86Borders, LLC.Los Angeles,CA
As a Care Coordinator, you are responsible for providing care coordination for Medicaid, Medicare Advantage, and/or Dual Eligible Special Needs Plan (DSNP) members. You will create a positive experience for members by building trusted...
Posted July 2, 2026
MedWatch LLCLos Angeles,CA
Medical Review Specialist Scope: The Medical Review Specialist is a Registered Nurse who conducts the Utilization Review process by obtaining medical information and confirming the medical necessity of hospital admissions and/or...
Posted June 25, 2026
Arizona StaffingLos Angeles,CA
Federal Healthcare Risk Management Nurse (DHA CQM Program) Tanaq Management Services (TMS) delivers professional, scientific, and technical services and information technology (IT) solutions to federal agencies in health, agriculture,...
Posted July 4, 2026
Vivian HealthBurbank,CA
RN Utilization Mgmt Full-Time Day POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include: the e-TAR process, denials management,...
Posted June 20, 2026
Metropolitan Jewish Health SystemLos Angeles,CA
Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...
Posted July 1, 2026
Harris ComputerLos Angeles,CA
Chronic Care Coordinator Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients with two or more chronic...
Posted June 25, 2026
The Moorings Park Institute IncorporatedLos Angeles,CA
Join the Team at Moorings Park as a RN Case Manager in Home Health (Private Duty) Moorings Park is seeking a dedicated and talented Case Manager to join our team. The Private Duty RN Case Manager is...
Posted July 2, 2026
RadNetLos Angeles,CA
The Inpatient Transfer Case Manager is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified patients during an acute care episode. Assesses and develops a care plan in...
Posted June 26, 2026
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...
Posted July 1, 2026
UPMCLos Angeles,CA
Job Title Job Summary: Review clinical documentation within the medical record to ensure that all principal diagnosis, secondary diagnoses, and PCS procedures have been coded accurately and completely as well as certain abstract items in...
Posted June 24, 2026
Palazzo Post AcuteLos Angeles,CA
Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, quick-thinker, and ready to be a part of an organization that supports your growth?WHAT WE'RE ABOUTWe...
Posted June 29, 2026
Servants Heart Home Health ServicesLos Angeles,CA
Job Type Full-time Description Skilled Nurse Reports to: Director of Nursing JOB DESCRIPTION: The Skilled Nurse (LPN) role requires a compassionate, detail-oriented, and clinically capable Licensed...
Posted June 29, 2026
AbridgeLos Angeles,CA
Clinical Success Director/Manager - Nursing As the Clinical Success Director/Manager - Nursing, you will be at the forefront of defining, launching, and growing our generative AI platform for nurses. Your work will directly contribute to...
Posted July 3, 2026
Salvation ArmyLos Angeles,CA
Mission Statement The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to...
Posted June 29, 2026
Air Combat Effectiveness Consulting Group, LLCMonterey Park,CA
Overview Monterey Park Hospital, a 101-acute care facility located in the San Gabriel Valley of Los Angeles County, is seeking a Case Manager RN or LVN for our Utilization Review Department. This is a per diem, 8-hour variable shifts position...
Posted July 1, 2026
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,...
Posted June 23, 2026
Critical ConnectionsLos Angeles,CA
About the Opportunity We are seeking an experienced Case Management RN to coordinate patient care, discharge planning, and utilization review in a hospital setting. This role is ideal for nurses who enjoy...
Posted July 4, 2026
U.S. RENAL CAREGardena,CA
How you'll change lives...
Posted July 2, 2026
Liberty Mutual Insurance GroupLos Angeles,CA
Registered Nurse If you're a registered nurse looking for a new opportunity to work in a fast-paced, professional environment where your talent contributes to our competitive edge, Liberty Mutual Insurance has the opportunity for you.
Posted June 29, 2026
CVS HealthLos Angeles,CA
Case Manager 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, innovate...
Posted July 2, 2026
Aya HealthcareLos Angeles,CA
Utilization Management Program Manager-RN Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products...
Posted July 1, 2026
Quantum HealthLos Angeles,CA
Description Who we are Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity...
Posted July 1, 2026
CABS Health NetworkLos Angeles,CA
Job Description Job Description Date posted: March 9, 2026 Pay: $62,000.00 - $65,000.00 per year Job description: POSITION SUMMARY: Perform duties that require knowledge, skills, and abilities as a licensed professional Nurse (LPN). Assists the...
Posted June 25, 2026
The IMA GroupLos Angeles,CA
Telephonic Nurse Case Manager We are currently seeking an experienced Telephonic Nurse Case Manager (RN) to support workers' compensation cases through remote care coordination and telephonic case management services. This is a flexible...
Posted July 1, 2026
Abby CareLos Angeles,CA
About Abby Care: Powering the Future of Care at Home for All of America Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever.
Posted June 28, 2026