OptumLos Angeles,CA
Optum is recruiting a remote Behavioral Health Utilization Review Specialist to support case management for behavioral health and substance use. You will review cases, determine levels of care, and coordinate transitions between inpatient and...
Posted October 8, 2026
FRESENIUSInglewood,CA
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new...
Posted October 14, 2026
ActalentLos Angeles,CA
Job Title: Clinical Prior Authorization Reviewer Job Description This role focuses on reviewing prior authorization requests to determine medical necessity and appropriate level of care in alignment with national standards,...
Posted October 14, 2026
IntelliResumeLos Angeles,CA
Atrius Health is seeking an After Hours Registered Nurse in Pediatrics to support remote care delivery from Boston, MA. You will build relationships with patients and families, follow RN protocols, and manage care transitions, including medication...
Posted October 5, 2026
CVS HealthLos Angeles,CA
Oak Street Health is hiring a Care Coordinator for Utilization Management to oversee UM operations, optimize workflows, and ensure efficient patient care delivery. The role involves collaborating with UM physicians, payers, and vendors in a remote...
Posted October 3, 2026
Molina HealthcareLos Angeles,CA
JOB DESCRIPTION Job Summary Work Location: California - Ability to work remote, but selected candidate must reside in the state of California. This position requires California RN Licensure. Candidates must...
Posted October 14, 2026
Children's Hospital Los AngelesLos Angeles,CA
56512 Job Description Join a team that's shaping the future of pediatric care. Childrens Hospital Los Angeles is consistently ranked among the top 10 children's hospitals in the nation, delivering world-class care through more...
Posted October 7, 2026
Cedars-Sinai Medical Center - Los AngelesLos Angeles,CA
Job Description Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally for excellence in cancer treatment,...
Posted October 11, 2026
Cunningham Children's HomeLos Angeles,CA
Cunningham Children's Home in Urbana, IL is seeking a Nurse Case Manager to support youth in emotional, psychological, and physical care across residential services. This role emphasizes medical case management, screening, education, counseling,...
Posted October 14, 2026
BeaconLos Angeles,CA
About the Role: Our client, a leading telehealth platform, is expanding rapidly and looking for a dedicated Nurse Practitioner to join their virtual care team. You will provide exceptional primary care services to a diverse patient...
Posted October 3, 2026
The Ohio State UniversityLos Angeles,CA
The Ohio State University is seeking a Staff Nurse (RN) for Oncology Continuing Care Triage. This remote phone triage role handles oncology patient calls, performs initial assessments, and uses triage algorithms to guide care. The nurse documents...
Posted October 3, 2026
Sanford HealthLos Angeles,CA
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Work Shift: 8 Hours -...
Posted October 14, 2026
SmartRecruiters IncLos Angeles,CA
Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make...
Posted October 4, 2026
Angels of Care Pediatric Home HealthLos Angeles,CA
Angels of Care Pediatric Home Health is seeking an RN Nurse Navigator to join the Angel Link Health Home Services team. This remote role supports Star and Star Kids PDN clients by coordinating care across the healthcare team and managing Medicaid...
Posted October 13, 2026
ADPBeverly Hills,CA
If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.LVNFull Time Clerical Beverly Hills, CA, US3 days ago Requisition ID: 1385Salary Range:...
Posted October 14, 2026
CHRISTUS HealthLos Angeles,CA
Summary: Under supervision, the incumbent of this position provides professional nursing care to clinic patients. Works collaboratively with the providers within the team setting to facilitate quality care for the...
Posted October 10, 2026
ElwynWhittier,CA
Elwyn seeks Direct Support Professionalsto work with our team in residential group homes. Primary Function. Direct Support Professional staff provide assistance and supervise residents in activities of daily living. Responsible for adhering to and...
Posted October 14, 2026
Physicians EastLos Angeles,CA
Physicians East seeks a QEC Pre Procedure Screening Nurse for a part-time remote role based in Greenville, NC. The nurse will review patient charts, screen for procedural eligibility, and coordinate with physicians to ensure proper evaluation and...
Posted October 1, 2026
Dignity HealthNorthridge,CA
Job Summary and Responsibilities As our Educator, RN in Periop, In accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position is established to serve as a...
Posted October 1, 2026
AHMC HealthcareMonterey Park,CA
Monterey Park Hospital, a 101-bed acute care facility located in the San Gabriel Valley of Los Angeles County, is seeking a Case Manager for our Utilization Review Department. This is a full-time, 8-hour day shift position reporting to the Chief...
Posted October 14, 2026
YohLos Angeles,CA
Yoh is seeking a Utilization Management Nurse Coordinator (RN or LVN) for a 6+ month remote contract with a managed care client based in Northern California. Training occurs onsite in Fairfield or Redding for three weeks, then transitions to fully...
Posted October 8, 2026
HumanaLos Angeles,CA
Humana is seeking a Pre-Authorization Nurse for remote work to review prior authorization requests and determine appropriate care following guidelines. The role involves clinical judgment, data entry in management systems, and collaboration with...
Posted October 12, 2026
Virginia Mason Medical CenterLos Angeles,CA
Virginia Mason Medical Center in the Puget Sound region seeks a Clinical Documentation Review Specialist (RN) to clarify patient records for appropriate reimbursement and care complexity. You will conduct concurrent reviews and engage with...
Posted October 11, 2026
UHCLos Angeles,CA
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 the better. Come build the health care system...
Posted October 14, 2026
TEEMALos Angeles,CA
Are you a compassionate, mission-driven nurse looking to make a meaningful impact? This is an exciting opportunity for a Licensed Vocational Nurse (LVN) to join a collaborative care team that supports adults with complex medical and mental...
Posted October 12, 2026