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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...

Job Title: Clinical Prior Authorization Reviewer Job Description This role focuses on reviewing prior authorization requests to determine medical necessity and appropriate level of care in alignment with national standards,...

RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to 25 hrs/week About the Role We are seeking Nurses & Nurse Practitioners with clinical experience in one or more of the...

8 weeks. DAYS - 5x8 SCHEDULE: M-F - 8am to 4:30pm Care Coordinator inpatient. Must Be/Have: Experienced CM • a RN • Discharge planning assessment exp • Excellent UR • Psych social assessment skills • Acute hospital...

Job Summary: This Utilization Review (UR) Registered Nurse (RN) position supports the Mission of Pipeline Health through the provision of distinctive and compassionate care to our patients. This position is responsible for...

Agency Adult Correction Division COO - Health Services Job Classification Title Registered Nurse (S) Position Number 60070732 Grade MH15 About Us...

CVS Health is seeking a Case Management Coordinator to support Aetna members by coordinating appointments, benefits education, and care planning. The role requires Illinois residency, ability to travel up to 50–75% in Kane and DuPage counties,...

Summary Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assumes responsibility for the coordination of care focused on patient education, self-management, and...

Job Title: Infusion Registered Nurse (RN) Location: Pasadena, CA (Surrounding areas) Job Type: Per-diem Position Overview We are seeking a skilled and detail-oriented Infusion Registered Nurse (RN) with strong vascular access...

LPN/LVN Utilization Management Nurse Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key...

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 & World Report's “Best Hospitals 2024-25” rankings, as well as...

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 & World Report's "Best Hospitals 2024-25" rankings, as well as placed...

Details Client Name Cedars-Sinai Primary Care & Endocrinology - Tarzana Job Type Travel Offering Nursing Profession RN...

DWC seeks to bring on board a Registered Nurse who can provide our residents with the focused support they need to address chronic health challenges. The RN will work with residents to assess pain, mood, strength/balance, risk of falls,...

Cardinal Health seeks a Nurse Care Manager for Individualized Care who coordinates patient-centered services, educates patients, and bridges gaps between patients, providers and support systems to ensure continuity of care. The role...

At Caregenix, we are committed to delivering exceptional, value-based care. Our team lives by the iCARE values-Integrity, Compassion, Accountability, Respect, and Excellence-in everything we do. If you are passionate about improving patient...

A RN Medical Care Manager contributes to AHF by utilizing strong nursing clinical skills and understanding of the Ryan White Program within their specific area. With a caring and knowledgeable focus, you will work with our physician...

About the Job All Care Home Health Provider is committed to caring. Serving the community for 30 years, we help educate our nurses with continuous clinical skills training for your home care career advantage. About the...

Description The UM Denial Nurse Reviewer supports high-quality, cost-effective care by applying clinical knowledge, policies, and regulatory guidelines to the review and processing of adverse organization determinations. This role...

Telehealth Triage Nurse This position is eligible for a $5,000 sign-on bonus *Once fully trained (6 months to 1 year) option to be remote* Must attach an updated resume. Summary Purpose:...

Job Title Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from the acute setting to other settings, including nursing facility placement and private home, with the goal of...

Position Overview As an extension of the providers care team, the Remote RN is responsible for providing telephone communication and assessment of patient's needs. This requires the application of a variety of procedures, policies, and/or...

Details Client Name Providence SoCal Shared Services Case Management Job Type Travel Offering Nursing Profession RN...

Hospice RN / RN Case Manager Lead with heart. Be the difference. Transform end-of-life care. Join our company, where every day is an opportunity to deliver personalized, meaningful hospice and palliative care to patients facing...

Trustaff is seeking a travel nurse RN Clinic for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Clinic Discipline: RN Start Date: 11/02/2026...