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We are seeking a Registered Nurse (RN) to join our Utilization Management team. In this role, you will perform concurrent reviews, prior authorizations, medical necessity reviews, discharge planning, and...

Utilization Management Nurse (RN) (Temporary) Remote in California We believe every candidate deserves thoughtful consideration. That's why we do not use AI or automated systems to review applications. Every application is reviewed...

Registered Nurse APLA Health Center Mid Wilshire - Los Angeles, CA 90036 Overview Salary Range $45.98 - $59.90 Hourly Position Type Full Time Job Shift Day Education Level AA - Associates Degree Travel Percentage Up to 25%...

Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard...

Unit Nurse Manager (RN/LVN) We are seeking a Unit Nurse Manager (RN or LVN) to provide clinical leadership and oversight for nursing care within an assigned unit. This role is responsible for supervising nursing staff, ensuring...

RN Case Manager - Home Health & Hospice Grand Island, Kearney, Holdrege NE & Surrounding Communities Full-Time Position Bring Compassion Home. Lead Care. Change Lives. At Brookestone Home Health & Hospice, we believe...

Overview The Registered Nurse Case Manager - Transitions of Care is a clinically experienced registered nurse responsible for leading care coordination for patients with complex and chronic medical conditions during...

Description Research Nurse (Per Diem) - Oahu, Hawaii Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include...

Regional Case Manager (RCM) Registered Nurse (RN) Are you ready to reset your case management career with a dynamic and growing healthcare company? If you're ready for the challenge, YOU could be the right fit for this position! Prestige...

Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you'll perform both inpatient and outpatient...

IV Infusion Specialist Assessment Nurse The IV Infusion Specialist Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires...

PRIDE Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in REMOTE, Minnesota. Job Description & Requirements Specialty: Utilization Review Discipline: RN...

Nurse Practitioner (Arleta) Arleta Family Health Care Clinic - Arleta, CA 91331 Overview Salary Range $133,711.00 - $167,139.00 Salary Position Type Full Time Description Job Summary...

Responsibilities SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

RN Case Manager The RN Case Manager works with the clinical department and acts as a liaison with our physician practices. The RN Case Manager advocates for personalized treatment options that address a patient's unique care needs. The RN...

Workers' Compensation Telephonic Nurse Case Manager The Workers' Compensation Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost-effective medical treatment of injured employees with the goal of...

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12...

Job Description Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based...

Job Title Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. Partners with medical staff, utilizes scientific evidence...

Job Responsibilities and Requirements KEY RESPONSIBILITIES *other duties as assigned* Job Summary: Reviews all medical (and other) documentation in claim files to answer the specific...

Case Manager Registered Nurse MedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one of our top healthcare clients.

Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We're more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we...

Clinical Guide Part A The weekly schedule choice is either Monday - Friday 10am-7pm EST OR Tuesday - Saturday 9am-6pm EST A bit about this role: The Clinical Guide Part A will be part of the Utilization Management team,...

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the...

Description: Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive cardiology care and a...