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UM Review Nurse Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical services for...

Clinical Nurse Manager The WelbeHealth PACE program helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. The WelbeHealth Clinical Nurse Manager is accountable for the...

Traveler RN (Case Management) Traveler RN (Case Management) – Duarte Campus – 3 Needed Experience in California Healthcare System required 1+ years - Our client needs travelers to have a good understanding of health care in California...

OverviewOur mission at Good Seed CDC is dedicated to improving the health status of our members through an integrated managed health care delivery system.Duties and ResponsibilitiesEngages patients and offers and/or facilitates care management...

AltaMed Health Services Corp in Montebello, California, seeks a qualified RN Case Manager to coordinate care for patients with chronic diseases. This role involves collaboration with an interdisciplinary team to manage cases and ensure...

Position Summary Description for Internal Candidates The Clinical Education Specialist is responsible for the planning, design and implementation of education programs/services and professional development of...

Job Description Nestled between Burbank and Pasadena, Adventist Health Glendale is one of the area's leading healthcare providers. We are comprised of a 515-bed hospital, two urgent cares, home care services, comprehensive...

Clinical Reviewer Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and...

City/State Doral, FL Work Shift First (Days) Overview: Sentara Health Plan AvMed is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates...

LocationRedondo Beach, United States# Nurse Educator for school ownership at Internexus/AntaresLocationRedondo Beach, United StatesSalary$60 - $80 /hourJob TypePermanentDate PostedMarch 22nd, 2026Apply Now**Note: We are seeking a highly motivated,...

Anders Group is hiring a Travel Case Manager Registered Nurse (RN) in Santa Monica, CA Location: Santa Monica, CA Start Date: 08/03/2026 Contract Length: 13 Weeks...

Prior Authorizations, Case Manager (LVN/RN)#UHM-5092West Hills, California, United StatesWork Model On-SiteJob Description Position Summary:The role of the Prior Authorization Review Nurse, LVN/RN is to promote the quality and cost effectiveness...

Description Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise...

Air Combat Effectiveness Consulting Group, LLC in Monterey Park is seeking a Case Manager RN or LVN to join our Utilization Review Department. This per diem position involves coordinating care for patients, conducting admissions, and liaising with...

Nurse Case Manager II Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. The...

Part Time 2 CHA Hollywood Presbyterian Medical Center, Los Angeles, CA, USSalary Range: $61.68 to $98.41 HourlyMajor Responsibilities / Essential FunctionsReporting to the Clinical Nurse Manager, this position is responsible for planning,...

Job Details Telephonic Triage Nurse Case Manager (Remote) 2026-1475 Dallas, TX, USA Medical Case Management Full Time Description Overview Are you looking to make a difference by providing...

Clinical Services Supervisor, RN Under the direct supervision of the Health Center Manager and in-direct clinical supervision of Nursing Administration, the Clinical Services Supervisor (CSS) shall perform licensed nursing duties under...

UCI Health Position UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed,...

Job Summary As a Clinical Services Manager - RN Telephonic Case Management, you will ensure optimum recovery on every claim while establishing trust, providing education, delivering information, and care. You will provide case direction to...

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...

When you work for us, we work for you With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service. From the moment you apply, your recruitment specialist...

RN Case Manager SNP Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united...

Grievances And Appeals Nurse Pride Health is hiring a Grievances and Appeals Nurse for a well-known client! (Remote Contract) Schedule: 5x8s Day shift Contract: 6 months Pay Rate: 40-45/hr Primary...

Hours: FT, Mon-Fri 8:30-5p Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of...