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Your Role The Medi-Cal Member Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Medi-Cal Appeals...

Kindred Hospital Paramount and Acute Rehabilitation Unit (ARU) is 177-bed hospital. With 159 long-term acute care hospital (LTACH) beds, we offer the same in-depth care you would receive in a traditional hospital, but for an extended...

Nurse Case Manager Responsibilities The Nurse Case Manager shall provide a full range of professional health nursing principles, practices, and procedures in clinical settings in order to analyze the full scope of problems...

Job Title Job Requirements: Experience: 3 years acute care case manager experience CA RN License Certs: BLS FLU VACCINE (no exemptions) Flu season starts September Special Requirements: EPIC highly preferred Due to nature of the role,...

Jobgether is seeking a Coding Consultant Outpatient – PRN based in the United States. This remote, part-time role focuses on accurate outpatient coding, review of documentation, and ensuring proper APC and reimbursement details. The...

Nurse Practitioner The City of Pasadena Public Health Department is seeking a Nurse Practitioner working within the Epidemiology and Disease Control Division to provide an enhanced clinician case management and outreach program to promote...

Payrate: $41.00 - $43.00/hr Summary: The main function of the nurse is to provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end...

Matrix Medical Network Job Opportunity Join one of our virtual hiring events on October 28th or October 29th to hear about our in-home health assessments and the meaningful impact our providers have on our patients. RSVP today to reserve...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

Sweetwater Care in Santa Monica, CA seeks a compassionate Nursing Assistant to provide routine resident care per policy under supervision. You will support RN staff, monitor safety, and document care as required. Requirements: CNA...

Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $142,166.00 (Max.) Established in...

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,...

Benefits: Company parties Competitive salary Flexible schedule Newport Hospice, is looking for dedicated health care professionals to join our ever-growing team!!! Help our team provide compassionate care to the...

Mission Community Hospital in Los Angeles is seeking a Licensed Vocational Nurse (LVN) to join the Case Management Department. The LVN will support discharge planning, care coordination, and transitions of care for hospitalized patients, ensuring...

Travel Wound Care Registered Nurse (RN) - $2,814 - $3,127/wk per week in taxable pay and non-taxable stipend amount. Pay rates are subject to confirmation with tax free stipend determined for qualified candidates. KPG Healthcare is...

Mass General Brigham Health Plan Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we...

Providing timely and evidence-based utilization review services, the full-time Utilization Review RN will work remotely to manage complex medical conditions, treatment planning, and recovery for injured employees while advocating for effective...

Overview: Dane Street is seeking highly motivated candidates to join our team as a Clinical (RN) QA Specialist, specializing in Disability. We offer an exciting work environment, competitive compensation, and strong growth...

Job TitleWorks collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify member needs and development of...

Hospice Admissions Nurse Peoples Health Services is the only family-owned, locally governed Hospice and Home Health provider in the Florida Panhandle. We believe that when we take care of the people who care for our patients, everyone...

Health Center Psychiatric Nurse Practitioner Wilmington, CA 90744; Los Angeles, CA 90022 Overview Salary Range $90.00 - $117.00 Hourly Level Experienced Position Type Full Time Category Health Care Description...

Enlyte is seeking a Field Case Manager (RN) in the Torrance, CA area. This full-time, hybrid role requires regular local travel for in-person patient appointments. Spanish is preferred.The position includes a comprehensive benefits package, paid...

Details for the position are as follows: 100% remote 40 hours per week, Monday-Friday. No overtime/ Must be signed in by 9 AM EST and remain available until at least 3 PM EST. Rate: $49-52 an hour 1...

NOW HIRING: Certified Nursing Assistant (CNA) - WEEKENDS Starting Pay: 26-28/Hour 7:00 AM - 7:00 PM | Weekend Shifts Opportunities to Pick Up Additional Hours WorkFit Medical Staffing is seeking...