W. R. BerkleyLos Angeles,CA
Telephonic Nurse Case Manager As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.
Posted August 1, 2026
Pacer GroupLos Angeles,CA
Job Description: Job Title: Clinical Quality Reviewer RN (Quality of Care Review) Duration: 9+ Months (Potential Extension and Conversion to FTE) Location: Remote - CA Work Schedule: Monday - Friday | 8:00 AM - 4:30 PM / 5:00 PM...
Posted July 24, 2026
ThedaCareLos Angeles,CA
RN Clinical Nurse The RN Clinical Nurse provides patient-centered, specialized, evidence-based nursing care across the continuum through an interprofessional approach to treatment, research, education, and advocacy. Contributes to the...
Posted July 21, 2026
Cohere HealthLos Angeles,CA
Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...
Posted July 22, 2026
HumanaLos Angeles,CA
Care Coordinator 2 (Field Care Manager 2) Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness...
Posted July 28, 2026
UNIVERSITY OF VIRGINIALos Angeles,CA
Clinical expertise meets analytical precision in a role that directly shapes how patient care is captured, understood, and valued across the health system. As a Clinical Documentation Specialist, you bring a seasoned nursing perspective into a...
Posted July 21, 2026
AmergisLos Angeles,CA
" 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...
Posted August 2, 2026
Dignity HealthLos Angeles,CA
Job Summary and ResponsibilitiesAs our Educator, RN in Periop, in accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position serves as a consultant/resource professional by providing staff...
Posted July 21, 2026
Community Health SystemsLos Angeles,CA
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...
Posted August 2, 2026
PIH HealthLos Angeles,CA
Responsible for collaborating with healthcare providers and physicians for problem solving, prioritizing and facilitating patient care objectives, the coordination and...
Posted July 30, 2026
CencoraLos Angeles,CA
Business Area Manager 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 purpose. If...
Posted July 25, 2026
Kaiser PermanenteBaldwin Park,CA
Job Summary: Works 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...
Posted August 1, 2026
Providence Health & ServiceLos Angeles,CA
Utilization Review RN - Remote This position is Full-time and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical...
Posted August 1, 2026
Nightingale's ListLos Angeles,CA
Job Opportunity Title RN Date Opened 03/18/2026 Job Type Local/Travel Contract Industry Health Care Work Experience 1+ year City Northridge State/Province California Country United States...
Posted July 24, 2026
UnitedHealthcare At HomeLos Angeles,CA
Inpatient Care Management 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...
Posted August 2, 2026
Saratoga AscendLos Angeles,CA
Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit...
Posted July 20, 2026
EVERSANA CompanyLos Angeles,CA
At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We're fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation...
Posted August 1, 2026
CHRISTUS HealthLos Angeles,CA
Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital as needed. The Utilization Review Nurse is responsible for determining the clinical appropriateness of...
Posted July 28, 2026
The CKHobbie GroupLos Angeles,CA
Job Opportunity Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the...
Posted July 26, 2026
Bristol-Myers SquibbLos Angeles,CA
Clinical Nurse Consultant As part of the Oncology Field Medical organization, the Clinical Nurse Consultant (CNC) is a trusted clinical expert responsible for developing professional relationships and educating key Health Care...
Posted July 25, 2026
Providence ServiceLos Angeles,CA
Description Utilization Review RN - Remote. This position is Full-time and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...
Posted August 2, 2026
MaximusLos Angeles,CA
Description & Requirements Maximus is hiring a Clinical Reviewer RN/LPN to support our LTSS Tennessee contract. Areas will include but are not limited to PASRR Level 1 and Katie Beckett. In this role, you will review...
Posted July 28, 2026
Intermountain HealthLos Angeles,CA
Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...
Posted August 3, 2026
Sedgwick Government SolutionsLos Angeles,CA
Job Details Telephonic Triage Nurse Case Manager (Remote) 2026-1475 Dallas, TX, USA Medical Case Management Full Time Description Overview Are you looking to make a difference by providing...
Posted July 25, 2026
CVS HealthLos Angeles,CA
Registered Nurse (RN) – Utilization Management Join a dynamic healthcare team and make an impact on patient care from wherever you work. We are seeking an experienced Registered Nurse (RN) to support our 24/7 Utilization...
Posted July 30, 2026