SavianceLos Angeles,CA
Senior Specialist, Quality Improvement (Registered Nurse) Reason for opening: FTE support needed for "Q4 Push" to close Medicare/MMP gaps in care with member & community events Will this role be fully remote? Yes Are there...
Posted August 13, 2026
Blue Shield of CALong Beach,CA
Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans,...
Posted August 9, 2026
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,...
Posted August 15, 2026
Blue Shield of CaliforniaLong Beach,CA
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...
Posted August 6, 2026
Alliance Health inLos Angeles,CA
Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel for in-person meetings. The role focuses on medical necessity reviews for inpatient and outpatient services,...
Posted August 13, 2026
Phenom PeopleLos Angeles,CA
Nurse Case Manager IIDo you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.The Nurse Case...
Posted August 15, 2026
CencoraLos Angeles,CA
Business Area Manager (Nursing) Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that...
Posted August 9, 2026
BroadpathLos Angeles,CA
Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...
Posted August 15, 2026
HJ StaffingLong Beach,CA
Registered Nurse (RN) for Utilization Management Team We are seeking a Registered Nurse (RN) to join our Utilization Management team. In this role, you will perform concurrent reviews, prior authorizations, medical necessity reviews,...
Posted August 10, 2026
Children's Hospital Los AngelesLos Angeles,CA
Nurse Care Manager Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the...
Posted August 7, 2026
Salvo HealthLos Angeles,CA
Salvo Health has a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions from IBS to obesity. Our patients are assigned a "whole patient" care team and have seven day a...
Posted August 2, 2026
American Career College CareersLos Angeles,CA
American Career College, we share a passion for students and...
Posted August 10, 2026
UCLALos Angeles,CA
Details Client Name Ronald Reagan UCLA Medical Center Job Type Travel Offering Nursing Profession RN...
Posted August 6, 2026
AYA-Cedars-Sinai Medical Center Crisis ResponseLos Angeles,CA
RN - Case Manager About the Position Specialty: RN Case Manager Experience: 1+ year of recent case management or discharge planning experience preferred License:...
Posted August 15, 2026
VeracitySanta Monica,CA
RN Care Manager *F/T Variable* Santa Monica, California Full Time RN Care Manager with our Care Management Team at our Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This is a full-time position that will work 8-hour...
Posted August 10, 2026
WellSkyLos Angeles,CA
The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely...
Posted August 14, 2026
UCLA Health West Valley Medical Center - AYACanoga Park,CA
Case Management RN Travel profession RN. Start date 09/14/2026, end date 02/22/2027, duration 23 weeks. Located in West Hills, CA. Equal opportunity employer. All qualified candidates are encouraged to apply. Information provided...
Posted August 8, 2026
Synergy Healthcare USA, LLCLos Angeles,CA
A healthcare organization is looking for a Case Manager Nurse Advocate in the Greater Charlotte Area, NC. The role involves aiding clients in navigating their healthcare needs while working remotely. Candidates should possess a nursing license,...
Posted August 13, 2026
Genoa TelepsychiatryLos Angeles,CA
Telephonic Case Manager 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...
Posted August 15, 2026
Saint Luke's Health SystemsLos Angeles,CA
At St. Luke's, our dedicated team of Remote Patient Management RNs are critical in providing exceptional, patient-centered care. We strive to foster an environment that embraces our employees' unique strengths, experiences and perspectives which...
Posted August 12, 2026
Ardor Health SolutionsTorrance,CA
RN / Registered Nurse Case Management in Torrance, CA Location: Torrance, CA, USA Setting: Hospital Job Type: Traveler Description: Estimated payment breakdown $2,244 per week in taxable pay...
Posted August 14, 2026
Opus MedicalLos Angeles,CA
A healthcare services provider is seeking a Nurse Liaison who will act as a pivotal communication link among injured workers, insurers, and care providers. This role requires a skilled nurse to coordinate care and ensure efficient treatment.
Posted August 13, 2026
DaVitaLos Angeles,CA
Posting Date 07/31/2026 1150 Lake Hearn Dr NeSte 100, Atlanta, Georgia, 30342-1566, United States of America RN Case Manager - Position Highlights Location: Atlanta, GA - Remote...
Posted August 7, 2026
PIH HealthWhittier,CA
Job Description The Registered Nurse (RN) Case Manager provides care coordination which emphasizes positive partnerships with nursing, physicians and other key disciplines in order to pace the care for outcomes while meeting...
Posted August 15, 2026
Kaiser Permanente Los Angeles Medical CenterLos Angeles,CA
Details Client Name Kaiser Permanente Los Angeles Medical Center Job Type Permanent Offering Nursing Profession Nurse...
Posted August 14, 2026