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

Guidehealth is seeking an Utilization Management Registered Nurse to perform medical-necessity reviews and document findings for determinations. The role involves collaborating with medical leadership, reviewing cases for appropriate treatments,...

Find Your Calling At Mercy! Utilization Management for the assigned inpatient Care Management population. This position is designed to facilitate an effective process of the Mercy Care Management model; supporting quality patient care,...

CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote capacity. The role reviews inpatient and outpatient services using evidence-based criteria, authorizes care with providers, and escalates cases as needed.

Integra Partners is seeking an LPN/LVN with managed care UM experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS in a NCQA-compliant UM program. The UM Nurse will collaborate with the Medical...

Valley Presbyterian Hospital in Los Angeles is seeking a compassionate Certified Nursing Assistant (CNA) to support clinical teams and provide hands-on patient care across all populations. You will assist with bathing, feeding, mobility,...

Clinical Reviewer, Inpatient RN Duration: 4 months contract (with possible extension) The Clinical Reviewer, Inpatient RN is a licensed professional expected to function independently in her/his role and is responsible for managing...

Job Title Job Requirements: Experience: 3 years acute care case manager experience CA RN License Certs: BLS FLU VACCINE (no exemptions) Flu season starts September Special Requirements: EPIC highly preferred Due to nature of the role,...

Jobgether is seeking a Coding Consultant Outpatient – PRN based in the United States. This remote, part-time role focuses on accurate outpatient coding, review of documentation, and ensuring proper APC and reimbursement details. The...

Registered Nurse (RN) - Utilization Review | Remote | California License Required Position: Registered Nurse (RN) - Utilization Review (UM RN) Location: Torrance, CA (Remote Position)...

Responsive recruiter Benefits: Competitive salary Opportunity for advancement Paid time off Training & development Wellness resources This role is...

Utilization Review Nurse Auditor Fully Remote • Mount Laurel, NJ 08054 Salary Range $33.00 - $46.00 Hourly Position Type Full Time Travel Percentage 10% ExamWorks is looking for a Utilization Review Nurse Auditor to join...

Spanish Speaking LPN Nurse (REMOTE), Colorado Location: 100% Remote Flexible Hours: Set your own schedule Requirement: Must hold an active Colorado's LPN license Job Summary We are seeking a bilingual...

Nurse - Clinical Review The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp's specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical...

Sentara Health in Richmond, VA is hiring an Integrated Case Manager, RN to coordinate patient care across the continuum. This remote-friendly, full-time role requires in-person assessments and travel to Winchester, Leesburg, Alexandria, and other...

Location This is a hybrid role. Applicants must be able to commute to or travel to Mitchell and Dougherty counties, GA, when required. About Us The Columbus Organization is a nationally...

CareHarmony's Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse — LPN Nurse (LPN)...

UnitedHealth Group in Las Vegas, NV is seeking an RN Case Manager Telephone Advice Nurse to join the team. This remote, full-time role supports telephonic patient care and education, with a daytime schedule and Nevada residency requirement.

Posting Date 09/02/2026 14204 Prairie Ave, Hawthorne, California, 90250-7908, United States of America Make a real impact-every day. As a DaVita RN, you'll ensure compassionate and professional delivery of all...

Remote Insurance Case Management Nurse 100% Remote in the 28 states - North Carolina, Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri,...

Enlyte is seeking a Field Case Manager (RN) in the Torrance, CA area. This full-time, hybrid role requires regular local travel for in-person patient appointments. Spanish is preferred.The position includes a comprehensive benefits package, paid...

Job Description SUMMARY: The Nurse Case Manager (NCM) is responsible for applying medical knowledge in reviewing workers' compensation claims to assess, evaluate, plan, implement and oversee the...

Hospice Registered Nurse Case Manager Location: Central LA (need to be willing to commute) Lead with Compassion & Excellence in Hospice Care Are you an experienced Hospice RN who thrives in leadership and is passionate about...

RN - Registered Nurse - Case Manager The Community - El Segundo, CA El Segundo is a city in Los Angeles County, California, United States. El Segundo, from Spanish, means The Second in English. Located on the Santa Monica Bay, it...

Clinical Guide Part A The weekly schedule choice is either Monday - Friday 10am-7pm EST OR Tuesday - Saturday 9am-6pm EST A bit about this role: The Clinical Guide Part A will be part of the Utilization Management team,...