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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.

Utilization Management Admissions Liaison RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) L.A. Care Health Plan is an independent public agency created by the state of California to provide health...

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...

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted,...

Travel Nursing Case Management Position Nursing Profession RN Specialty Case Management Regular Pay Rate $24 Shift Details Shift 8 hour days Job Order Details Start Date 11/02/2026 End Date 05/03/2027 Duration 26 Week(s) Client Details...

PIH Health in Los Angeles is seeking an RN Peer Review Analyst responsible for retrospective medical record reviews, data compilation to validate quality and accuracy of documentation, and auditing charts for admission/continued stay. You will...

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...

Integra Partners is seeking an LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to review benefit and...

Nascentia Health is seeking an Licensed Practical Nurse to support Health Plan Health Support within Care Management. This fully remote role requires NY licensure and periodic travel to the nearest office. You will triage calls, educate...

General Information Press space or enter keys to toggle section visibility Work Location: Santa Monica, CA, USA Work Schedule 4-day 10-hour shifts, 7:00am-5:30pm; may...

Benefits: 401(k) Competitive salary Dental insurance Health insurance Paid time off Signing bonus Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301...

Utilization Management Nurse I, RN Huntington Beach Office - Huntington Beach, CA 92647; Arcadia Office - Arcadia, CA 91007 Overview Salary Range $72,758.00 - $89,128.00 Salary/year Position Type Full Time...

SCAN is seeking a part-time, telephonic care coordinator RN to support frail seniors in navigating the healthcare system and living independently. You will work with members remotely to assess needs, develop plans of care, and deliver health...

CANDIDATE MUST LIVE WITHIN 50 MILES OF SAINT LOUIS, MISSOURI AND BE LICENSED IN MO OR IL AW Health Care is a St. Louis based, independently operated, women-owned enterprise. We recently celebrated our 20th anniversary in the...

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...

Utilization Management Nurse Consultant (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...

Job Overview: Pay Range: $46.76hr - $51.76hr Requirement/Must Have: 5+ years Clinical nursing experience. 2+ years Care Management. Bachelor's Degree in Nursing. In...

OUR MISSION We exist to create a more connected, compassionate, and confident experience for people with cancer and those who care for them. We make it easier to get answers, access high-quality care quickly, and feel...

Position Summary The RN Case Manager is responsible for performing clinical assessment and reassessment of acute care Inpatients for the purpose of performing utilization review, resource management and safe discharge...

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...

Logan Health is hiring a Utilization Management Specialist to join the UM team. The role focuses on reviewing admissions, validating documentation and determining appropriate admission status across the hospital system. You will collaborate...

Clinical Navigator - Remote Patient Support, License Required, Oncology/Infusion a Plus US - remote This is a fully remote position. Preferred candidates possess telehealth/remote patient support experience. The...

Bay Crest Care Center in Torrance, CA is seeking a Full-Time Case Manager (LPN/LVN) to join their healthcare team. The role involves managing resident care through various stages and collaborating with healthcare providers. Candidates must have...

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...

Aetna is seeking a Field Case Manager in Los Angeles, CA, responsible for assessing injured employees to facilitate their timely return to work. This full-time position supports medical and vocational needs through collaboration with patients,...