Kaiser PermanenteBaldwin Park,CA
Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does...
Posted September 7, 2026
CVS HealthLos Angeles,CA
We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...
Posted August 29, 2026
Kaiser PermanentePanorama City,CA
Job Summary: Works 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...
Posted September 7, 2026
Registered NurseLos Angeles,CA
CVS Health is seeking an experienced Registered Nurse to coordinate comprehensive patient care, develop personalized plans, and liaise with multiple providers. You will advocate for patients, monitor progress, and optimize resource use to improve...
Posted September 2, 2026
GuidehealthLos Angeles,CA
Guidehealth is seeking a remote-based Care Manager (RN) to guide patients and families through complex health journeys. You will blend clinical expertise with holistic care, addressing medical, behavioral, and social needs while coordinating...
Posted August 25, 2026
CVS HealthLos Angeles,CA
A healthcare organization is seeking an RN Case Manager to work remotely and facilitate case management activities, evaluating medical needs for overall member wellness. Candidates should have an active RN license, ideally compact, with at least...
Posted August 25, 2026
UnitedHealth GroupLos Angeles,CA
UnitedHealthcare in Tennessee seeks a Licensed Field Care Coordinator to coordinate care for medically complex members, delivering education, self-management support, and advocacy. This field-based, remote role requires strong clinical skills and...
Posted August 25, 2026
SomatusLos Angeles,CA
A healthcare organization is seeking a remote RN to manage patient care related to chronic kidney disease. Responsibilities include ensuring continuity of care, coordinating treatment plans, and documenting patient information. Candidates must...
Posted August 25, 2026
Registered NurseLos Angeles,CA
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...
Posted September 2, 2026
Davies North AmericaLos Angeles,CA
A leading healthcare company is seeking an experienced Telephonic Nurse Case Manager to manage medical claims and facilitate care for injured workers. The ideal candidate will have at least a year of experience in Florida Workers' Compensation,...
Posted August 25, 2026
University of Minnesota School of NursingLos Angeles,CA
UnitedHealthcare is seeking a Care Coordinator (RN) to coordinate care for medically complex members, applying clinical knowledge to case management and ensuring access to Medicare/Medicaid benefits. This field-based role requires collaboration...
Posted August 25, 2026
ELM Management Services, LLCLos Angeles,CA
ELM Management Services, LLC is seeking an ASC Pre-Admission Testing Registered Nurse (PAT RN) for part-time work in Atlanta, GA, with a remote option. The PAT RN will conduct telephonic pre-op assessments, coordinate clearances, and educate...
Posted September 1, 2026
Synergy Healthcare USA, LLCLos Angeles,CA
A healthcare solutions provider is seeking an experienced Nurse Advocate to work remotely from Kansas. The ideal candidate will possess a nursing license and have at least 3 years of experience. Responsibilities include assisting clients in...
Posted August 25, 2026
HealthMap Solutions LLCLos Angeles,CA
Healthmap Solutions is seeking a Care Navigator to manage kidney health programs and coordinate care across patients, providers, and interdisciplinary teams. You will document in Compass, complete health screenings, med reconciliation, and...
Posted September 5, 2026
InteProsLos Angeles,CA
A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...
Posted August 25, 2026
HumanaLos Angeles,CA
Humana Inc. in the United States is seeking a Part C G&A Nurse (Utilization Management Nurse 2) to support case preparation, review medical documentation and coordinate appeal determinations. This remote, full-time role requires an RN with...
Posted August 31, 2026
University of MiamiLos Angeles,CA
University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and...
Posted August 25, 2026
Kaiser PermanenteLos Angeles,CA
Job Summary: Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge...
Posted September 7, 2026
Brighton Health Plan SolutionsLos Angeles,CA
Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant...
Posted August 25, 2026
Piper CompaniesLos Angeles,CA
Piper Companies is seeking a Remote Utilization Management/Review Nurse to evaluate member cases, ensuring medical necessity and appropriate healthcare service utilization. The role requires clinical expertise and collaboration with providers to...
Posted August 25, 2026
ADPLos Angeles,CA
iMPROve Health seeks an RN Reviewer (Workers' Compensation Utilization Review) to perform independent external medical reviews remotely as an independent contractor (1099). The reviewer applies clinical expertise to evaluate cases, ensuring...
Posted September 5, 2026
IntelliResumeLos Angeles,CA
UnitedHealth Group is seeking an Inpatient Utilization Management Nurse, RN for a fully remote role serving the Sacramento area. The position requires 3+ years in acute care and 1+ year in utilization management, with certification in RN licensure...
Posted September 5, 2026
Ellenco Estágios e TreinamentosLos Angeles,CA
Guidehealth is seeking a Care Manager to guide patients and families through complex health journeys. This remote role blends clinical expertise with holistic care to address medical, behavioral, and social needs. You will build...
Posted August 25, 2026
kozmetickesluzby.vecnakraska.sk - JobboardLos Angeles,CA
UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience.
Posted September 1, 2026
LeadingAge VirginiaLos Angeles,CA
UnitedHealthcare is seeking a field-based Care Coordinator (RN) to coordinate care for medically complex members primarily within Medicare/Medicaid. You will apply clinical knowledge to identify needs, educate members, and ensure access to...
Posted August 25, 2026