezCompensation: $30.00 - $45.00 / hourDescriptionAstrana Health is looking for a RN/LVN Case...

Job Opportunity At Optum 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 Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...

PRN Assessment Nurse The PRN Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires critical thinking, attention to detail...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.San Pedro, CA, US30+ days ago Requisition ID: 1096Position Summary: The LVN Case Manager is...

Position Title: Behavioral Health Nurse - Contract Position, Ventura, Ca Department: Clinical Services / Recuperative Care Reports To: Director of Nursing / Nursing Manager...

Job Overview The RN or LVN Case Manager manages a continuum of care from pre‑admission through post‑discharge for assigned patients. The role ensures patients and families progress efficiently throughout hospitalization. The focus is...