Clinical Case Reviewer

We are seeking a highly motivated and experienced Clinical Appeals Specialist to join our team at Equiliem Healthcare. This role involves participating in managing medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests.The ideal candidate will ensure appeals and state hearing requests are...

Equiliem is seeking a highly skilled LPN Case Manager for a local contract job in Orange, California.Job Overview:The Medical Case Manager will be responsible for reviewing and processing requests for authorization and notification of medical services from health professionals, clinical facilities, and ancillary providers.The incumbent will utilize CalOptima...

Equiliem is seeking a highly skilled Case Management Specialist to join our team in Orange, California. This is a fantastic opportunity for a licensed vocational nurse (LVN) with experience in prior authorization review and medical case management to work on a local contract basis.As a Case Management Specialist, you will play a critical role in reviewing...

Job SummaryThe Inpatient Case Manager at Prospect Medical is responsible for coordinating daily services including assessments, treatment planning, monitoring, evaluation, and discharge planning in accordance with company policies and procedures.Key ResponsibilitiesManage patient care to ensure the appropriate level of care is provided for the patient's...

Job DescriptionThe Midtown Group is seeking a highly motivated and experienced Senior Clinical Appeals Specialist to join our team.This role requires strong clinical knowledge, excellent communication skills, and the ability to work independently in a fast-paced environment.Key Responsibilities:Participate in managing medical appeals and state hearing...

We are seeking a skilled Medical Case Manager to join our team at Equiliem in Orange, California.This is a local contract job with 40 hours per week, 8 hours a day, 5x8 hrs shift.The estimated salary for this role is $37-55 per hour.As a Medical Case Manager, you will be responsible for reviewing and processing requests for authorization and notification of...

**About the Role**Talent4Health is seeking a highly skilled Pediatric Medical Case Manager RN to join our team. As a key member of our case management department, you will be responsible for providing high-quality care to our pediatric members.Job Summary:Care Management: Assess and evaluate the medical needs of pediatric members, including their physical,...

About the RoleWe are seeking a highly skilled Case Management RN Specialist to join our team at Kaiser Permanente in Orange, California. This is an excellent opportunity to work with a talented group of professionals who share your passion for delivering exceptional patient care.Job SummaryThis RN Case Manager will play a critical role in managing the...

Job Description:Equiliem is seeking a skilled LPN / LVN to fill a challenging Case Management position. As a key member of our team, you will be responsible for reviewing and processing requests for medical services from health professionals and clinical facilities.This dynamic role requires strong problem-solving skills, excellent communication abilities,...

About the JobTalent4Health is seeking a highly motivated and experienced Pediatric Medical Case Manager to join our team. As a member of our case management team, you will play a critical role in ensuring the health and well-being of our pediatric members.Job SummaryThe successful candidate will be responsible for providing intensive case management services...

ADEX Healthcare Staffing LLC Opportunity OverviewADEX Healthcare Staffing LLC is a renowned healthcare staffing agency with a strong presence in the US market. With headquarters located in Tampa, Florida, the company has been successfully placing healthcare professionals across the country since 2004.Estimated Salary for this RoleWe anticipate an estimated...

About the Position:">We are seeking a highly motivated and experienced Nurse Specialist to join our team at The Midtown Group. This individual will be responsible for managing medical appeals and state hearing reviews, ensuring that all cases are processed in accordance with regulations, compliance standards, and policies.">Job Summary:">The successful...

Talent Healthcare Staffing Inc is a leading provider of healthcare staffing solutions. As a trusted partner in the industry, we are seeking an experienced Nurse Case Manager to join our team.Job SummaryWe are looking for a skilled and compassionate Nurse Case Manager to work with patients and families in Orange, California. The ideal candidate will have...

Ardor Health Solutions is a leading medical staffing business that specializes in providing top-notch healthcare professionals to hospitals and clinics nationwide.Estimated Salary: $140,000 - $160,000 per yearThis travel nursing job offers a unique opportunity for experienced Registered Nurses (RNs) to work as Case Managers in Orange, California. As a travel...

Job SummaryWe are seeking a highly skilled and dedicated Case Manager to join our team at Specialty Professional Services in Orange, CA. This is a full-time opportunity that requires strong case management skills and experience.About the Role:Work on a regular shift schedule with 5 days per week and 8 hours per dayPossess a current RN License and have at...

Specialty Professional Services is seeking a skilled Registered Nurse to fill a Case Management position in Orange, CA. This is a 5x8 days shift opportunity with a competitive salary range.About the Role:We are looking for a dedicated and experienced RN to join our team. The ideal candidate will possess a current CA license or Compact license, depending on...

Job SummaryZufall Health seeks a skilled Prenatal Case Manager to join our team. In this role, you will play a key part in ensuring patients receive the best possible care.ResponsibilitiesAssist prenatal patients and their families in accessing necessary clinical and social services.Work closely with healthcare providers to identify patients in need of...

Talent4Health is seeking a highly motivated and experienced Registered Nurse (RN) to join our team as a Medical Case Manager. With a focus on delivering high-quality patient care and services, this role will play a critical part in ensuring the health and well-being of our members.Job SummaryThe ideal candidate will possess excellent communication and...

Travel Nursing Career: Case Management RNWe are seeking a dedicated and experienced Case Management RN for a travel nursing opportunity in Orange, California.About the JobJob Title: RN - Case MgmtLocation: Orange, CaliforniaDuration: 13 weeksShift: 8 hours, daysEmployment Type: TravelThis is an exciting opportunity to work as a travel nurse with our esteemed...

Job TitleTravel Nurse RNAbout Cynet HealthCynet Health is a dynamic healthcare staffing agency dedicated to providing exceptional nursing professionals with rewarding travel opportunities.Compensation PackageWe offer a competitive salary of $120,000 per year, depending on location and experience. In addition to a tax-free stipend for housing and meals, our...