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UMRLos Angeles,CA
Optumcare Medical Behavioral Integration Nurse Case Manager For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care.
Dignity HealthLos Angeles,CA
Job Summary and Responsibilities As our RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient...
vTech SolutionTorrance,CA
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...
Cardinal HealthLos Angeles,CA
Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise...
ESR HealthcareLos Angeles,CA
Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...
Pyramid ConsultingLos Angeles,CA
Immediate need for a talented Utilization Management RN - Prior Authorization. This is a 12+ Months Contract opportunity with long-term potential and is located in US (Remote). Please review the...
Providence SoCal Shared Services Case ManagementTorrance,CA
Details Client Name Providence SoCal Shared Services Case Management Job Type Travel Offering Nursing Profession Registered...
Clever Care Health PlanArcadia,CA
Discharge Nurse II, RN Arcadia Office - Arcadia, CA 91007; Huntington Beach Office - Huntington Beach, CA 92647 Overview Salary Range $81,500.00 - $100,000.00 Salary Position Type Full Time Description This...
Virginia Oncology AssociatesLos Angeles,CA
Collaborative Practice Nurse (CPN) Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource...
UCLA Health Santa Monica Medical CenterSanta Monica,CA
Details Client Name UCLA Health Santa Monica Medical Center Job Type Travel Offering Nursing Profession RN...
AppworksLos Angeles,CA
Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you'll perform both inpatient and outpatient...
Primrose Post-AcuteInglewood,CA
Experience 2-5 years needed. Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific...
Providence ServiceBurbank,CA
Description The Peer Review RN is responsible for facilitating the design, implementation and the ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician...
LCMC HealthLos Angeles,CA
Your job is more than a job You overthink every care option and scenario because, as a Care Manager, you're the hub of your patient's case management and care plan. You assure quality through the continuum of care, collaborate with members...
UCLA Santa Monica Medical CenterSanta Monica,CA
Details Client Name UCLA Santa Monica Medical Center Job Type Travel Offering Nursing Profession RN Specialty...
Good Seed Community DevelopmentLos Angeles,CA
Supportive Housing Case Manager (Ages 18–25)The Supportive Housing Case Manager (Ages 18–25) supports young adults in securing and keeping stable housing while building life skills and independence. Using a positive, youth-centered approach,...
BeaconLos Angeles,CA
Virtual Care Registered Nurse We are seeking a licensed Registered Nurse to deliver virtual care to patients on behalf of one of our partner organizations. This role involves delivering remote patient care, symptom triage, health...
Aya HealthcareLos Angeles,CA
Registered Nurse Job Details Profession: Registered Nurse Pay: $910.00/shift Schedule: Flexible scheduling through Shifts app Openings: 2 Start Date: 11/01/2026 Experience: 1 year Degree: BSN Facility Info: Log in to view details Charting...
Blue Shield of CALong Beach,CA
Your Role The Utilization Management team manages accurate and timely prior authorization and inpatient stays reviews for our members and correctly applies the guidelines for nationally recognized levels of care for our...
ALPHA Business SolutionsLos Angeles,CA
Care Management Coordinator/RN Location: 100% Remote Duration: 3+ Months (Possible FT conversion) General Summary: Under the direction of a designated Care Management and Coordination Supervisor, performs telephonic or onsite...
Sentara HealthLos Angeles,CA
Sentara Health Plans is seeking a Clinical Claims Reviewer/RN for a remote, full-time position. Responsibilities include utilization management, pre/post payment claim reviews, and authorization assessments across inpatient and outpatient cases,...
AltaMed Health ServicesLos Angeles,CA
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,...
Mercy HealthLos Angeles,CA
Registered Nurse (RN) – Private Duty Nursing $40–$42/hour | 1:1 Pediatric Care | Flexible Scheduling | Cases Available Across Michigan Looking for an RN position where you can focus on one patient...
Blue Shield of CaliforniaLong Beach,CA
Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical...
Arizona OncologyLos Angeles,CA
Collaborative Practice Nurse (CPN) Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource...

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