PIH HealthLos Angeles,CA
Responsible for collaborating with healthcare providers and physicians for problem solving, prioritizing and facilitating patient care objectives, the coordination and...
Posted August 31, 2026
Cedars-SinaiMarina Del Rey,CA
Job Description Align yourself with an organization that has a reputation for excellence! Cedars Sinai...
Posted August 31, 2026
PIH HealthWhittier,CA
The Registered Nurse (RN) Case Manager provides care coordination which emphasizes positive partnerships with nursing, physicians and other key disciplines in order to pace...
Posted August 31, 2026
Santa Barbara Cottage HospitalLos Angeles,CA
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...
Posted August 25, 2026
GQR HealthcareLos Angeles,CA
GQR Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...
Posted August 31, 2026
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,...
Posted August 25, 2026
Intermountain HealthLos Angeles,CA
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...
Posted August 31, 2026
Santa Barbara Cottage HospitalLos Angeles,CA
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...
Posted August 25, 2026
Molina HealthcareLong Beach,CA
JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure...
Posted August 31, 2026
Highmark HealthLos Angeles,CA
Highmark Inc. is seeking an experienced RN in a remote role, with weekend availability on Saturdays and Sundays plus three weekdays. The position emphasizes utilization management, care coordination, and provider/member education. The RN...
Posted August 29, 2026
PIH HealthWhittier,CA
The Registered Nurse (RN) Case Manager provides care coordination which emphasizes positive partnerships with nursing, physicians and other key disciplines in order to pace...
Posted August 31, 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
Centene Management Company LlcLos Angeles,CA
Centene is seeking a licensed Practical Nurse or Registered Nurse for a remote utilization management role based in Oklahoma. You will review prior authorization requests for medical necessity and coordinate with medical teams to ensure...
Posted August 29, 2026
US NavyBaldwin Hills,CA
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...
Posted August 31, 2026
Indiana University HealthLos Angeles,CA
Job Description Part and Full-time roles are eligible for a $30,000 sign-on bonus — apply today to learn more! Varied scheduling options are available, including 8-hour, 10-hour, and 12-hour shifts, as...
Posted August 26, 2026
AdventHealthLos Angeles,CA
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...
Posted August 27, 2026
UnitedHealthcare At HomeLos Angeles,CA
Care Manager At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build...
Posted August 28, 2026
CVS HealthLos Angeles,CA
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,...
Posted August 25, 2026
Minnesota JobsLos Angeles,CA
Part C Grievance & Appeals Nurse Become a part of our caring community The Part C Grievance & Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical nursing skills to support the coordination, documentation and...
Posted August 31, 2026
A-Line Staffing SolutionsBurbank,CA
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...
Posted August 21, 2026
Talent Software ServicesLos Angeles,CA
A healthcare solutions provider is looking for a qualified RN to perform medical reviews and coordinate care for members. This role involves assessing service needs, engaging in patient education, and ensuring compliance with healthcare...
Posted August 25, 2026
Synergy Healthcare USA, LLCLos Angeles,CA
Join to apply for the Nurse Advocate - Remote- Kansas role at Synergy Healthcare USA, LLC We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and their employees.
Posted August 25, 2026
Cedars-SinaiMarina Del Rey,CA
Job Description Align yourself with an organization that has a reputation for excellence! Cedars Sinai...
Posted August 31, 2026
Cross Country EducationDowney,CA
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...
Posted August 26, 2026
US NavySan Marino,CA
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...
Posted August 31, 2026