BlueCross BlueShield of South CarolinaLos Angeles,CA
Payment Integrity Nurse – Medicare Advantage We are currently hiring for a Payment Integrity Nurse – Medicare Advantage to join BlueCross BlueShield of South Carolina. In this role as a Payment Integrity Nurse, you will...
Posted July 12, 2026
Comanche County Memorial HospitalLos Angeles,CA
Details Client Name California Hospital Medical Center Job Type Travel Offering Nursing Profession RN...
Posted July 7, 2026
Hireops Staffing LlcLos Angeles,CA
The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...
Posted July 7, 2026
PIH HealthWhittier,CA
The Registered Nurse (RN) Case Manager provides care coordination which emphasizes positive partnerships with nursing, physicians and other key disciplines in order to pace...
Posted July 13, 2026
SupportFinity™Torrance,CA
TitleNurse EducatorLocationBased out of any of our sites in California: Torrance, North Hollywood, Colton, San Diego, or Sacramento. This position is in‑person.Salary Range$105,000 - $128,500 annuallyEmployment TypeFull‑TimeBenefitsMedical,...
Posted July 11, 2026
AHMC HealthcareSan Gabriel,CA
Denials Case Manager, RN The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials,...
Posted July 7, 2026
Veterans In HealthcareLos Angeles,CA
Utilization Review NurseWork Location: Los Angeles, CAJob #: 30315Work Hours: Monday-Friday 8am-4:30pmEmployment Type: 4 – Staff- LimitedDuration: 6 monthsSalary Range: $74.16–107.75 hourlyPosted Date: May 15, 2026Bargaining Unit: CNA –...
Posted July 7, 2026
MVP Health CareLos Angeles,CA
Join Us in Shaping the Future of Health Care At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we...
Posted July 6, 2026
Bristol-Myers SquibbLos Angeles,CA
Clinical Nurse Consultant As part of the Oncology Field Medical organization, the Clinical Nurse Consultant (CNC) is a trusted clinical expert responsible for developing professional relationships and educating key Health Care...
Posted July 10, 2026
Blue Shield of CALong Beach,CA
Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support...
Posted July 10, 2026
ProvidenceLos Angeles,CA
Providence is seeking a Care Management Recovery Advocate (CMRA) in Los Angeles, responsible for managing communication of clinically based appeals. The role requires an Associate's Degree in Nursing and a California Registered Nurse License.The...
Posted July 7, 2026
DendreonLos Angeles,CA
Overview Your Role: The Nurse Educator is responsible for providing support to ensure safe, effective and appropriate use of PROVENGE® (Sipuleucel-T) (the "Product") from enrollment to completed...
Posted July 11, 2026
L.A. Care Health PlanLos Angeles,CA
Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13208 Salary Range:...
Posted July 13, 2026
NeueHealthLos Angeles,CA
NeueHealth is a value‑driven healthcare company grounded in the belief that all health consumers are entitled to high‑quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make...
Posted July 7, 2026
yourcommissionBeverly Hills,CA
Yourcommission is seeking qualified candidates for nursing roles in Beverly Hills, California. Applicants must have a valid RN license and a Bachelor of Science in Nursing. Experience in acute care nursing and case management is preferred.The role...
Posted July 7, 2026
ErgotronLos Angeles,CA
About Ergotron: Ergotron, Inc. is a global leader in designing ergonomic solutions that connect people and technology to enhance human performance, health and happiness. Through its 40+-year history, Ergotron has led the...
Posted July 13, 2026
LancesoftLos Angeles,CA
Job Opportunity For Remote Nurse In Michigan This position is a remote role for nurses in Michigan. The following qualifications are required: A valid MI RN License Utilization management experience...
Posted July 1, 2026
St Francis HospitalLynwood,CA
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...
Posted July 7, 2026
BAY AREA HOSPITALLos Angeles,CA
Details Client Name Cedars-Sinai Medical Center Job Type Travel Offering Nursing Profession RN Specialty...
Posted July 5, 2026
GuidehealthLos Angeles,CA
Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...
Posted July 9, 2026
AltaMed Health ServicesMontebello,CA
Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted,...
Posted July 7, 2026
Providence Health & ServicesSanta Monica,CA
Care Manager RN at Providence Saint Johns Health Center in Santa Monica, CA. This position is Part-time and will work 8 -hour, Day shifts. Providence Saint John's Health Center has been recognized as a Magnet hospital in 2025 a prestigious...
Posted July 13, 2026
Blue Shield of CaliforniaLong Beach,CA
Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge...
Posted July 8, 2026
3B HealthcareLos Angeles,CA
Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).
Posted July 1, 2026
Cedar Sinai TACRI ImagingLos Angeles,CA
Details Client Name Cedar Sinai TACRI Imaging Job Type Travel Offering Nursing Profession RN Specialty...
Posted June 29, 2026