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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...

Florida Cancer Specialists & Research Institute is seeking a knowledgeable RN to triage oncology calls, provide symptom management, and guide patients and families. This role supports an integrated cancer care team and requires strong...

Grievance & Appeals Nurse, RN Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Reporting to the...

Utilization Review RN - Remote This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review...

Registered Nurse-Patient Centered Home Care South Carolina, South Carolina The Transition Care Nurse (RN) promotes safe transitions across the care continuum by completing telephonic outreach to patients discharged from the...

POSITION SUMMARY Reporting to the Director, Ambulatory Services of Martin Luther King, Jr. Los Angeles (MLK-LA) Healthcare Corporation, the Ambulatory Clinical RN as the leader of the health care team, provides professional...

Travel LVN/LPN Case Manager Near West Hollywood, CA Area Length of Assignment: 13-Week Contract (Full-Time / Part-Time / Per Diem Shifts Available) Our Client is a nonprofit, independent healthcare organization committed to...

Location This is a hybrid role. Applicants must be able to commute to or travel to Mitchell and Dougherty counties, GA, when required. About Us The Columbus Organization is a nationally...

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...

A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities...

Job Title This is a remote, PRN position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint Joseph Health System? At Saint Joseph Health System, our values...

Family Advocate Support Care - Senior Clinical Admin Nurse At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of...

Hi. We're Hummingbird. We're elevating patient access so patients can get healthcare how, when, and where they need it. We partner with healthcare systems to transform how patients access care, enabling their providers to focus on...

Habitat Health empowers older adults to experiencemore gooddays in their homes and communities. Through the Program of All-Inclusive Care for the Elderly (PACE), we provide comprehensive medical care along with support for daily needs such as...

Job Requirements General Summary Under general supervision, conducts internal audits of hospital bills working with external auditors to ensure that uncompensated patient revenues resulting from...

Virtual Care Registered Nurse We are seeking a licensed Registered Nurse to deliver virtual care to patients on behalf of one of our partner organizations. This role involves delivering remote patient care, symptom triage, health...

The Neuron Clinic in California is seeking an experienced infusion nurse with leadership abilities to join our busy outpatient neurology practice. This full-time role focuses on care management within CCM and PCM programs, managing a patient panel...

AltaMed Health Services Corp. in Commerce, CA seeks an LVN Case Manager to coordinate care for hospital and SNF patients, with emphasis on inpatient and ambulatory management.The role requires valid LVN licensure, 3+ years in related fields, and...

Utilization Management Nurse Specialist RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary...

Sensorum Health Patient Monitoring and Triage Nurse Job Description ABOUT SENSORUM HEALTH Sensorum Health (sensorum.ai) enables better proactive and preventative healthcare for older adults living at-home.

La Casa Health Care | Take Your Nursing Career Beyond the Bedside!Location: Tarzana, CAJob Type: Full-Time | Office-BasedPay: $30.00 per hourSchedule: Monday–FridayLicense Required: Active California Licensed Vocational Nurse (LVN)...

US Career Partners seeks a Licensed Vocational Nurse (LVN) in California to coordinate medical care for clients under the supervision of the Clinical Care Director. The role focuses on communication with clients, healthcare providers, and insurers...

Job Description 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 &...

Infection Preventionist We are looking for a dedicated Infection Preventionist to support our infection prevention and control efforts. This role helps maintain infection tracking dashboards, assists with outbreak investigations, and...

CVS Health Corporation is seeking a remote RN Case Manager to support members nationwide, coordinating care with patients and care teams. This full-time role includes telephonic case management and adherence to clinical guidelines. The...