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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...
Mercy HealthLos Angeles,CA
Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Hybrid Remote - Mercy Clinic Primary Care Yukon Monday-Friday, 40 hours per week *This is a...
Evry HealthcareLos Angeles,CA
Evry Health seeks an RN Integrated Care Coordinator (UM) to provide comprehensive care coordination and drive quality outcomes for members across the care continuum. This remote role requires rotating weekend hours for utilization review and...
MedixLos Angeles,CA
A staffing and recruiting firm is seeking a HEDIS Nurse (RN or LPN) for a remote position which allows for a flexible schedule. This high-impact role involves ensuring accurate HEDIS reporting and quality improvement initiatives. Candidates should...
Northwestern Memorial HealthCareLos Angeles,CA
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the...
Santa Barbara Cottage HospitalLos Angeles,CA
A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing...
Oscar HealthLos Angeles,CA
Oscar Health is seeking a Utilization Review Nurse to join our team. You will review cases, verify medical records, and consult with care providers to assess treatment appropriateness using Oscar Clinical Guidelines, MCG, and InterQual. The...
Piedmont HealthcareLos Angeles,CA
Overview The purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan of care and meet medical necessity for an acute hospitalization. This roles monitors...
ScangroupLos Angeles,CA
SCAN Group is seeking a remote RN to enhance frail seniors' ability to age in place by delivering person-centered care via telephonic care coordination. You will develop and implement plans of care, educate members, and coach them to manage...
California Hospital Medical CenterLos Angeles,CA
*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal health care professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...
Prime HealthCareLynwood,CA
Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the...
Northridge Hospital Medical CenterNorthridge,CA
*Job Summary and Responsibilities* As our Clinical Nurse, you will be a central figure in our patient care team, delivering exceptional, compassionate care that truly makes a difference in our patients' lives. Every day you will collaborate...
e-solutionsLos Angeles,CA
Registered Nurse (RN) – Remote Care Management & Coordination Location: remote Job type: Contract Job Summary: The Registered Nurse (RN) plays a critical role in delivering remote patient support, care management, and care...
Astrana HealthMonterey Park,CA
Join to apply for the Case Manager (LVN or RN) role at Astrana HealthLocation: 1600 Corporate Center Dr., Monterey Park, CA 91754Compensation: $31.00 - $45.00 / hourDepartment: HS - ICMAstrana is looking for a RN/LVN Case Manager and we are...
Huntsville HospitalLos Angeles,CA
Registered Nurse The Registered Nurse (RN) organizes and coordinates delivery of nursing care to groups of patients in compliance with hospital and departmental policies, protocols and procedures. He/she provides direct patient care by...
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...
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...
LancesoftLos Angeles,CA
Job Title: Registered Nurse (Vaccination Support) Location: Multiple Locations across North Carolina Estimated Length of Assignment: 3+ Months (The dates provided are only an estimate and...
GuidehealthLos Angeles,CA
Guidehealth in the United States seeks an experienced RN Case Manager to work remotely with Illinois licensure. You will oversee member management, promote wellness, and support cost-effective care within a value-based care framework.
IntelycarePasadena,CA
The Californian-Pasadena Job OpportunityThe Californian-Pasadena is a 63-bed skilled nursing facility that is not only charming but also a dedicated facility where the entire team is committed to providing exceptional care to all residents. Our...
Methodist Health SystemLos Angeles,CA
Registered Nurse (RN) Opportunity In this highly technical, fast-paced, and challenging nursing position, you'll work with multidisciplinary team members to provide our critical patients the best care. You'll be at the heart of our...
PublixLos Angeles,CA
Description The purpose of this position is to provide medical evaluation, clinical management, and coordination of medical services for Publix associates that have sustained on-the-job injuries. The Nurse Case Manager is...
Baystate MC - Valley SpringsLos Angeles,CA
Psych Travel Rn Opportunity ConVerdia Health Staffing assists RNs, LPNs, CNAs, Allied Healthcare professionals, Therapists, Physicians, and more. Work one on one with one of our committed recruiters to find the best fit for your future.
Essentia HealthLos Angeles,CA
Building Location: St Marys Hospital - Detroit Lakes Department: 3063470 PACU - DL HOSP Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning, intervention, and evaluation.
Beth Israel Lahey HealthLos Angeles,CA
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This is a hybrid remote position with occasional float in-person at our Mount Auburn Primary Care offices in...

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