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Job SummaryUnder the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting reimbursement, acting as a resource to staff and physicians in resource efficiencies and...

Travel Rn Case Management Job Type: Travel Profession: RN Specialty: Case Management Shift Details: 5x8 Days Job Order Details: Start Date: 07/20/2026 End Date: 10/19/2026 Duration: 13...

Appeals Nurse The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare...

Cedars-Sinai Medical Network is seeking a Case Manager to oversee care from admission through discharge, coordinating with hospitalists and care teams to ensure timely, cost-effective patient care.You will assess needs, plan discharges, and apply...

LVN Patient Care Coordinator (Hospice) Join Our Compassionate Hospice Team! Are you an organized, compassionate healthcare professional who thrives in a collaborative environment? We're looking for a Patient...

Salary : $102,181.68 - $152,952.96 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: Y5135L Department: HEALTH SERVICES...

Utilization Management RN Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit...

Origin Travel Nurses is seeking a Case Manager responsible for utilization review and case management in a hospital setting. You will perform chart reviews, quality assessments, and ensure appropriate discharges while adhering to InterQual SI/IS...

Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans,...

UCI Health UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that...

Travel RN Case Manager Assignment length- 13 weeks Near Los Angeles Area Our Client is a nonprofit, independent healthcare organization committed to improving the health status of the...

Education Development Specialist, Comprehensive Care Advocacy HealthPartners is hiring an Education Development Specialist, Comprehensive Care Advocacy. This position is responsible for onboarding new employees during department...

Description TeamHealth, the nation's leading physician services organization, is seeking highly trained call center advanced practice clinicians for an exciting, fully remote nocturnist role. Operating at the top of your...

Case Management – Hospital $2312.00/week Job Summary Seeking an experienced in-patient Case Manager with Utilization Review expertise to assess and coordinate patient care, ensuring appropriate utilization and discharge...

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...

Job Posting Healthcare United is seeking a Registered Nurse/Case Manager for a comprehensive home-based health care company committed to providing at-home services in the comfort of the client's home. Locations in Stratford, Hamden,...

Job Description Join Cedars-Sinai Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best...

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical...

Details Client Name Dignity Health - Glendale Memorial Hospital and Health Center - ML Job Type Travel Offering Nursing Profession...

RN - Utilization Management ID 2026-25367 Category Registered Nurse specialties - Case Manager Facility Nationwide - California Job Description Spectrum Healthcare Resources has...

Inpatient Care Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

Job description RN Peds/Adult Primary Care experience needed in Los Angeles, CA USA. $2,750/week Assignment Details Work Type: Contract • Pay: $2,750/week • Location: Los Angeles, CA • Title:...

CareHarmony's Care 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)...

TeleMate Health Nurse At TeleMate Health, we are dedicated to transforming healthcare delivery through innovative solutions. Our mission is to provide a level of monitoring and clinical intervention that is unique to healthcare and fills...

Travel Nurse Opportunity In Torrance, CA We desire a Registered Nurse who has Case Manager skills and will take a job in Torrance, CA. This assignment requires the applicant travel as the position is not local – compensation for this...