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A healthcare solutions provider is seeking an experienced Nurse Advocate to work remotely from Kansas. The ideal candidate will possess a nursing license and have at least 3 years of experience. Responsibilities include assisting clients in...

Employment Type: Full timeShift: Day Shift Description: This is not a remote position The licensed Registered Nurse (RN) plans & provides...

University of California - Los Angeles Health seeks a Senior Case Manager to coordinate care for international patients. You will review referrals, arrange MD-to-MD case reviews with physicians abroad, and educate patients and families about the...

To support effective utilization management, the part-time Senior Utilization Review Specialist will conduct concurrent and retrospective reviews of hospital services, ensuring compliance with medical necessity and payer authorization while...

RN Care Manager *F/T Variable* Santa Monica, California Full Time RN Care Manager with our Care Management Team at our Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This is a full-time position that will work 8-hour...

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...

Overview JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing data for...

Care Manager, RN Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing...

Community Hospital of Huntington Park is seeking a Case Management Supervisor to assist the Director in developing and implementing the hospital's case management program. You will oversee a team of case managers, ensure policies align with...

Under supportive supervision, the Case Management Nurse II supports the physician and interdisciplinary team to improve clinical outcomes and patient satisfaction while managing care costs and providing timely information to payers.The role...

Summary The VA Greater Los Angeles Healthcare System (VAGLAHS), Surgery Service, is recruiting for a Nurse Manager to lead the Referral Coordination Program. The incumbent provides first-line supervisory oversight of clinical referral...

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...

UCLA Health is seeking a Senior Case Manager in the Patient Navigation and Business Services team to coordinate care for international patients. You will review referrals, assess medical records, and arrange MD-to-MD case reviews with doctors...

City/State Roanoke, VA Work Shift First (Days) Overview: Sentara Health Plans Roanoke is looking to hire a Care Coordinator- LPN. Sentara Health Plans is hiring a Remote Care...

WelbeHealth PACE helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. We serve the most vulnerable seniors with better quality and compassion in a value-based model.The Case...

Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...

Details Client Name Providence SoCal Shared Services Case Management Job Type Travel Offering Nursing Profession RN...

The RN Case Manager manages a continuum of care from pre-admission through post-discharge for assigned patients. Assure that patients and families proceed efficiently throughout the course of hospitalization. Focus of the position is the...

The ECM Case Manager will assume responsibilities for community outreach and engagement. This position will determine eligibility, complete enrollment assessments, and perform outreach to potential ECM members to offer an enhanced case management...

Appeal Analyst RN | Contract Walker Healthforce is seeking an Appeal Analyst RN with a minimum of 3 years of clinical experience and 3 years of Utilization Management experience to complete...

A quality improvement consulting company is seeking a RN Health Care Facility Surveyor to conduct remote surveys with travel up to 75%. Candidates must possess a nursing degree and a valid RN license. The role requires evaluating healthcare...

Nurse Care Manager Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the...

Peraton is seeking a Nurse Reviewer for SafeGuard Services (SGS) to conduct medical record reviews and apply clinical judgment to claim payment decisions. The role includes researching Medicaid claims data, developing cases for potential...

Cedars-Sinai is seeking a Case Manager to oversee patient care from admission through discharge. The role involves assessing patient needs, coordinating with hospitalists and health plans, and ensuring timely, appropriate utilization of...

CVS Health is seeking a Case Management Coordinator to enhance patient care by collaborating with members, providers, and community organizations. This is a remote role requiring a dedicated workspace and travel up to 75%. Candidates must have 3-5...