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GQR Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...

Medlivo is seeking a travel nurse RN Case Management for a travel nursing job in Woodland Hills, California. Job Description & RequirementsSpecialty: Case...

JOB DESCRIPTION Job Summary Work Location: California - Ability to work remote, but selected candidate must reside in the state of California. This position requires California RN Licensure. Candidates must...

OU Health is seeking an entry-level RN Care Manager Utilization Review I to collaborate with health care providers and ensure patients receive appropriate care while complying with regulations. This role evaluates medical necessity, negotiates...

Job Description: The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise for screenings, assessments, and evaluations. This role involves developing and implementing...

California residency required. Job Summary Leads and supervises a multidisciplinary team of healthcare services professionals in some or all of the following functions: care management,...

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,...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

Clinical Documentation Improvement Specialist-RN- Remote The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with the identification of diagnoses, conditions, and procedures that are representative of the...

St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the hospital for high...

Santa Barbara Cottage Hospital is seeking a licensed practical nurse to join BHPS Utilization Management as a remote reviewer of medical necessity and benefit determinations. You will assess cases using clinical guidelines and coordinate with...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is...

A leading healthcare provider is seeking an Associate RN for a remote role dedicated to acting as a care guide and advocate for patients. The candidate must hold a valid RN license in a compact state or California. Responsibilities include...

Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support...

Company : Highmark Health Job Summary This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource...

Cross Country Education is seeking a local contract nurse RN School RN for a local contract nursing job in Downey, California. Job Description & Requirements Specialty: School RN Discipline: RN Duration: 41 weeks 36 hours per week Shift: 12 hours...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: MIST Registered Nurse (RN) – Position Summary The Multidisciplinary...

CVS Health is seeking a Clinical Quality & Compliance RN for a remote role focused on quality, compliance, and operational excellence. You will ensure utilization management processes meet regulatory, accreditation, and quality standards,...

Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Pasadena, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 09/14/2026 Duration: 13 weeks 40 hours...

Humana is seeking an RN Care Manager to support Wisconsin Family Care members with care coordination, education, and documentation from a home-based setting. Travel to member sites is expected up to 40% of the time, with regular in-person visits...

Job Title: Contingent Clinical Care LVN/LPN PT - MC Address: Burbank, CA Job Description Administer oral, injectable, intravenous, and topical medications. Evaluate complex patient conditions and document treatment responses. Perform routine...

Overview Experience the advantages of real career change Join Piedmont to move your career in the right direction. Stay for the diverse teams you'll love, a shared purpose, and...

Johns Hopkins Medicine is seeking a Utilization Review Registered Nurse based in Hanover, MD. This full-time role allows you to leverage your clinical expertise to enhance member care through effective monitoring and communication. Your insights...

Utilization Management Nurse RN Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our...