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The Judge GroupLos Angeles,CA
A healthcare recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an active RN license and experience with health plan operations. Responsibilities include...
Molina HealthcareLos Angeles,CA
Molina Healthcare in California seeks an experienced healthcare Services leader to direct utilization management, care management, and related programs. You will lead a multidisciplinary team, develop standardized protocols, and partner with...
Kaiser PermanenteBaldwin Park,CA
Job Summary: Collaborates with Education Consultants, Managers, CNS staff and Physicians to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on clients departmental...
OptumLos Angeles,CA
Optum is seeking an Inpatient Care Management Nurse to assess and interpret member needs, guiding utilization of health services to improve outcomes. You will collaborate with clinicians, perform case reviews, and support discharge planning from...
Providence Health and ServicesBrea,CA
Job Description This posting is for multiple openings of a Call Center Advice RN at The Nurse Advice Call Center in Brea, CA! We offer Part Time and Full Time positions, based on availability. Please ask at the time...
Staffmark GroupLos Angeles,CA
Staffmark Group is recruiting a Registered Nurse for a remote role. Primary duties include reviewing peer review reports, ensuring evidence-based rationales, and ensuring compliance with client, contract, and regulatory standards. The ideal...
Cedars-SinaiBeverly Hills,CA
Job Description Effect change daily! At Cedars-Sinai, the work you do every day directly affects others' lives. Our passionate and dedicated culture has earned us six Magnet designations for nursing excellence. Join us and...
Sentara HealthLos Angeles,CA
City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plan is currently hiring a Medical Policy Research Specialist/ Registered Nurse (RN) - Remote in Virginia! ...
OptumLos Angeles,CA
Optum is seeking an Utilization Management Nurse to review medical records, extract key case details, and craft defensible appeal letters in line with process instructions and guidelines. The role requires an RN with an associate degree, 3+...
TalentBurstTorrance,CA
TalentBurst, Inc is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Torrance, California. Job Description & Requirements Specialty: Utilization Review Discipline:...
McKessonLos Angeles,CA
JR Tele-Health Nurse (Remote/LPN) (Open) Full-time McKesson requires new employees to be fully vaccinated for COVID-19 as defined by the CDC, subject to applicable, verified accommodation requests. McKesson is in...
Government JobsLos Angeles,CA
Clinic Licensed Vocational Nurse I/Licensed Vocational Nurse I This opportunity is open to everyone. Applicants from all backgrounds and organizations are welcome to apply. We are looking for the best talent to join our...
ALPHA Business SolutionsLos Angeles,CA
Care Management Coordinator/RNLocation: 100% Remote Duration: 3+ Months (FT conversion)This is a Utilization Management RN part time position - working every other weekend (2 days a week in a 2 week cycle). Must be available M-F 8:30-4:30pm for...
University of MiamiLos Angeles,CA
University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and...
CadenceLos Angeles,CA
Cadence in Seattle is seeking an RN Supervisor to oversee a remote team of Registered Nurses in a high-volume triage environment. The role entails managing real-time patient alerts and ensuring clinical quality and operational performance. With a...
UnitedHealth GroupLos Angeles,CA
UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient criteria, preauthorizations, and ensuring medical necessity while applying evidence-based...
hireopsLos 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...
UCLA Health and David Geffen School of MedicineCulver City,CA
Job ID: 30611 *Description*In this role, you will provide direct patient care for a diverse patient population. You will work with clinic management, administration, faculty physicians, fellows, residents, medical students, and other clinical...
California Hospital Medical CenterLos Angeles,CA
*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal health care professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...
Kaiser PermanenteLos Angeles,CA
Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance...
AccentcareLos Angeles,CA
Area Quality Specialist Registered Nurse Find your purpose giving patient care teams the knowledge and tools they need to better care for patients as an Area Quality Specialist Registered Nurse! This is a rare opening on a...
McKessonLos Angeles,CA
A leading healthcare company is seeking a Tele-Health Nurse to provide high-quality service for specialty prescription drugs. This role includes case management and patient coordination. Ideal candidates should possess a Vocational or technical...
Healthcare SupportLos Angeles,CA
A national healthcare recruiting firm is seeking an experienced RN Case Manager in Sacramento, CA. In this telephonic role, you will assess and coordinate care for high-risk members. The ideal candidate will have an RN license and at least two...
Synergy Healthcare USA, LLCLos Angeles,CA
Join to apply for the Nurse Advocate - Remote- Kansas role at Synergy Healthcare USA, LLC We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and their employees.
Aisles & AbroadLos Angeles,CA
Role Summary We are looking for a highly organized Hotel & Resort Coordination Specialist to assist with managing accommodation arrangements and coordinating client requests. This role plays a key part in ensuring all lodging details are...

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