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55943 Job Description Join a team that's shaping the future of pediatric care. Children's Hospital Los Angeles is consistently ranked among the top 10 children's hospitals in the nation, delivering world-class care through more...

Find your calling at Mercy! The Nurse Navigator is a leader providing support, mentorship, and guidance to those who provide direct patient care. The Nurse Navigator coordinates the delivery of patient care by...

Summary: Uniti Med is looking for a (LPN/LVN) Licensed Practical/Vocational Nurse in Los Angeles, California. This assignment lasts 13 weeks and is scheduled to start on 10-19-2026.

Job Title: Remote Prior Authorization Registered NurseJob Description We are seeking experienced Registered Nurses (RNs) to join a remote Prior Authorization team supporting Dual Eligible (Medicare and Medicaid) populations. In...

Ochsner Health, a leading not-for-profit healthcare provider in the Gulf South, seeks an experienced RN for a remote case management role. You will coordinate care by liaising with patients, caregivers, multidisciplinary teams, and payers to...

Job Opportunity at Optum 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 with...

Optum is seeking an experienced Telephone Case Manager RN to support a diverse member population with education, advocacy, and connections to necessary resources. This remote role operates Monday through Friday, 8 AM–8 PM, nationwide across the...

VA Greater Los Angeles Healthcare System is seeking an experienced Registered Nurse for Inpatient Case Management in Los Angeles, CA. The role requires coordinating care for complex/high-risk patients and leading discharge planning to ensure safe,...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone...

Clinical Specialist As a Clinical Specialist, you will use your practical or vocational nursing experience and knowledge of medical and behavioral health conditions to support timely disability claim decisions. You will identify and...

Job ID: 32462 *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,...

Details Client Name CSMN - 8714016 - Outpatient Ambulatory Care Job Type Travel Offering Nursing Profession Nursing...

A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities...

Telephonic Nurse Case Manager (Remote) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States...

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is...

## Licensed Vocational Nurse, In-Patient Case ManagerApply: In Person: Montebello, CA 90640: Full time: Posted Today: JR10818**Grow Healthy**If you are as passionate about helping those in need as you are about growing your career, consider...

MAJOR RESPONSIBILITIES/ESSENTIAL FUNCTIONSThe primary job duties this position is responsible for achieving are listed in order of importance.Job Summary:To facilitate a safe discharge and/or transition of care for patients from hospital, lower...

Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker's successful and speedy return to work is...

Overview Facilitates, in collaboration with the Manager of Quality Management accurate, timely and consistent clinical data to public reporting databases and agencies, including The Joint Commission (Oryx), and CMS.

Responsive Recruiter Benefits: Competitive salary, opportunity for advancement, paid time off, training & development, wellness resources. This role is in-person in our office, located in Lake Balboa. Position Purpose The...

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...

Salary : $137,323.92 - $205,556.40 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: Y5121S Department: HEALTH SERVICES...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability,...

Genex Service LLC in El Monte, CA hires a Medical Field Case Manager to coordinate in-person patient appointments, collaborate with treating physicians and employers, and develop treatment plans aimed at quick, safe return-to-work. The role...

Details Client Name Dignity Health California Hospital Medical Center Job Type Travel Offering Nursing Profession Nursing...