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Advocate HealthLos Angeles,CA
Deliver comprehensive nursing care using the nursing process, including assessment, planning, and evaluation.Monitor patient conditions, adjust care plans, and collaborate with the team to improve outcomes.Requirements:Active RN license, BLS...
State of North CarolinaLos Angeles,CA
Health & Human Services in North Carolina seeks a Nurse Consultant I (NS) to perform regulatory nursing home inspections, ensuring compliance with federal and state requirements and preparing deficiency reports. The role is home-based with regular...
SedgwickLos Angeles,CA
Sedgwick is seeking an RN Field Case Manager to work face to face with injured workers and medical providers, supporting advocacy, expedient treatment, and return-to-work efforts. The role blends remote work with necessary in-person interactions...
Pacer GroupLos Angeles,CA
Title: Clinical Review Nurse Concurrent Review Location: Remote Duration: 12 months (Potential Extension) Schedule: Mon-Friday, 11AM to 8pm CST; Weekends and Holidays on a rotation basis based on...
Nascentia HealthLos Angeles,CA
Nascentia Health is seeking a Care Manager to provide care management for health plan members, create PCSP, coordinate services, and document care per plan standards. This is a remote-first role, Monday–Friday, 8:00 AM–4:30 PM. This...
Devoted HealthLos Angeles,CA
Devoted Health is seeking a Clinical Guide for our Outpatient Utilization Management team. You will perform clinical reviews of outpatient authorization requests, applying evidence-based criteria and CMS requirements to ensure appropriate care...
CommonSpirit HealthLos Angeles,CA
Job Summary and ResponsibilitiesAs our Educator in Critical Care Emergency, In accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position is established to serve as a consultant/resource...
HCSC GroupLos Angeles,CA
HCSC is seeking a remote QOC Nurse under the supervision of the QOC Manager to conduct review and investigation of quality of care issues. The role supports quality improvement activities in compliance with CMS, NCQA and other regulatory...
PIH HealthLos Angeles,CA
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VyncaLos Angeles,CA
Manage patients assigned to your Care Team, ensuring visit frequencies align with acuity levels. Communicate via phone and video conferencing, assess and enroll patients, and develop care plans. Manage medications,...
HumanaLos Angeles,CA
Humana Inc. is seeking a Registered Nurse to join the Wisconsin Care Coaching team, coordinating member care, providing education, and helping members navigate their care with confidence. The role is remote with travel up to 40%; requires...
Ensemble Health PartnersLos Angeles,CA
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end...
Pennant GroupLos Angeles,CA
Puget Sound Home Health and Hospice, a Pennant Group company, seeks a full-time Hospice Clinical Manager (RN) in Tacoma, WA. The role offers a $10,000 sign-on bonus, a salary range of $115,000–$135,000 DOE, and a flexible schedule including one...
Intermountain HealthcareLos Angeles,CA
Intermountain Health is seeking an RN Utilization Review Care Management I for flexible, enterprise-wide coverage, including shifts across Peaks/Canyons/Desert regions. The role emphasizes utilization review, clinical decision-making, and...
VITAS HealthcareLos Angeles,CA
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...
Centurion HealthLos Angeles,CA
Centurion Health is seeking a Full-Time CQI Specialist for our Regional Office team. This remote/traveling position requires residing in Northern Illinois with a commutable distance for site visits (2-4 days/week) and occasional travel to...
The Pennant GroupLos Angeles,CA
Quality Assurance Specialist (QA RN)Pay Range: $40 - $50 per hourJob Type: Part TimeLocation: RemoteJob Summary Buena Vista Home Health is seeking an experienced OASIS Review Nurse (Registered Nurse – RN) to support clinical quality, regulatory...
Elevance Health (Anthem)Los Angeles,CA
Elevance Health is seeking a Nurse Case Manager I (RN) for a fully remote role, with required in-person training sessions. The position supports virtual collaboration across New York, with a Monday–Friday schedule and occasional late shifts.
Virtual VocationsLos Angeles,CA
Leveraging clinical expertise in a dynamic environment, the full-time Registered Nurse Utilization Management will assess, plan, and coordinate healthcare services for members while working remotely and requiring flexibility for evenings,...
CVS HealthLos Angeles,CA
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...
AmTrust FinancialLos Angeles,CA
Overview AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN. PRIMARY PURPOSE:To provide comprehensive quality telephonic case management to...
Hines and AssociatesLos Angeles,CA
Hines & Associates, Inc. is seeking a full-time Case Manager to leverage clinical nursing experience to design care plans and advocate for patients. This fully remote role focuses on coordinating healthcare services while supporting...
DocGoLos Angeles,CA
Mobile health, remote monitoring, and ambulance services.Over 5,000 health professionals with tech-driven care.Position Overview: Remote nurse coordinating employee health compliance programs.Manages OSHA respiratory protection, Hep B, TB...
Highmark BCBSDLos Angeles,CA
Highmark Health is seeking a Community-based Case Manager in New Castle County for a RN/LPN role delivering comprehensive case management to DSHP Plus LTSS and DSNP members. The position requires frequent travel for home or site visits to assess...
UnitedHealth GroupLos Angeles,CA
UnitedHealth Group is seeking a Telephonic Registered Nurse Case Manager to support a diverse member population by providing education, advocacy, and connections to resources. This remote role is ideal for nurses who want to make a meaningful...

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