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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 date for regulatory...

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit,...

# RN Case Manager – Santa MonicaWork Location **Santa Monica,CA**Job **#30759**Work Hours **4-day 10-hour shifts, 7:00am-5:30pm; may include weekends and holidays**Employment Type **2 – Staff- Career**Duration **indefinite**Salary Range...

To support a growing team, the full-time remote Registered Nurse Bill Review will review facility and professional bills for accuracy, negotiate pre-surgical services, and provide expertise to claims staff while ensuring compliance with managed...

RN Triage Nurse (Full-Time) Anchor Health is looking for a compassionate RN Triage Nurse to join a strong supportive team of professionals that provide hospice/palliative care. Position Purpose: Under the general supervision...

Description Location: UCHealth UCHlth Longs Peak Hospital, US:CO:Longmont Department : LPH PACU ODSC SAC Work Schedule: Full Time, 48.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's...

Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date:...

Registered Nurse Clinical Annotator At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for...

A prestigious health institution in Santa Monica, California, is seeking an experienced Nurse to assess and coordinate care for patients. This role involves developing individualized care plans, performing utilization reviews, and collaborating...

Train patients and caregivers on PD procedures and self-care. Manage a caseload of PD patients, including assessments and care planning. Monitor treatment progress, conduct home visits, and provide on-call support. Collaborate with interdisciplinary...

LeaderStat is seeking a travel nurse RN Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date:...

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...

Case Manager (LVN or RN)Department: HS - ICMEmployment Type: Full TimeLocation: 1600 Corporate Center Dr., Monterey Park, CA 91754Reporting To: Jessamine BowersCompensation: $31.00 - $45.00 / hourDescriptionAstrana Health is looking for a LVN Case...

This role supports clinical operations by conducting complex clinical reviews and coordinating care to ensure medical necessity and benefit compliance. The selected candidate will use advanced clinical judgment and collaborate with internal and...

For further inquiries about this opportunity, please contact one of our Talent Specialist, Remy at (224) 394 4902 or Justeen at (224) 394 4903 Title: Occupational Health Nurse (Part-Time) - REMOTE Duration: 12...

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,...

Actalent is Hiring a Team of UM/Appeals LPNs // Fully Remote!! Job Description The Appeals Clinical Reviewer serves as an Appeals Utilization Review Nurse responsible for reviewing and evaluating member and provider appeals related to...

Updated: June 11, 2026Location: Los Angeles, CA, United StatesJob ID: 16364We are seeking a Registered Nurse to serve as a Field Engineer providing hands‑on support during a multicenter clinical study involving a surgical device used in open...

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Job Description Job Title: Senior LTSS Care Manager (RN) Location: Remote, Texas (Candidate should be from Austin area) Duration:...

Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Summary of Primary Function In the capacity of a Registered...

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...

Summary We are currently hiring for an RN Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as an RN Case Management Coordinator, care management interventions focus on improving care...

Position Title: Registered Nurse, Case Manager & Care Coordinator Team LeadLocation: Los Angeles, CA 90022DescriptionGrow HealthyIf you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At...

Description: Nurses – are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates! About Us Hines is a nationwide, independent leader in...