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HumanaLos Angeles,CA
Become a part of our caring community The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with...
GuidehealthLos Angeles,CA
WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...
Select MedicalLos Angeles,CA
External Case Manager - Inpatient Rehab (RN, PT, OT, SLP)Cal Rehab, a joint venture with Select Medical, UCLA, and Cedars SinaiFull‑time (Mon‑Fri 8 am‑5 pm, plus rotating weekends) in Los Angeles, CA.Base salary $80,000–$115,000...
UnitedHealth GroupLos Angeles,CA
UnitedHealthcare is seeking a Senior Clinical Admin Nurse RN for Emerging CARE, with remote work flexibility across the United States. The role supports members by providing guidance, education, and front-line clinical resources to manage health...
CorehealthnetLos Angeles,CA
Overview CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. We are currently seeking a full-time Case Manager (Registered Nurse)...
WellMarkLos Angeles,CA
Wellmark is seeking a Case Management Nurse I to actively engage members through various channels, build individualized care plans, and coordinate services with providers and families. You will support chronic and complex health needs while...
Intermountain HealthLos Angeles,CA
Job Description: We are seeking a compassionate and dedicated Registered Nurse (RN) to join our hospice care team. In this role, you will provide holistic, patient-centered care to individuals with terminal illnesses, ensuring comfort, dignity,...
Virtual VocationsLos Angeles,CA
Supervising a team of healthcare professionals, the full-time RN Case Management Supervisor will oversee daily operations in Utilization Review, Case Management, and Quality Management while working remotely and ensuring compliance with healthcare...
InteProsLos Angeles,CA
A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...
Genex ServicesEl Monte,CA
Genex Service LLC is seeking a Medical Field Case Manager in the El Monte, CA area. The role is full-time and hybrid, requiring regular local travel for in-person patient appointments.The base pay ranges from $95,000 to $100,000 annually, with a...
CVS HealthLos Angeles,CA
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...
Synergy Healthcare USA, LLCLos Angeles,CA
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...
Oak St. HealthLos Angeles,CA
RN Case ManagerWe'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...
Guide-HealthLos Angeles,CA
Guidehealth is seeking a Remote RN Case Manager licensed in Illinois to support member management, enhance satisfaction, and navigate the health care system as part of Value Based Care Services. The role focuses on data collection, clinical...
EnlyteTorrance,CA
Enlyte is seeking a Field Case Manager (RN) in the Torrance, CA area. This full-time, hybrid role requires regular local travel for in-person patient appointments. Spanish is preferred.The position includes a comprehensive benefits package, paid...
COPE Health SolutionsLos Angeles,CA
COPE Health Solutions is seeking a qualified Utilization Management Nurse (RN) to assess member needs, determine medical necessity and coordinate care across providers and care teams. This full-time, remote position reports to Medical Management...
Santa Barbara Cottage HospitalLos Angeles,CA
Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is good for people...
PIH HealthDowney,CA
PIH Health Downey Hospital is seeking an RN Case Manager to guide patients from pre-admission through post-discharge, ensuring smooth transitions and appropriate utilization of hospital services.You will focus on maximizing reimbursement from...
Trinity HealthLos Angeles,CA
Employment Type: Full time Shift: Night Shift Description: Position Summary: Reviews assigned cases applying specific criteria and payor guidelines and communicates this review to...
EK Health ServicesLos Angeles,CA
EK Health is hiring a full-time Telephonic Nurse Case Manager (RN) for our Case Management Team. The role includes assessing, planning, coordinating, and evaluating service options to ensure injured workers receive timely, cost-effective care and...
Opus MedicalLos Angeles,CA
A healthcare services provider in the United States is looking for a Nurse Liaison to coordinate care for injured workers. This remote, field-based role involves communicating medical information and facilitating treatments. Candidates must hold a...
aptihealthLos Angeles,CA
Life at aptihealth aptihealthis a fast-growing health tech company transforming behavioral healthcare. Our digital platform and affiliated medicalgroupmake it easier for people to access high-quality care when and where they need it.You'lljoin a...
CorVelLos Angeles,CA
CorVel Corporation is seeking a Telephonic Case Manager to coordinate medical care for injured individuals. This remote role emphasizes clinical assessment, cost-effective care plans, and communication with physicians, patients, and payers.
The Judge GroupLos Angeles,CA
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...
IntelycareBellflower,CA
Job TitleWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity...

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