Clinical Nurse Specialist

Your Role:As a Clinical Appeals and Grievances Specialist at Blue Shield of California, you will be responsible for reviewing member appeals and grievances related to Medicare and Medi-Cal benefits. This role requires a strong understanding of clinical guidelines, including National Coverage Determination (NCD) and Local Coverage Determination (LCD)...

Job Summary:The Clinical Support Specialist position at Dignity Health Medical Foundation is responsible for delivering high-quality patient care and support services. As a key member of our healthcare team, you will be expected to know your professional scope of practice and complete the required orientation program.Key Responsibilities:Provide clinical...

Job SummaryUnder the direction of the Manager for Continuing Care, the Registered Nurse (RN) will be responsible for planning and conducting needs assessments and evaluating orientation and staff development programs for staff and non-provider clinical staff.Key ResponsibilitiesDesigns and develops educational plans, researching and applying best practices,...

Job DescriptionJob Title/Position: Nurse Care SpecialistReports To: Clinical Supervisor/Nursing SupervisorJOB DESCRIPTION SUMMARYThe nurse care specialist plans, organizes, and directs home care services, emphasizing community health education and experience. This professional builds from the resources of the community to plan and direct services to meet the...

Jackson Nurse Professionals is seeking a travel nurse RN for a long-term acute care position in a California hospital.Specialty: Long-term acute care Shift: Flexible Employment Type: Travel Pay package is based on 12-hour shifts and 36 hours per week, with a tax-free stipend amount to be determined.Jackson Nurse Professionals delivers cost-effective travel...

Cross Country Nurses is seeking a registered nurse to provide care for patients in a clinical setting. As a clinical nurse, you will treat patients who are ill, injured or undergoing surgery. You will administer medications, monitor vital signs, change dressings, manage IVs, provide patient and family education, and help with patient discharge in...

Planet Healthcare, a global leader in clinical staffing, seeks a skilled Nurse Travel Specialist to join their team in Cordova, Alaska.Job Details:Specialty: Emergency DepartmentDiscipline: Registered Nurse (RN)Duration: 15 weeks, 36 hours per weekShift: 12 hours, nightsEmployment Type: TravelThe ideal candidate will have experience working in emergency...

Jackson Nurse Professionals is seeking a travel nurse RN for a long-term acute care position in a California hospital.Job DetailsSpecialty: Long Term Acute CareDiscipline: RNDuration: 13 weeksShift: FlexibleEmployment Type: TravelThe pay package is based on 12 hour shifts and 36 hours per week, with a tax-free stipend amount to be determined.About Jackson...

Job SummaryBlue Shield of California is seeking a skilled Senior Clinical Review Nurse to join our Commercial Post Service Review team. As a key member of our team, you will be responsible for clinically reviewing claims that are the result of either a preservice or claim denial.Key ResponsibilitiesPerform accurate and timely clinical review of post service...

Cross Country Nurses is seeking a travel nurse RN Clinic for a challenging and rewarding travel nursing opportunity in a clinical setting.Job Description & RequirementsSpecialty: ClinicDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hoursEmployment Type: TravelAs a registered nurse - clinic (RN), you will provide high-quality patient care in a...

About the job: Biomedical Equipment SpecialistAs a Biomedical Equipment Specialist at Workforce Solutions Virens Global, you will perform corrective maintenance procedures, including diagnosing problems using thermodynamic, electrical, mechanical, pneumatic, and hydraulic sciences.You will provide Planned Maintenance (PM), safety testing, repairs,...

Cross Country Healthcare is seeking a travel nurse for a clinic position in California.Job DetailsSpecialty: ClinicDiscipline: Registered NurseEmployment Type: TravelAs a registered nurse in a clinic setting, you will provide care for patients who are ill, injured, or undergoing surgery. You will administer medications, monitor vital signs, change dressings,...

Cross Country Nurses is seeking a travel nurse for a clinic position in a California healthcare facility.Job DetailsSpecialty: ClinicDiscipline: Registered NurseShift: 12 hoursEmployment Type: TravelAs a registered nurse in a clinic setting, you will provide care for patients who are ill, injured, or undergoing surgery. You will administer medications,...

Your RoleThe Commercial Post Service Review team at Blue Shield of California is responsible for clinically reviewing claims that are the result of either a preservice or claim denial. As a Senior Clinical Reviewer, you will report to the Manager, Post Service, and perform accurate and timely clinical review of post service claims for the CalPERS...

Hospice Care SpecialistWe are seeking a dedicated Hospice Licensed Vocational Nurse (LVN) to join our interdisciplinary team and contribute to our mission of providing comfort, dignity, and support to individuals facing terminal illness.Key Responsibilities:Provide home-based care to patients with a prognosis of six months or less to live, focused on quality...

Travel RN Clinic Job OpportunitySynergy Medical Staffing is seeking a skilled travel nurse RN Clinic to join our team in Rancho Cordova, California.Job DetailsSpecialty: ClinicDiscipline: RNDuration: 13 weeksHours: 36 hours per weekShift: 12 hours, nightsAs a travel nurse RN Clinic, you will have the opportunity to work with a dedicated team of healthcare...

Job Title: Virtual Registered NurseJob Summary:We are seeking a highly skilled and experienced Virtual Registered Nurse to join our team. As a Virtual Registered Nurse, you will provide virtual support to our in-clinic and virtual doctors and advanced practice providers by reducing administrative burden, providing effective intake management, and supporting...

About the RoleWe are seeking a skilled Clinical Reviewer to join our Appeals and Grievances team at Blue Shield of California. As a key member of our team, you will play a critical role in ensuring that our members receive high-quality care and that our clinical decisions are informed by the latest evidence-based guidelines.Key ResponsibilitiesConduct...

Wellspring Nurse Source is seeking a travel Physical Therapist for a travel job in a remote location.Job DetailsSpecialty: Physical TherapistDiscipline: TherapyEmployment Type: TravelThe pay package is based on 8 hour shifts and 40.0 hours per week, with a tax-free stipend amount to be determined. We are committed to helping you find your best job at the...

About the RoleThe Clinical Quality Review team at Blue Shield of California is seeking a seasoned leader to oversee the review of potential quality issues that impact our members, providers, and staff. As a key member of our Quality Management and Assurance team, you will work closely with medical directors to identify and address quality concerns, ensuring...