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The Judge GroupLos Angeles,CA
Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...
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...
Health NetLa Palma,CA
Position Purpose: Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective care.
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...
Included HealthLos Angeles,CA
Included Health seeks passionate California-Based Nurse Care Managers for their Care and Case Management team. You will coordinate and deliver patient-centered care, helping members navigate their healthcare journey while ensuring they receive...
Mitchell MartinLos Angeles,CA
Registered Nurse - Utilization Management (Remote) - Philadelphia, PA (Remote) - Contract - Mon-Fri, Day Shift Hours - $41.15-$46.15 Per HR Title: Registered Nurse - Utilization Management (Remote) Location:...
Ochsner HealthLos Angeles,CA
Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you...
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...
OptumLos Angeles,CA
Optum Home & Community Care is seeking an RN Utilization Management Nurse in the greater Washington, DC area. The role reviews PDN/PCS authorizations and uses evidence-based criteria to determine medical necessity. You will coordinate with...
ActalentLos Angeles,CA
Case Management Nurse The Case Management Nurse delivers comprehensive, client-centered case management services across the continuum of care, ensuring that each individual receives the most appropriate level and type of health, medical,...
Insight GlobalLos Angeles,CA
Required Skills & Experience • \tCompletion of an accredited registered nursing (RN) degree program is required\n• \tCurrent, unrestricted Registered Nurse (RN) Licensure in state(s) of practice is required \n• \tMinimum of three (3)...
US Department of Veterans AffairsLos Angeles,CA
U.S. Department of Veterans Affairs is seeking a Remote Patient Monitoring Home Telehealth Case Manager. The role focuses on delivering knowledge-based care, patient education, self-management support, and ensuring patient satisfaction...
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...
CVS HealthLos Angeles,CA
CVS Health Corporation in Illinois seeks a Case Management Coordinator to support member care by coordinating appointments, identifying benefits and providing education through care management tools. This full‑time, home‑based role...
HumanaLos Angeles,CA
Humana Inc. is seeking a Manager, Care Management to lead a telephonic care management team focused on transitional needs, chronic conditions, and barriers affecting health and well-being. This remote role emphasizes coaching, performance...
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;...
McLaren Health CareLos Angeles,CA
McLaren Health Care is seeking a Registered Nurse to join the Utilization Management team. The role focuses on determining appropriate patient status, ensuring medical necessity, and documenting care for insurance and government payers within an...
PIH HealthDowney,CA
Travel Nursing & Allied Healthcare Staffing Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is...
AMN HealthcareLos Angeles,CA
RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with...
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,...
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...
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,...
California Hospital Medical CenterLos Angeles,CA
*Job Summary and Responsibilities* As our Nurse Shift Manager, you'll oversee a department of frontline nurses caring for patients. Every day you will advocate for your fellow nurses as you support them in reaching their full potential,...
Grand RoundsLos Angeles,CA
Nurse Care Manager We're looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading...
SSM HealthMonterey Park,CA
RN Status Review Specialist It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Use your nursing expertise in a strategic, non-bedside role. As an RN Status Review Specialist, you'll evaluate patient...

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