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CVS HealthLos Angeles,CA
CVS Health is seeking a Clinical Case Manager to elevate patient care through nurse‑led, patient‑centered management. The role collaborates with members, providers, and community resources to address medical and social needs across the care...
Children's Hospital of PhiladelphiaLos Angeles,CA
SHIFT: Any (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will...
SagilityLos Angeles,CA
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through...
CEiLos Angeles,CA
CEI is seeking an RN/Managed Care Coordinator in Columbia, SC. The role trains onsite for 4 weeks, then remote work is possible under a hybrid model. W2 contracting with pay of $34/hour plus optional benefits. Responsibilities include...
Guide-HealthLos 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...
Clarity PediatricsLos Angeles,CA
About Clarity Pediatrics Clarity Pediatrics is reimagining pediatric chronic care, starting with ADHD. After successfully launching our virtual clinic for ADHD and anxiety, we are expanding our pediatric care platform to address other...
Elevance HealthLos Angeles,CA
Elevance Health seeks a Telephonic Nurse Case Manager II for California, primarily remote with required in-person training. The role involves assessing, coordinating, and evaluating care plans for members with complex needs, telephonically.
Amerit ConsultingLos Angeles,CA
Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Registered Nurse (Utilization Management) .Candidate must be authorized to work in USA without requiring sponsorshipLocation: 100% Remote for California...
UCLA Health and David Geffen School of MedicineSanta Monica,CA
Job ID: 33380 *Description*There's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also enjoying the positive,...
Sentara HealthLos Angeles,CA
Sentara Health is looking to hire a Remote Integrated Case Manager. Candidates must reside in the State of Virgina. The Integrated Case Manager is responsible for case management services within the scope of licensure;...
HumanaLos Angeles,CA
Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation, and communication of medical services and benefit determinations. You will work with the One Home/Home Solutions Utilization...
McLaren Health CareLos Angeles,CA
The McLaren system includes 12 hospitals across the state, ambulatory surgery centers, imaging centers, a 730-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 242,000 Michigan lives,...
LancesoftLos Angeles,CA
Nurse Case ManagerPosition Type: Full-Time Contract RoleLocation: Work from homeWork Type: Remote Est. Pay Range: $35.00/hour – $38.46/Hour on W2 (USD) (all inclusive)Schedule: Mon-Fri 8am-5pm ESTRegistered Nurse with active state license in...
JobgetherLos Angeles,CA
Jobgether is seeking a Case Manager – Utilization Review Specialist for a remote United States position. You will use your nursing expertise to evaluate medical records, assess medical necessity, and manage appeals to support patient care and...
MedixLos Angeles,CA
Position Title: Remote Telephonic RN Case Manager Mandatory Requirement: Must hold an Active Compact RN License and/or an Active California (CA) RN License to be considered. Pay Rate: $48.00 – $50.00 per hour...
Crossing HurdlesLos Angeles,CA
A healthcare company seeks a Remote Utility Management Nurse to optimize insurance coding practices and enhance revenue management. This part-time role offers flexible hours and compensation ranging from $45 to $75 per hour, depending on...
TEEMA GroupLos Angeles,CA
Overview Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the...
Insight GlobalLos Angeles,CA
Telephonic Insurance Case Manager (RN) | ARIZONA RESIDENTS ONLY Insight Global is seeking a Telephonic Insurance Case Manager (RN) to join a growing and well-established organization focused on helping injured employees navigate their...
Innovative Systems GroupLos Angeles,CA
Innovative Systems Group is seeking qualified healthcare professionals to conduct medical management and health education for customers on government programs. The role includes data gathering for regulatory reports and performing assessments,...
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...
UnitedHealth GroupLos Angeles,CA
Improve the lives of others while Caring. Connecting. Growing together. Job Description - RN Diabetes Educator - Remote (2389898) RN Diabetes Educator - Remote - 2389898 At UnitedHealthcare, we're simplifying the health care...
SCAN Health PlanLos Angeles,CA
SCAN Health Plan is seeking a Medical Management Specialist-RN (Temp) in Long Beach, CA. The role focuses on promoting appropriate inpatient and outpatient care, applying criteria, and coordinating complex cases within regulatory timelines.
CVS HealthLos Angeles,CA
CVS Health is seeking a nurse case manager to coordinate comprehensive care for members in Michigan. You will assess needs, develop care plans, and coordinate services with providers, insurers, and families. The role emphasizes advocacy,...
AmericareLos Angeles,CA
Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services. To maintain open lines of communication with referral sources and within Americare...
CareHarmony LLCLos Angeles,CA
CareHarmony's Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN)...

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