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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,...

The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely post-discharge...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Case Manager 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 Hospitals 2024-25" rankings, as well as placed among the very best...

Angels Nursing Center in Los Angeles, CA is seeking a dedicated Licensed Vocational Nurse (LVN) to join our team. The LVN will provide skilled nursing care to residents under supervision of an RN, administer medications, monitor conditions, and...

Job Tittle: Healthcare - Clinical Appeals Nurse (RN) Location: Location: Remote - Must reside in **AZ, FL, GA, ID, IA, KY, MI, MS, NE, NM, NY (outside Greater NYC), OH, SC, TX, UT, WA (outside Greater...

MaziCTools is seeking a FEP Care Manager to work remotely within the greater Baltimore/Washington DC area. The role involves analyzing a member's healthcare needs and coordinating care plans with an interdisciplinary team to enhance member...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

Travel LVN/LPN Case ManagerNear West Hollywood, CA AreaLength of Assignment: 13-Week Contract (Full-Time / Part-Time / Per Diem Shifts Available)Our Client is a nonprofit, independent healthcare organization committed to improving the health...

UMMA Health in Huntington Park, CA seeks a Licensed Vocational Nurse (ICP) to coordinate and deliver clinical services for enrolled clients. This role operates at 0.50 FTE for case management and outreach, under the Integrated Care Program...

A virtual health treatment company is seeking a Family Nurse Practitioner to provide care for patients with eating disorders through their telehealth platform. This position requires managing a high patient case-load, conducting assessments, and...

About Seen Health At Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, Seen Health is a culturally-focused, technology-enabled...

GLC On-The-Go is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Torrance, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN...

HealthMap Solutions is seeking a Care Navigator in the United States to manage a caseload focused on kidney health. You will coordinate care across physicians, nurses, and other providers, conduct health and social screenings, reconcile...

Remote Part-Time Work- Telehealth Registered Nurse –Virtual livestream mobile app for Adolescents- California licensed - and be comfortable educating on livestreamed events about our wellness modules for students (10-22 years old). There will...

Utilization Review RN - Remote Utilization Review RN - REMOTE position. This position is Part time and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

Select how often (in days) to receive an alert:Care Management Specialist II (RN or LCSW)Job Category: ClinicalDepartment: Care ManagementLocation: Los Angeles, CA, US, 90017Position Type: Full TimeRequisition ID: 13296Salary Range:...

## Centralized Triage Registered Nurse (RN) - RemoteApplyremote type: Remotelocations: Birmingham, ALtime type: Full timeposted on: Posted Yesterdayjob requisition id: R-101012**Job Description:****About Us:**Affinity Hospice is one of the fastest...

Utilization Management Review Nurse Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754...

MES Solutions is seeking a Registered Nurse (RN) to join our Clinical Quality Assurance team as a Clinical Quality Assurance Coordinator. This 100% remote role focuses on reviewing peer review reports, ensuring evidence-based rationales, and...

Job OpportunitySeeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the opportunity...

Job Description Harborview Medical Center has an outstanding opportunity for an experienced Registered Nurse to join our Care Management Team. WORK SCHEDULE: 80% FTE (4 days a week)...

Impresiv Health is seeking an experienced Concurrent Review Registered Nurse (RN) to join its Utilization Management team remotely. You will perform concurrent reviews, prior authorizations, and discharge planning while collaborating with...

Utilization 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 people...

JOB DESCRIPTION Job Summary Work Location: California - Ability to work remote, but ideal candidate will reside in the state of California. This position requires California RN Licensure. Candidates must have significant...