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In-Field RN Case Managers Join our fantastic home health company. We are growing and looking for the best of the best nurses to care for our wonderful patients. Health home healthcare nurses provide one-on-one case management for patients...

Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $142,166.00 (Max.) Established in...

Blue Shield of California is seeking a Case Manager with a nursing background to perform UM and CM activities, collaborating with members and clinicians. The role focuses on planning, assessment and care coordination within established guidelines.

Registered Nurse Duty Days: 187 Pay Grade: T07-T08 Salary Schedule: Click for Salary Schedule Primary Purpose: Ensure that learning is not hindered by a correctable health problem and educate students toward worthwhile decisions...

Become a part of our caring community Humana/iCare is seeking an RN Care Manager to join the team in the Family Care Partnership (FCP) program to provide services to members in Milwaukee and surrounding counties. Reporting to the Manager of Care...

Quality Assurance Nurse The Quality Assurance Nurse is responsible for case management quality assurance and mentorship of operations staff, providing tools and calibrating processes, while ensuring consistent delivery of CorVel's case...

Please contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Nikhil Jhajharia at email address [email protected] can be reached on # 630-576-1935. We have...

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...

Inpatient Care Manager Salary Range: $53.00 - $75.00 per hour Based on an initial review of member care needs at the time of admission, establishes a discharge/transition plan in collaboration with the hospitalist team. On an ongoing...

Job Title Full Job Description Responsibilities: Provide skilled professional nursing care to patient/family/caregivers Oversee and provide primary care, including all clinical care, palliative care, and...

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Concierge Home Health RN In Los Angeles/Orange County Looking for a rewarding nursing career with independence and flexibility? Join us as a Concierge Home Health RN in Los Angeles/Orange County today! Rates starting at $70/hr (varies on...

Job Summary and ResponsibilitiesAs our Educator, RN in Periop, in accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position serves as a consultant/resource professional by providing staff...

RN | Quality Assurance Nurse Consultant Location: Puget Sound, Washington (Lynnwood & Seattle area) Schedule: Part-Time | Up to 60 hours per month | Hybrid/Partially Remote Travel: Bi-monthly travel to Visalia, California Help Shape Clinical...

Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating...

Job Description Schedule: 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...

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...

We're looking for California Based Nurse Care Managers for our Care and Case Management team, who resides in California and holds a CA RN license; have experience working with a health plan, health navigator or third-party administrator (TPA). Are...

Health And Social Services Coordinator At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people...

Location: Torrance, California Type: Travel Job 17789408 Apply Now Acute Hospital Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert...

California Based Nurse Care Managers We're looking for California Based Nurse Care Managers for our Care and Case Management team. You should reside in California and hold a CA RN license. You need experience working with a health plan,...

LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 08/17/2026 Duration: 13 weeks 40 hours per week Shift: 8...

RN Case Manager This position functions autonomously and in collaboration with all members of the healthcare team to coordinate and facilitate quality, cost-effective care while minimizing fragmentation of the healthcare delivery system...

Registered Nurse (RN) for Utilization Management Team We are seeking a Registered Nurse (RN) to join our Utilization Management team. In this role, you will perform concurrent reviews, prior authorizations, medical necessity reviews,...

ResCare Community Living, a part of the Sevita family, provides quality services that empower individuals, enhance independence, and help people...