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Utilization Review RN - Remote Utilization Review RN - REMOTE position. This position is Part time and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

Case Manager The Case Manager manages an individual caseload using the case management process in order to meet the needs of the MedWatch, LLC customers and consumers. This includes, but is not limited to, authorization of services,...

RN Coordinator ECM - Ambulatory POSITION SUMMARY MLK Community Healthcare is seeking a Registered Nurse (RN) Coordinator to be part of our MLKCH Enhanced Care Management program. The RN Coordinator will be...

Care Career is seeking a local contract nurse RN Case Manager, Utilization Review for a local contract nursing job in Torrance, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/28/2026 Duration:...

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Job Description Provides direct nursing services and case management related to infusion therapy for patients in the home, clinic, or alternate living site. This is accomplished through collaboration and coordination with...

Job Description Harborview Medical Center has an outstanding opportunity for an experienced Registered Nurse to join our Care Management Team. WORK SCHEDULE: 80% FTE (4 days a week)...

Job Description The Utilization Review Case Manager is responsible for assessing the medical necessity, appropriateness, and efficiency of patient care services. Utilizing evidence-based clinical criteria such as InterQual,...

Medical Management And Health Education Program Coordinator Fully Remote JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs.

Join to apply for the Case Manager (LVN or RN) role at Astrana HealthLocation: 1600 Corporate Center Dr., Monterey Park, CA 91754Compensation: $31.00 - $45.00 / hourDepartment: HS - ICMAstrana is looking for a RN/LVN Case Manager and we are...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Qualifications Basic Requirements: English Language Proficiency In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English Graduate of a school of...

OverviewJobs for Humanity is partnering with CEDARS‑SINAI to build an inclusive and just employment ecosystem. We prioritize individuals from diverse communities including Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard...

RN Case ManagerThe RN Case Manager manages a continuum of care from pre-admission through post-discharge for assigned patients. Assure that patients and families proceed efficiently throughout the course of hospitalization. Focus of the position...

Patient Advocate/Case ManagerUnder the general supervision of the case management Director acts as a patient advocate/case manager to hospital clients. An autonomous role that coordinates, negotiates, procures services and resources for, and...

Utilization Review Nurse, RN 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 people...

Explore Opportunities With Kelsey-Seybold Clinic Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for...

Guidehealth is seeking an Utilization Management Registered Nurse to perform medical-necessity reviews and document findings for determinations. The role involves collaborating with medical leadership, reviewing cases for appropriate treatments,...

Event Details Join us for an Interview and Hiring Day! Registered Nurses welcomed! Location : 1680 E. 120th Street, Los Angeles, California 90059 Date : Tuesday, September 29, 2026 Time : 9:00 am to 2:00 pm Directions/Parking: Our main lobby entrance...

Job Summary: Under the direct supervision of a Registered Nurse or physician provides nursing care in accordance with the legal scope of practice and within established standards of care, policies and procedures. Demonstrates...

Job Description Licensed Vocational Nurse (LVN) – Homecare \n Pay: $30 \n \n Done running room-to-room? Slow it down and actually care. \n If your current role feels rushed, this gives you...

To support the Utilization Management team, the full-time Utilization Management Nurse (RN) will conduct inpatient, behavioral health, and post-acute authorization reviews remotely, ensuring compliance with CMS and Medicare Advantage...

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...

Cambia Health is seeking a Remote Care Management Nurse to provide clinical care management, case management, and care coordination for members across Oregon, Washington, Idaho, or Utah. This role supports a person-focused, cost-effective...

Job Description: The Trauma Performance Improvement and Injury Prevention Coordinator collaborates with the Trauma Program Manager to oversee performance improvement and injury prevention activities at the facility and community. This role may...