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AHMC HealthcareSan Gabriel,CA
Denials Case Manager, RN The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials,...
DevSan Gabriel,CA
OverviewJobs for Humanity is partnering with CEDARS‑SINAI to build an inclusive and just employment ecosystem. We prioritize individuals from diverse communities including Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard...
Solomon PageBurbank,CA
Our client is looking to add a Registered Nurse to their team. Job Details: Location: Burbank, California Duration: 13 Weeks Start Date: 08/10/2026 Shift: 5x8 Days...
Pasadena Independent School DistrictPasadena,CA
Registered Nurse Duty Days: 187 Pay Grade: T07-T08 Salary Schedule: Click for Salary Schedule Primary Purpose: Ensure that learning is not hindered by a correctable health problem and educate students toward worthwhile decisions...
Cedars-SinaiBeverly Hills,CA
Job Description Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News &...
CGS ADMINISTRATORSLos Angeles,CA
Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including...
The Ohio State UniversityLos Angeles,CA
Screen reader users may encounter difficulty with this site. For assistance with applying, please contact [email protected]. If you have questions while submitting an application, please review these frequently asked questions.
CompassusSanta Monica,CA
Clinical Liaison RN - PAH The Clinical Liaison RN - PAH is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of...
Astrana Health ManagementMonterey Park,CA
Astrana Health Management is seeking a Case Manager (LVN/RN) based in Monterey Park, CA. This full-time position requires handling acute care transitions, collaborating with hospital staff, and meeting compliance standards. Candidates must hold an...
Emanate HealthWest Covina,CA
Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate...
CareSourceLos Angeles,CA
Care Manager The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the...
Clever Care Health PlanArcadia,CA
Clever Care Health Plan is looking for a dedicated Case Manager II – RN in California to manage a caseload of members with complex health needs. You will develop care plans, monitor progress, and lead interdisciplinary teams to improve care...
CHSGaLos Angeles,CA
Join Us At NextStep Care NextStep Care – a place where you'll be valued, recognized and rewarded for the vital work you do each day. We'll surround you with a strong team and leadership that supports every aspect of your life – both...
Astrana HealthLos Angeles,CA
UM Review Nurse Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical services for...
Voyage HealthcareSanta Monica,CA
Apply Now Certification: Registered Nurse Specialty: Case Manager Location: Santa Monica, California Jobs Available: 1 Job Type:...
Thomas Jefferson University HospitalLos Angeles,CA
Job Details Reviews payor denials and audits for potential lost revenue. Writes comprehensive, factual arguments to present to third-party payers, medical review boards, or other responsible parties applying clinical criteria to establish...
HinesLos Angeles,CA
Nurses Are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates! *Must have Mental Health and/or Substance Abuse...
EliteLos Angeles,CA
Job Summary As a Clinical Services Manager - RN Telephonic Case Management, you will ensure optimum recovery on every claim while establishing trust, providing education, delivering information, and care. You will provide case direction to...
Adventist HealthGlendale,CA
Job DescriptionLocated in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus – a rejuvenating place...
Generis TEkLos Angeles,CA
Please contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Nikhil Jhajharia at email address [email protected] can be reached on # 630-576-1935. We have...
Sedgwick Government SolutionsLos Angeles,CA
Job Details Telephonic Triage Nurse Case Manager (Remote) 2026-1475 Dallas, TX, USA Medical Case Management Full Time Description Overview Are you looking to make a difference by providing...
MercorLos Angeles,CA
Product TesterWork from home nationwide in the United States. Fulfill upcoming contracts with national and international companies. Guaranteed 15‑25 hours per week with an hourly pay of $25.00.Type: Full‑time +1ABA Case SupervisorBehavioral...
Charlie HealthLos Angeles,CA
Clinical Clearance Specialist (RN) Remote, United States Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often,...
Blue Shield of CaliforniaLong Beach,CA
Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge...
Sentara HealthcareLos Angeles,CA
City/State Doral, FL Work Shift First (Days) Overview: Sentara Health Plan AvMed is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates...

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