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Integra Partners is seeking an LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to review benefit and...

Description There'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,...

A virtual healthcare company is seeking a compassionate RN or LPN to provide nursing care to mental health patients in a telemedicine setting across various states. This is a full-time position with a pay range of $60,000 - $90,000 and benefits...

City/State Norfolk, VA Work Shift First (Days) Overview: _ Sentara Health Plansis hiring a Utilization Review Nurse/ RN for Imaging/Commercial- Remote! _ Status:...

Care Manager LPN LVN – Remote Candidates residing in Oregon are encouraged to apply. The purpose of this position is to provide care coordination services to Providence Health Plan (PHP) members. Care coordination services include...

About the Job ASSIGNMENT SUMMARY: The Registered Nurse (RN) will be responsible for coordinating, implementing and supervising all nursing and personal care services at the Adult Day Health Care Center. The...

Utilization Management Nurse, LVN/LPN (Work from Home)California, United StatesWHO WE ARENeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely...

Summary We are currently hiring for an RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as an RN Appeals Analyst, you will research the substance of complex appeal or retrospective review...

UnitedHealth Group is seeking a Registered Nurse in the Weslaco, TX area to assess, plan, and implement person-centered care strategies while coordinating with providers and community resources. Remote work flexibility is available within the...

Care Manager—Registered Nurse We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care...

Details Client Name PIH Health Hospital - Downey Job Type Travel Offering Nursing Profession Registered Nurse (RN)...

RN Care Manager *F/T Variable* Santa Monica, California Full Time RN Care Manager with our Care Management Team at our Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This is a full-time position that will work 8-hour...

To ensure timely and accurate care decisions, the full-time Utilization Review Nurse LVN/LPN will perform clinical reviews for medical necessity and benefit coverage, applying clinical guidelines and maintaining compliance in a remote work...

Job Summary: We seek a highly skilled and experienced Registered Nurse with specialties in Medical/Surgical, ICU, ER, Psychiatric, Labor & Delivery, PACU, or Operating Room to perform utilization review duties. The Registered...

AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and...

Grow Healthy If 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,...

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...

Case Manager Are you ready to bring your clinical competencies to a world-class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and patient satisfaction? Then please respond to...

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Nurse 3 Job Location: Redondo Beach, CA...

Job Summary and Responsibilities As our RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient...

Color is revolutionizing cancer care with the nation's first Virtual Cancer Clinic, delivering high-quality, physician-led multidisciplinary care across all 50 states. Our innovative, guideline-based approach spans cancer screening, risk...

RN-Case Management Job in Downey, CA $2609-$2609 per week* Location Downey, CA Schedule 5x8 Days Start Date 11/30/2026 Assignment Length 13 weeks Job Type Travel Job ID 3529374...

Manager, Appeals and Grievance Fully Remote • Any Location Remote US - Oklahoma City, OK 73102 Overview Position Type Full Time Job Shift Day Education Level 4 Year Degree Travel Percentage Occasional Category Nurse...

Join Us at our Virtual Job Fair to learn more about this position! Wednesday, October 7th | 12pm - 2pm EDT Register here: UHC Community & State Massachusetts Virtual Job Fair At UnitedHealthcare, we're simplifying the health care experience,...

Posting Date 10/06/2026 601 Hawaii St, El Segundo, California, 90245-4814, United States of America RN Case Manager - Position Highlights Location: Pasadena, CA Hybrid - (ESKD) This is a...