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Clinical Appeals and Grievances Specialist Will this role be fully remote? Yes. Are there any specific locations the candidates should be in (i.e., do they need to live in IL)? No but must have CA license. Work Schedule/Shift & Time Zone:...

Molina Healthcare is hiring a remote RN Care Manager. Preference for candidates in Washington State. This role will be working Pacific Standard Time hours. This role supports Medicare members through telephonic case management and...

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...

RN-Case Management Job Location: Downey, CA Schedule: 5x8 Days Start Date: 11/30/2026 Assignment Length: 13 weeks Job Type: Travel Minimum Requirements: State Licensure: A valid RN license...

Case Management Nurse Provides excellent patient care by assisting in the collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, nurse, physicians,...

Case Manager RN 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,...

Nurse Case ManagerUnder the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement, acting as a resource to staff and physicians in resource efficiencies and...

Benefits: 401(k) 401(k) matching Dental insurance Health insurance Vision insurance Wellness resources Company parties Opportunity for advancement Paid time off Parental...

RN Case Manager Location: Washington-- Remote (CKD) (Would prefer the RN to be based in Seattle or surrounding cities) This is a primarily remote position requiring a dedicated home office and the ability to travel to meet business...

AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Manager for a travel nursing job in Pasadena, California. Job Description & Requirements Specialty: Manager Discipline: RN...

Nurse Case ManagerUnder the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement, acting as a resource to staff and physicians in resource efficiencies and...

Bestica is seeking a travel nurse RN Case Management for a travel nursing job in Glendale, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days...

Public Health Nurse The County of Los Angeles Department of Public Health is seeking qualified candidates to fill emergency Public Health Nurse vacancies related to the homelessness crisis. Under the emergency order, applicants who...

At UK King's Daughters, we're not just a healthcare facility - we're a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We're more than just a place to work; we're a place to...

Payrate: $41.00 - $43.00/hr Summary: The main function of the nurse is to provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and...

Job Summary: We seek a highly skilled and experienced Registered Nurse with specialties in Medical/Surgical, ICU, ER, Psychiatric, Labor & Delivery, PACU, or Operating Room to perform utilization review duties. The Registered...

Title: Care Management Coordinator/RN Location: 100% Remote Duration: 3+ Months (Possible FT conversion) Would work on Infusion Therapy Team. Candidates would have outpatient...

Case ManagerJob Summary: The Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures correct level of care: critical, telemetry, acute, observation, for all...

Overview 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...

Summary The Greater Los Angeles VA Medical Center is seeking highly skilled and experienced Registered Nurse for the Acute Care - 3 South to join the team! Learn more about this agency Duties Help...

Market leading managed care organization looking for remote RN Case Managers! Great opportunity, please call us today! Must RESIDE in Oklahoma and must have an active and unrestricted Oklahoma RN license Location: Remote ...

Seeking a full-time Telephonic Case Manager with a compact RN license and CCM certification to provide remote medical case management services for injured individuals, coordinating medical services and exploring vocational options during weekdays...

Concentric is currently seeking candidates in Registered Nurse profession with focus in Registered Nurse (Case Manager) for a 13 week contract in the Los Angeles, CA area. Concentric is a premier staffing firm dedicated to matching outstanding...

Concurrent Review Registered Nurse (RN) Location: Fully remote. Our client is seeking an experienced Concurrent Review Registered Nurse (RN) to join its Utilization Management team. In this role, you will perform concurrent...

Case Manager RN 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,...