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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,...

Utilization Management Nurse Consultant - Behavioral Health (Remote)### Utilization Management Nurse Consultant - Behavioral Health (Remote)Apply: Remote/Hybrid: AZ - Work from home: Full time: Posted Today: End Date: November 23, 2026 (13 days...

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...

Nurse Case Manager II CA Location: State of California Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions,...

Clinical Member Services ReviewerProvides 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...

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...

UCLA Health Advanced Practice Nurse Work Location: Santa Monica, CA, USA Work Schedule 4-day 10-hour shifts, 7:00am-5:30pm; may include weekends and holidays Salary Range: $68.81 - 88.99 Hourly Employment Type 2 - Staff:...

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 people...

Astrana Health, Inc. is seeking a Case Manager II (RN or LVN) in Monterey Park, CA to manage a complex caseload across acute inpatient and post-acute settings. You will review records, coordinate care, and engage with Members and families to...

Lead Care Coordinator The Lead Care Coordinator will provide hands-on expertise to other team members as needed to help ensure that every patient receives the right type of care, at the right time in the right setting, every day. The Lead...

CVS Health is seeking a full-time RN Case Manager to coordinate case management activities and evaluate members' medical needs. This telework role requires 50-75% travel within Lake County IL and surrounding areas. Exempt position with benefits...

Utilization Review Nurse II Primary Location Reno, Nevada Employee Status: Regular Schedule Full-time Scheduled Weekly Hours: 40 Shift Day Salary $38.65 - $49.97 / hour Job Number 1459151 Worker Location: Remote Submit Interest...

After Hours NurseThe after hours nurse supports our patients and families needs after hours. After hours is qualified as 5 p.m. to 8 a.m. and weekends.If you would prefer to work with an agency that honors and cares for its clinicians, with the...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Work Schedule 10-hour shifts; shift availability...

Job Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual,...

Medical Management Nurse - AmeriBen Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes...

Telephonic Case Manager RN Medical/Oncology 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...

Job Description Why work here? Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b), we take pride in hiring the best employees. Our accomplished staff reflects the...

Case Management Coordinator 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...

Case Manager Continued Care Coordinator RN (Bilingual)Coordinates with physicians, staff, and non-Kaiser providers/facilities regarding patient care/population based management for patients in specifically defined geriatric or other specifically...

Job PostingWork Location: Los Angeles, CA, USAWork Schedule Monday-Friday 9:00am-6:00pmSalary Range: $38.54 - $50.84 HourlyEmployment Type 2 - Staff: Career Duration Indefinite Job # 32983Primary Duties and ResponsibilitiesIn this role you will...

JOB DESCRIPTION Job Summary Provides senior level clinical support to quality team - contributing to quality management programs, initiatives, audits, data analysis and quality improvement surveys and state/federal quality compliance...

Licensed Vocational Nurse IOptum CA is seeking a Licensed Vocational Nurse to join our team in Pasadena, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live.As a member of the Optum Care Delivery team,...

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...

Managed Care Coordinator-RN Clinician Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity,...