As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboa
InSync Consulting Services is seeking an experienced General Practice Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. InSync Consulting Services is a nationally recognized provider of clinical staffing and consulting solutions, dedicated to connecting highly skilled healthcar
HonorVet Technologies is seeking a travel nurse RN Clinic Hospice for a travel nursing job in Newport Beach, California. Job Description & RequirementsSpecialty:...
Job Description & Requirements Telemedicine Family or Internal Medicine Nurse Practitioner (NP) StartDate: ASAP Available Shifts: 8 This facility is seeking a Telemedicine Family or Internal Medicine Nurse Practitioner (NP)...
Key Responsibilities
Conduct clinical audits and reviews to ensure compliance with coding and regulatory requirements
Utilize fraud detection software to assess potential fraud, waste, and abuse
Analyze claims and medical records to provide clinical opinions on appropriate service utilization
R
AccentCare is seeking a Registered Nurse (RN) Home Health Case Management for a nursing job in Hermosa Beach, California. Job Description & RequirementsSpecialty: Case...
LanceSoft is seeking a local contract nurse RN Wound Care for a local contract nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Wound...
LanceSoft is seeking a local contract nurse RN Home Health for a local contract nursing job in Torrance, California. Job Description & RequirementsSpecialty: Home...
HonorVet Technologies is seeking a travel nurse RN Wound Care for a travel nursing job in Newport Beach, California. Job Description & RequirementsSpecialty: Wound...
A company is looking for a Clinical Specialty Liaison - Registered Nurse. Key Responsibilities
Serve as a single point of contact for specialty pharmacies and distributors, providing telephonic nursing services
Manage coordination of specialty pharmacy operations and participate in customer meeti
Supplemental Health Care is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Paramount, California. Job Description & RequirementsSpecialty: Long...
Prime Time Healthcare Nursing is seeking a travel nurse RN NICU - Neonatal Intensive Care for a travel nursing job in Los Angeles, California. Job Description &...
Key Responsibilities
Perform clinical reviews of denied cases and reevaluate medical claims and records
Resolve escalated complaints regarding utilization management and report quality of care issues
Provide training and mentorship for less experienced appeals nurses and administrative team memb
Key Responsibilities
Lead and develop a multidisciplinary team, ensuring high performance and accountability
Oversee daily operations and ensure timely progression of members through surgical pathways
Monitor operational KPIs and collaborate with internal teams to resolve care-related issues
Re
The Clinical Nurse Specialist role at Kaiser Permanente Southern California Region is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe and effective care. The role is built around the five role subcomponents as regulated by the California Board
Stability Healthcare is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: OR -...
LanceSoft is seeking a local contract nurse RN Home Health for a local contract nursing job in Newport Beach, California. Job Description & RequirementsSpecialty: Home...
Voca Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Newport Beach, California. Job Description & RequirementsSpecialty: Home...
Vibra Travels is seeking a travel nurse RN Rehabilitation for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...
Synergy Medical Staffing is seeking a travel nurse RN Home Health for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Home...