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Utilization Management Admissions Liaison RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) L.A. Care Health Plan is an independent public agency created by the state of California to provide health...

Behavioral Health Clinical Reviewer Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services are medically necessary and align with established clinical...

Home Health Nurse Plans, organizes, and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct...

Description: Nurses – are you looking for a change? Want to work no nights, and no holidays? Check out Hines & Associates! * Experience in both medical and behavioral health and/or substance use disorder settings is required. * ABOUT US: Hines...

A leading healthcare provider in California is seeking a Lead Case Manager to enhance patient management and ensure quality care. The role involves conducting audits, staffing adjustments, and training new hires in an inclusive and supportive...

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...

Contract – W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Burbank, California Start Date: November 2, 2026 Profession: Registered Nurse (RN) Facility: Hospital Estimated Pay: $1973.84 – $2068.84 Duration: 13...

A Path of Care Preferred Pathways of Hugo, OK is hiring a full-time ADvantage Case Manager to serve Hugo and surrounding areas. The role involves in-home assessments, care planning, and ongoing monitoring to help members live safely at home.

Purpose Provide nursing care to patients/families by utilizing the nursing process via the telephone for all patients. Provide nursing care to patients/families by utilizing the nursing process via the telephone for all patients.

Job 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...

AltaMed Nurse (RN) Case Manager/Care Coordination Team Leader 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 –...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal...

JOB SUMMARY This is a full-time REMOTE position requiring weekend availability (Saturday and Sunday) in addition to three weekdays. Company Highmark Inc. Job Description This is a full-time REMOTE position...

Jobgether, on behalf of a partner organization, seeks an experienced Registered Nurse for a remote Utilization Management role. You will review cases, assess medical necessity, and support prior authorization decisions while collaborating with...

Shearwater Health Registered Nurse, Utilization Review At Shearwater Health, we know that better patient outcomes are never achieved alone – especially when there aren't enough hands to deliver care. That's why we've built something...

Overview 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 and care coordinator,...

Bay Crest Care Center in Torrance, CA is seeking a Full-Time Case Manager (LPN/LVN) to join their healthcare team. The role involves managing resident care through various stages and collaborating with healthcare providers. Candidates must have...

Case Manager II (RN or LVN)The Case Manager II is an experienced clinical case management professional responsible for independently managing a complex caseload across acute inpatient and post-acute settings. The role integrates concurrent...

The Leading Provider of Integrated Occupational Medicine Services CORE Health Networks , the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs.

CorVel Corporation is seeking a Field Case Manager (RN) in the Memphis, TN area to oversee medical case management for workers' compensation with a strong emphasis on in-person and telephonic coordination. This role supports patients, families,...

Benefits: 401(k) Competitive salary Dental insurance Health insurance Paid time off Signing bonus Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301...

Elevance Health is seeking an experienced nurse to review complex cases for medical necessity, applying clinical guidelines and nursing judgment. The role involves collaboration with physicians, case managers, and Medical Directors to optimize...

Admissions Nurse Do you enjoy being at the beginning of the journey? The Admissions Nurse is responsible for establishing and maintaining positive relationships with customers and referral sources within the community. The Admissions RN...

External Case Manager - Inpatient Rehab (RN, PT, OT, SLP)Cal Rehab, a joint venture with Select Medical, UCLA, and Cedars SinaiFull‑time (Mon‑Fri 8 am‑5 pm, plus rotating weekends) in Los Angeles, CA.Base salary $80,000–$115,000...

Nurse Care Manager We're looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading...