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CVS HealthLos Angeles,CA
CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely,...
Walker Healthforce, LLCLos Angeles,CA
Back Medical Claim Review Nurse | Remote | Washington | Contract Business & Care Management Long Beach , California Contract Aug 11, 2026 Medical Claim Review Nurse | Remote (Washington) | Contract Walker Healthforce is seeking a...
Molina HealthcareLos Angeles,CA
Molina Healthcare is recruiting a qualified RN for a fully remote Utilization Management role requiring an active Illinois license. The position operates Monday–Friday, 8:30 AM–5:30 PM CST, with emphasis on clinical determinations using MCG...
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...
BroadpathLos Angeles,CA
Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...
Broadway VenturesLos Angeles,CA
Broadway Ventures, a veteran-owned SDVOSB headquartered in Mississippi, seeks an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud referrals. You will apply clinical expertise...
IntellatriageLos Angeles,CA
Remote Nurse Triage RN PT (5p-11p weekdays, 8a-4p/2p-10p weekends) IntellaTriage continues to GROW! Shift Schedule3 shifts per 2‑week pay period, Mon‑Fri, rotating 5p‑11p CST.2 of every 3 weekend...
FairweatherLos Angeles,CA
firsthand Health is seeking a Remote Triage Nurse to support clients and staff by phone and electronic triage. This day-shift role (8:30-4:30 PST) focuses on care coordination, training, and administrative tasks while delivering compassionate,...
National Brain Tumor SocietyLos Angeles,CA
National Brain Tumor Society (NBTS) is seeking a Patient Navigator to support brain tumor patients and caregivers, providing evidence-based information, treatment navigation, and connections to NBTS programs. The role requires an active RN...
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...
CVS HealthLos Angeles,CA
CVS Health Corporation is seeking a seasoned RN to administer and coordinate comprehensive patient care plans, ensuring smooth transitions across care settings. You will analyze medical data, organize files, and communicate securely to support...
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...
TEKsystemsLos Angeles,CA
TEKsystems is seeking an experienced Remote RN Case Manager for Texas residents. This role focuses on care coordination, member advocacy, and improving health outcomes while offering a remote schedule. The ideal candidate is an RN with 3+...
Innovative Systems GroupLos Angeles,CA
A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience...
StrykerLos Angeles,CA
Upper Peninsula Health Plan (UPHP) is seeking a Remote Community Based Clinical Coordinator - Care Manager. The role involves evaluating members, coordinating services, and ensuring high-quality, cost-effective care across care settings.
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...
BJC HealthCareLos Angeles,CA
St. Louis Children's Hospital is seeking an RN for after-hours triage and nursing support via the Answer Line. The role involves assessing patient needs, guiding care plans, and educating families within established guidelines. Part-time...
Pacer GroupLos Angeles,CA
A healthcare staffing company in Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year of Home Health experience and must possess an active CA RN License. Responsibilities...
Kaiser PermanenteBaldwin Park,CA
Job Summary Collaborates with Education Consultants, Managers, CNS staff and Physicians to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on clients departmental goals and needs, as well as...
Memorial Physician PracticesLos Angeles,CA
Lifepoint Health seeks a Director of Nursing & Quality Resource to provide interim leadership across behavioral health facilities, guiding quality care delivery, staff development, and policy revision. This role requires extensive travel and the...
TeamHealthLos Angeles,CA
Remote Nursing OpportunitiesAre you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional...
Cardiovascular Institute of Excellence PLLCLos Angeles,CA
Remote LPN/LVN – Chronic Care Management (Full‑Time, Work From Home) CARDIOVASCULAR INSTITUTE OF EXCELLENCE PLLC is a dedicated medical practice company headquartered in Wagoner, Oklahoma. With a focus on delivering high‑quality...
CVS HealthLos Angeles,CA
Position Summary 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,...
UCLA Health and David Geffen School of MedicineLos Angeles,CA
Job ID: 31998 *Description*Become a key member of a world-class health organization. Contribute to the delivery of Magnet® designated nursing excellence. Take your career to the next level. Ucan do all this and more at UCLA Health. In...
Cardiovascular Institute of Excellence PLLCLos Angeles,CA
A dedicated medical practice is seeking an experienced Remote LPN/LVN to support patients in Chronic Care Management and Remote Patient Monitoring programs. The role includes conducting phone consultations, documenting findings, and ensuring...
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