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Lee HealthLos Angeles,CA
Location: Orion Building - 6630 Orion Drive Fort Myers FL 33912 Department: Utilization Management - Corporate Work Type: Full Time Shift: Shift 1/7:00:00 AM to 3:30:00 PM Minimum to...
JobviteLos Angeles,CA
The IMA Group is seeking a Remote Telephonic Nurse Case Manager to support injured workers from home. You will assess needs via consultative evaluations and collaborate with physicians and adjusters to create cost-conscious treatment plans for...
Sentara Health AdministrationLos Angeles,CA
Sentara Health Administration, Inc. is seeking a Remote Integrated Case Manager. The role involves telephonic and face-to-face assessments, developing and monitoring care plans, and coordinating with health care teams to optimize patient care.
OptumLos Angeles,CA
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing...
Highmark HealthLos Angeles,CA
Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality,...
Brighton Health Plan SolutionsLos Angeles,CA
Case Manager Brighton Health Plan Solutions (BHPS) provides Case Management services to its clients. Cases are maintained by Case Managers. The employee reports directly to the Supervisor, Case Management (LCSW). In addition, the role...
SedgwickLos Angeles,CA
Sedgwick is seeking an RN Field Case Manager to coordinate care for injured workers, advocate for timely treatment, and support return-to-work, operating from a home-based office with frequent travel in Grand Rapids and Kalamazoo, MI. The...
BCBSMLos Angeles,CA
Blue Cross and Blue Shield of Minnesota is seeking a teleworker case manager with RN licensure to provide telephonic engagement and develop personalized care plans for members with behavioral health needs. You will coordinate referrals, assess...
Ansible Government SolutionsLos Angeles,CA
Ansible Government Solutions, LLC is recruiting multiple Remote Registered Nurse Case Managers to support the VA Office of Veterans Community Care. The role involves managing SEOC data, ensuring compliance, and reviewing provider and veteran...
PIH HealthWhittier,CA
The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential health problems; utilizes knowledge of basic nursing principles,...
SmartRecruiters IncLos Angeles,CA
Full-time Company Description WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...
GuidehealthLos Angeles,CA
Guidehealth is seeking an Utilization Management Registered Nurse to perform medical-necessity reviews and document findings for determinations. The role involves collaborating with medical leadership, reviewing cases for appropriate treatments,...
Virtual VocationsLos Angeles,CA
To assist injured workers in receiving timely and appropriate medical care, the full-time Remote RN Telephonic Case Manager will assess, plan, implement, and coordinate care while working Monday through Friday from 8:30 am to 5:30 pm local...
Kaiser PermanenteBaldwin Park,CA
Description: Job Summary: Works collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify...
ActalentLos Angeles,CA
Actalent is seeking an LVN/LPN-certified Nurse Consultant for a fully remote role in the United States. You will conduct 50-70 daily calls with patients/caregivers, ensure therapy initiation and adherence, and address issues such as misdosing or...
Alignment Healthcare USA, LLCLos Angeles,CA
Alignment Health is seeking a Telephonic RN Case Manager for the SNP program, fully remote within the U.S. The role focuses on guiding Medicare Advantage SNP members through their care journeys from home, with emphasis on closing gaps in care.
NurseRemotelyLos Angeles,CA
The University of Miami UHealth Department of UMHC-SCCC Business Operations has an exciting opportunity for a full time Case Manager RN. The incumbent coordinates the overall interdisciplinary plan of care for patients, from admission to...
RXInsiderLos Angeles,CA
Optum is seeking an After Hours Care Manager - LPN in California to support discharge planning, transfers, and ED diversion. This role involves telephonic coordination, collaboration with hospitalists and care teams, and ensuring timely, compliant...
Providence Health & ServiceLos Angeles,CA
Care Manager LPN LVN – Remote Candidates residing in Oregon are encouraged to apply. The purpose of this position is to provide care coordination services to Providence Health Plan (PHP) members. Care coordination services include...
University of MiamiLos Angeles,CA
The University of Miami UHealth Department of UMHC-SCCC Business Operations has an exciting opportunity for a full time Case Manager RN. The incumbent coordinates the overall interdisciplinary plan of care for patients, from admission to...
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...
MePALos Angeles,CA
UnitedHealth Group seeks an Optumcare Medical Behavioral Integration Nurse Case Manager (MBI NCM) to serve as a clinical liaison between the Care Delivery organization and the clinical network. The role integrates care plans, coordinates services,...
RxAdvanceLos Angeles,CA
nirvanaHealth, a RxAdvance Corp. company, seeks a part-time Utilization Management Nurse for a remote role in the United States. You will perform prospective, concurrent, and retrospective medical necessity reviews and care coordination to ensure...
Beth Israel Lahey HealthLos Angeles,CA
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. **This position is remote. Candidates must be local to New England States for consideration** The...
GuidehealthLos Angeles,CA
Guidehealth is seeking a remote-based Care Manager (RN) to guide patients and families through complex health journeys. You will blend clinical expertise with holistic care, addressing medical, behavioral, and social needs while coordinating...

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