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Job Description Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based...

The Leading Provider of Integrated Occupational Medicine Services CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs.

UCLA Health Advanced Practice Nurse Work Location: Santa Monica, CA, USA Work Schedule 4-day 10-hour shifts, 7:00am-5:30pm; may include weekends and holidays Salary Range: $68.81 - 88.99 Hourly Employment Type 2 - Staff:...

Registered Nurse - Case Manager Job Description: If you want to make a significant impact as a Registered Nurse - Case Manager in Paramount, CA this position might be what you are looking for!

Tennova Healthcare- Turkey Creek Medical Center is seeking a PRN Remote Clinical Utilization Review Specialist to evaluate the necessity and efficiency of hospital services and to support payer requirements. You will review admissions and...

Registered Nurse – Case Manager Day shift, 5x8-hour schedule from 08:00 to 16:30. Start date: ASAP. Typically requires one full weekend per 4 weeks, subject to department needs. CA state license required; pending license...

Founded in 1933 by Pasadena residents dedicated to women's health, PPPSGV is not only among the oldest of Planned Parenthood affiliates-we're also one of the fastest growing. Today, we see over 60,000 patient visits per year and deliver over...

Travel Rn Specialty Case Manager Job Type: Travel Profession: RN Specialty: Case Manager Shift Details: 5x8 Days Job Order Details: Start Date 11/02/2026 End Date 12/29/2026 Duration 13 Week(s) Client...

Job Responsibilities and Requirements KEY RESPONSIBILITIES *other duties as assigned* Job Summary: Reviews all medical (and other) documentation in claim files to answer the specific...

Apply Now Certification: Registered Nurse Specialty: Case Manager Location: Burbank, California Jobs Available: 1 Job Type: Contract...

Staff Builders is seeking a local contract nurse RN Case Management for a local contract nursing job in Glendale, California. Job Description & Requirements Specialty: Case Management Discipline: RN...

Details Client Name Glendale Memorial Hospital and Health Center Job Type Travel Offering Nursing Profession RN...

Logan Health Medical Center is seeking a Utilization Management Specialist to review admissions across the system and determine appropriate status. This role suits an RN or Social Worker with acute care experience, capable of collaborating with...

Job Title Job Requirements: Experience: 2 years acute care case manager experience Certs: BLS Education: BSN or MSN FLU VACCINE (no exemptions) during flu season Special Requirements: EPIC...

Job Title Job Description For this role, they are looking for an active Registered Nurse licensed in California, with current BLS certification and at least 3 years of acute care case manager experience. Epic 3 years...

Company Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage...

Host Healthcare is the #1 ranked travel healthcare company in the U.S. with an immediate option for this RN position in PARAMOUNT, CA. Sign-up here to submit your application for this role or for more information about this role, contact a member...

A Path of Care Preferred Pathways of Hugo, OK is hiring a full-time ADvantage Case Manager to serve Hugo and surrounding areas. The role involves in-home assessments, care planning, and ongoing monitoring to help members live safely at home.

A leading healthcare provider is seeking a Registered Nurse for their LTSS department in New York. This role involves providing case management services, evaluating medical services, and managing appeals for denied services. Candidates must...

Case Manager RN Travel Assignment Meda Health is looking for a Case Manager RN to work a travel assignment in an acute care hospital setting. Must have at least two years of experience, state licensure and BLS (at minimum). Competitive...

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

Job Description TactStaff is seeking a dedicated Registered Nurse Case Management - Hospital for a rewarding opportunity located in Los Angeles, CA. At TactStaff, we prioritize being your lifelong career ally. This dedication...

CVS Health is hiring a Nurse Care Manager for a work-from-home role with 25–50% travel across Ocean County, NJ. You will assess member needs, coordinate care, and collaborate with the healthcare team to improve outcomes. The ideal...

Shearwater Health Registered Nurse, Utilization Review At Shearwater Health, we know that better patient outcomes are never achieved alone – especially when there aren't enough hands to deliver care. That's why we've built something...

DocGo is seeking a remote Employee Health Nurse (LPN) to administer and coordinate our employee health compliance programs for a distributed field-based workforce. You will manage OSHA respiratory protection, N95 fit-testing, and clearance...