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UCI Health UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that...

Job Description Join Cedars-Sinai Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best...

Optum Clinical Claim Review 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...

Job Overview The RN or LVN Case Manager manages a continuum of care from pre‑admission through post‑discharge for assigned patients. The role ensures patients and families progress efficiently throughout hospitalization. The focus is...

Secondary Review Nurse At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.

Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah *Please be advised that this role is part of our candidate pool, which allows us to identify and attract...

About Outpatient Clinics Corewell Health operates over 300 outpatient clinics across Michigan, bringing a multitude of care options to the communities that we serve. There are over 40 different types of primary care and specialty...

Description The Clinical Operations Lead/Nurse Case Manager for the IMPACT Program provides clinical andadministrative leadership for a statewide prostate cancer treatment initiative. This role oversees clinical...

Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is...

Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk...

Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical...

Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital role in supporting members...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Temporary Senior Complex Case Manager (RN) Position Type: Temporary /...

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...

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...

ACO Case Manager As one of the fastest growing Independent Physician Associations in Southern California, our medical group offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising,...

ScionHealth's Los Angeles area facility seeks a Director of Case Management to lead Case Management and Utilization Management programs, coordinating care for acutely ill patients and their families, and ensuring high-quality outcomes and...

Nurse Consultant III RE-ADVERTISEMENT: If you previously applied to this position, it is not necessary to submit a new application. Under general direction of the Statewide Clinical Services Division Deputy Director, the Nurse Consultant...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted,...

Secondary Review Nurse At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.

Bilingual Case Manager-LPN Salary Range $24.00 - $26.00 Hourly Travel Percentage Negligible Category Health Care Bilingual LPN Case Manager (English/Spanish) LA Case Management XstremeMD is seeking a bilingual...

On-Site Care Coordinator This is a remote position with travel required within Spartanburg, SC Territory/Community. Mileage is reimbursed for travel. Position Summary: The On-site Care Coordinator is a Registered Nurse who provides...

Direct Jobs is seeking a dedicated Case Manager to join Cedars‑Sinai Medical Network in Beverly Hills, California. This role focuses on managing patient cases during hospitalization and post-discharge, ensuring coordinated patient care while...