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UnitedHealth GroupLos Angeles,CA
Telephonic RN Case Manager Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically...
Kaiser PermanenteLos Angeles,CA
Case Manager Utilization RNWorks 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...
3B HealthcareLos Angeles,CA
Profession: Registered Nurse Specialty: Case Manager Unit: RN Case Manager - 8714015 Shift: Day 5x8-Hour (08:00 - 17:00) Block Schedules: No Start Date: 05/19/2025 Job Duration: 13...
UCLASanta Monica,CA
Details Client Name UCLA Medical Center Santa Monica Job Type Travel Offering Nursing Profession RN Specialty...
RXInsiderLos Angeles,CA
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 the care, pharmacy benefits, data...
IntelycareLos Angeles,CA
Job TitleWorks 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 medical necessity...
HumanaLos Angeles,CA
Humana Inc. is seeking a Telephonic Behavioral Health Nurse Care Manager based in Oklahoma. The role focuses on assessing enrollees, guiding families to appropriate resources, and coordinating with an interdisciplinary team to ensure holistic,...
Opus MedicalLos Angeles,CA
A healthcare services provider in the United States is looking for a Nurse Liaison to coordinate care for injured workers. This remote, field-based role involves communicating medical information and facilitating treatments. Candidates must hold a...
OptechLos Angeles,CA
Detroit, Michigan Case Management Contract We are seeking a Remote Case Manager RN with an out of state compact license. This is working with a healthcare organization. EDUCATION AND...
Trinity Clinics AMNLos Angeles,CA
Job Details May float to Centinela Hospital- 555 E Hardy St, Inglewood, CA 90301Acute inpatient CM experienceThis role will have a CM in Centinela Hospital and be actively case managing our KP members who are admitted there and helping...
Accident Fund HoldingsLos Angeles,CA
Job Description SUMMARY: The Nurse Case Manager (NCM) is responsible for applying medical knowledge in reviewing workers' compensation claims to assess, evaluate, plan, implement and oversee the...
Astrana HealthMonterey Park,CA
A health care organization in Monterey Park is seeking a Case Manager (LVN or RN) to manage patient care effectively. This role involves working collaboratively with medical teams to establish discharge plans and ensure compliance with health...
Health Source MSOAlhambra,CA
Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts...
NurseRemotelyLos Angeles,CA
HonorHealth in Phoenix is seeking an Utilization Review RN Specialist to review and monitor utilization, ensuring medically necessary care and appropriate discharge planning within Medicare, AHCCCS, Self-pay, and other payer guidelines. The...
PIH HealthDowney,CA
The 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 is the...
The Salvation ArmyLos Angeles,CA
Rate: $52 USD per hour Description Mission Statement The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the...
Cedars-SinaiBeverly Hills,CA
Job Description Are you ready to bring your clinical competencies to a world-class Medical Group known for the very highest clinical standards? Do you have...
Neolytix LLCLos Angeles,CA
Neolytix is seeking a remote, full-time Clinical Operations reviewer in the United States. The role leverages a nursing background to assess documentation for authorization, utilization review, and payer workflows. You will manage...
AHMC HealthcareMonterey Park,CA
JOB SUMMARYThe Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures the correct level of care critical, telemetry, acute, observation, for all patients. The...
Molina HealthcareLos Angeles,CA
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...
St. Tammany Health SystemLos Angeles,CA
At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system. We believe the pristine...
The IMA GroupLos Angeles,CA
Description Nurse Case Manager (RN) - Workers' Compensation Location: Los Angeles, CA & Surrounding Areas Salary: $100,000-$130,000 annually +...
LancesoftLos Angeles,CA
Pay: $3019 weekly gross for 40 hours, ($27/hr on W2 with $1939 weekly stipend) Job Description: Tittle: RN-Case Manager Location: West Hollywood, CA 90048...
VIR HealthwayLos Angeles,CA
Here are the job details for your review: Job Title: Nurse Case Manager II Job Location: Looking in Toledo region. Lucas, Fulton, Ottawa and Wood Counties. Duration: 3+ Months Contract (Potential for extension) ...
UnitedHealth GroupLos Angeles,CA
Optumcare Medical Behavioral Integration Nurse Case Manager (MBI NCM) For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum...

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