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Sr Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

Salary : $101,190.00 - $151,468.56 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: Y5134L Department: HEALTH SERVICES...

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...

NaphCare is seeking an experienced Utilization Management Registered Nurse for a remote-based position supporting an Arizona team. NaphCare delivers healthcare to correctional facilities nationwide and offers strong benefits and professional...

Supervisor of Utilization Management (UM) RNSalary Range: $102,183.00 (Min.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to...

Job Title: Registered Nurse (Navy Nurse Corps) Category / Component: Officer • Both Overview Navy Nurse Corps Officers deliver professional nursing care to service members, families, and global communities in leading edge military medical centers,...

Open Non-Competitive Job Opportunity Exam Number: Y5134L First Day of Filing: 3/3/2026, 8:00 A.M., PT, until the needs of the service are met and is subject to close without prior notice. COVID-19 Vaccination Mandate: All...

Registered Nurse (RN) - Utilization Review | Remote | California License Required Position: Registered Nurse (RN) - Utilization Review (UM RN) Location: Torrance, CA (Remote Position)...

Sedgwick is hiring an RN Telephonic Case Manager. This remote role supports injured workers by evaluating medical needs, coordinating care, and advocating for timely recovery and return to work. You will work with employers, providers, and...

Job DescriptionJob DescriptionBilingual Remote LPN/LVN - Clinical Interviewer100% Remote | $25-$26/hour | Monday-Friday 11:30 - 8 PM EST (Can reside anywhere in the U.S. to be considered)**Must be bilingual and hold an active LPN/LVN license to be...

*Job Summary and Responsibilities* As our Registered Nurse (RN), in Surgery you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Elevance Health is seeking a Nurse Case Manager II (RN) to perform care management for members with complex needs. This fully telephonic role supports coordination of care across states with multi-state RN licensure required upon hire.

Sagility is seeking an experienced Senior Care Specialist (Registered Nurse) to deliver telephonic assessments and remote care management opportunities. You will develop individualized care plans, coach members on chronic condition management, and...

Job Summary and ResponsibilitiesAs our Educator in Critical Care Emergency, In accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position is established to serve as a consultant/resource...

Case Manager Utilization RNWorks 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...

CVS Health is seeking a Registered Nurse to lead case management for Medicare members in a remote, full-time role. You will coordinate care across providers, insurers, and community resources to improve wellness and timely return to baseline.

Case Manager Care Coordinator The Case Manager Care Coordinator coordinates the care and service of patient populations from admission through discharge. The Care Coordinator clinically assesses, plans, implements, coordinates, monitors,...

AllMed Medical Management is seeking a Clinical Quality Assurance Coordinator, an RN who is detail-driven and passionate about quality. This 100% remote role supports Pacific Time Zone operations, with a Sunday-Thursday 8:00am-4:30pm PST schedule.

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

Nurse - Clinical Review The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp's specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical...

LVN – Clinical Intake CoordinatorWe are seeking an organized, compassionate, and detail-oriented LVN – Clinical Intake Coordinator to support Home Health operations within a patient-centered healthcare organization!This is an excellent...

Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the...

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)...

Case Manager RNBurbank, CA$2537 /Weekly Gross**Estimated pay package. Does not include taxes, insurance, or other deductions that may occur8H Days26 Weeks40Short Term Acute Care Hospital368EPICRequirementsAt least 2+ years' experienceEither an...