AHMC HealthcareSan Gabriel,CA
AHMC HealthCare is seeking a Denials Case Manager, RN in San Gabriel, CA. This role involves appealing denials, working with revenue cycle teams, and ensuring compliance with medical necessity standards. Requires a graduate of an accredited RN...
Posted July 17, 2026
3:15Los Angeles,CA
We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...
Posted July 22, 2026
Macpower Digital Assets EdgeLos Angeles,CA
Job Summary: The LVN Case Manager works under the direction of an RN following assessment, planning, facilitation and advocacy, which are achieved through collaboration with the client and other health care...
Posted July 24, 2026
Network HealthLos Angeles,CA
RN Care Manager The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare...
Posted July 23, 2026
Torrance MemorialTorrance,CA
Case Management Nurse II Under supportive supervision, the Case Management Nurse II position supports the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of...
Posted July 16, 2026
Elevance HealthLos Angeles,CA
Nurse Reviewer 1 Nurse Reviewer 1 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes...
Posted July 15, 2026
Virtual VocationsLos Angeles,CA
Working remotely, the full-time RN Utilization Management will review and document member case histories and prior authorization requests, utilizing clinical judgment to determine coverage eligibility while ensuring compliance with policies and...
Posted July 22, 2026
BlueCross BlueShield of South CarolinaLos Angeles,CA
Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests...
Posted July 22, 2026
Obran CooperativeTorrance,CA
Physicians Choice Home Health is seeking an experienced RN Clinical Coordinator to help support high-quality patient care across our home health team. In this role, you will partner closely with the Director of Patient Care Services, your RN...
Posted July 14, 2026
Remede GroupSanta Monica,CA
JOB DESCRIPTION - REGISTERED NURSE (A) Job Summary: The Registered Nurse provides patient care on a supplemental basis to our client facilities. With the delivery of safe, quality patient care as...
Posted July 22, 2026
US NavyAlhambra,CA
Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...
Posted July 15, 2026
TactStaffTorrance,CA
Job Description Job Summary: Seeking an experienced in-patient Case Manager with Utilization Review expertise to assess and coordinate patient care, ensuring appropriate utilization and discharge planning. This role requires strong...
Posted July 17, 2026
Internexus/AntaresRedondo Beach,CA
Note: We are seeking a highly motivated, skilled and experienced nurse educator for an ‘sweat equity' ownership position in a new allied health ursing program in Redondo Beach. This is a once-in-a-lifetime opportunity for the right person.We...
Posted July 22, 2026
RenalogicLos Angeles,CA
Clinical Nurse Coordinator (LPN) Compensation: $58,000 - $68,000 annual salary, plus annual potential for bonus and merit increases Employment Type: Full-Time, Salaried, Exempt Reports to: Director of Oncology and Infusion...
Posted July 17, 2026
Pacer GroupLos Angeles,CA
Medical Review RN IV – Commercial Appeals & Grievance Nurse Location: Remote – Candidate Must Reside in California Duration: 6+ Months Contract-to-Hire Schedule: Monday-Friday | 9:00 AM – 5:00 PM Pay Range:...
Posted July 19, 2026
University of California IrvineLakewood,CA
Position SummaryThe individual in this position is responsible for coordinating patient care activities to conform to evidence-based practice and/or regulatory/payor requirements. This position integrates functions typically considered to be case...
Posted July 17, 2026
National Health FoundationLos Angeles,CA
Position Title: Behavioral Health Nurse - Contract Position, Ventura, Ca Department: Clinical Services / Recuperative Care Reports To: Director of Nursing / Nursing Manager...
Posted July 20, 2026
CityblockLos Angeles,CA
RN Care Manager The RNCM manages a panel of rising and high intensity members to support integrated chronic disease and behavioral health care for the members. The RNCM collaborates with members to create a care plan and oversees progress...
Posted July 17, 2026
myPlace HealthLos Angeles,CA
myPlace Health is built around a simple but powerful belief: older adults deserve the support they need to live safely, independently, and with dignity in their own communities. As a PACE (Program of All Inclusive Care for the Elderly)...
Posted July 21, 2026
CorVelLos Angeles,CA
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...
Posted July 23, 2026
CareGenixLos Angeles,CA
At Caregenix, we are committed to delivering exceptional, value-based care. Our team lives by the iCARE values-Integrity, Compassion, Accountability, Respect, and Excellence-in everything we do. If you are passionate about improving patient...
Posted July 23, 2026
DreamboundDowney,CA
Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career...
Posted July 18, 2026
divvyDOSELos Angeles,CA
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...
Posted July 24, 2026
La Palma Intercommunity HospitalLa Palma,CA
Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! La Palma Intercommunity Hospital, a member of Prime Healthcare, offers incredible opportunities to expand...
Posted July 10, 2026
Generis TEkLos Angeles,CA
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...
Posted July 13, 2026