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Molina Healthcare CareersLos Angeles,CA
JOB DESCRIPTIONWe are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state. Three of the positions are open to RNs with at least two years of experience in in Behavioral Health or Substance Abuse...
Kaiser PermanenteLos Angeles,CA
Job Summary Works 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...
CVS HealthLos Angeles,CA
CVS Health is hiring a Remote ICM Case Manager in the United States with 25-50% travel to Monmouth/Ocean Counties, NJ. The role focuses on proactive care planning, addressing health and social determinants, and coordinating services for...
Elevance HealthLos Angeles,CA
Elevance Health, Inc. is seeking a Nurse Case Manager I to perform care management for members with complex and chronic needs. The role involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans, with...
SedgwickLos Angeles,CA
Sedgwick is seeking an RN Telephonic Case Manager to support injured workers remotely. You will partner with workers, employers, and medical providers to develop care plans that promote medical recovery and a successful return to work. The...
Forthright Case Management LlcLos Angeles,CA
Forthright CM is seeking a self-motivated Registered Nurse (RN) for an in-person per diem role in California. The position allows remote work locally with travel and a flexible schedule. A company laptop is provided to support a hybrid/remote...
Tristar Managed CareLos Angeles,CA
TRISTAR MANAGED CARE INC is seeking an experienced Supervisor – RN to lead a clinical team in a remote capacity. The role requires an unrestricted RN license and a Master's level in Health, Psychology, or Social Services, with at least three...
EnlyteLos Angeles,CA
Enlyte is hiring a Telephonic Case Manager. The role requires an active NJ RN or LPN license and allows full-time, remote work from the Eastern Time zone. You will collaborate with treating physicians, employers, and injured individuals to...
Elevance Health (Anthem)Los Angeles,CA
Elevance Health is seeking a Nurse Case Manager I (RN) for a fully remote role, with required in-person training sessions. The position supports virtual collaboration across New York, with a Monday–Friday schedule and occasional late shifts.
Quorum HealthLos Angeles,CA
Case Manager - Utilization Review Specialist - Remote Full-Time Position You must reside in one of these states to be eligible for position: Arkansas California Kentucky Massachusetts Nevada New Mexico Oregon Utah Tennessee Texas...
Sentara HealthLos Angeles,CA
Sentara Health is seeking an Integrated Case Manager (RN) to coordinate and manage patient care remotely, with required in-person assessments in Roanoke, VA and surrounding areas. The role involves telephonic assessments, care planning, and...
Cambia HealthLos Angeles,CA
Cambia Health is seeking an Utilization Management Nurse to work remotely within Oregon, Washington, Idaho or Utah. The role focuses on prospective, concurrent and retrospective reviews to ensure medical necessity and cost-effective care, applying...
UBCLos Angeles,CA
UBC is seeking a Call Center RN for a remote, full-time role in the United States. The position requires continuous telephonic engagement with healthcare providers, extensive use of a computer-based phone system, and adherence to HIPAA-compliant...
Care CareerBurbank,CA
Care Career is seeking a travel nurse RN Care Manager for a travel nursing job in Burbank, California. Job Description & RequirementsSpecialty: Care...
Sentara HospitalsLos Angeles,CA
Sentara Health is hiring a Remote Utilization Review Registered Nurse to perform prior authorization and utilization review for inpatient and outpatient services. Candidates must reside in Virginia and hold an active Virginia RN license. As...
Advocate HealthLos Angeles,CA
Deliver comprehensive nursing care using the nursing process, including assessment, planning, and evaluation.Monitor patient conditions, adjust care plans, and collaborate with the team to improve outcomes.Requirements:Active RN license, BLS...
InovaLos Angeles,CA
Inova Schar Cancer Institute is seeking a qualified Registered Nurse for a remote PRN position. The role supports oncology clinics with a flexible M-F schedule and no night shifts or on-call hours. Remote eligibility is limited to specific states,...
Trinity HealthLos Angeles,CA
Trinity Health MI is seeking an RN Intake Coordinator for the Inpatient Psychiatric Medical Unit (PMU). The role coordinates patient intake and admission processes, conducts clinical assessments, evaluates referrals, and ensures timely placement...
MedWatch LLCLos Angeles,CA
Case Manager The Case Manager manages an individual caseload using the case management process in order to meet the needs of the MedWatch, LLC customers and consumers. This includes, but is not limited to, authorization of services,...
Hines and AssociatesLos Angeles,CA
Hines & Associates, Inc. is seeking a full-time Case Manager to leverage clinical nursing experience to design care plans and advocate for patients. This fully remote role focuses on coordinating healthcare services while supporting...
Elevance HealthLos Angeles,CA
Elevance Health is seeking a Nurse Case Manager I (RN) to support members with complex and chronic care needs through telephonic care management. The role requires assessing, developing, coordinating, and evaluating care plans to optimize health...
Cedars-SinaiLos Angeles,CA
Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We also were...
The General Hospital CorporationLos Angeles,CA
The General Hospital Corporation seeks an experienced RN for remote ambulatory oncology case management. You will coordinate services for cancer care patients, including home-based care, VNA, hydration, oxygen, and durable medical equipment, and...
TriWest Healthcare AllianceLos Angeles,CA
TriWest Healthcare Alliance is seeking a Utilization Management Clinical Review nurse to assess medical necessity and manage prior authorizations for Behavioral Health and Medical/Surgical requests. You will apply InterQual criteria, document in...
ParadigmLos Angeles,CA
Paradigm is seeking a full-time Telephonic Case Manager with compact RN license, CA RN license, and CCM to work Monday – Friday, 8 AM to 5 PM. The role provides remote medical case management to injured individuals, coordinating care, exploring...

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