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Molina HealthcareLong Beach,CA
JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member...
Virtual VocationsLos Angeles,CA
Leveraging clinical expertise, the fully remote Multi Benefit Services RN Consultant in Wisconsin will review Medicaid prior authorization requests, determine medical necessity, and support providers while ensuring compliance with state policy...
NRILos Angeles,CA
Utilization Review Nurse - RN | 100% Remote | Part-Time 10-20 Hours Per Week | Flexible Schedule | Evenings & Weekends Looking for a way to use your nursing experience without returning to a full-time bedside...
CVS HealthLos Angeles,CA
CVS Health is seeking a remote RN Case Manager to support fully and self-insured clients across the United States. This telephonic role includes training and collaborating with care teams to assess benefits, apply guidelines, and plan care.
CassiaLos Angeles,CA
Cassia is seeking an experienced Minnesota RN to support RN Directors of Health Services in Assisted Living communities through a remote, part-time role. You will triage calls from clinical staff for urgent and emergent resident situations,...
Care WellLos Angeles,CA
Carewell is seeking an RN Care Advocate to support members remotely across the United States on a 1099 contract basis. You will perform assessments, create care plans, coordinate with providers, and educate members to empower informed decisions.
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 care of patients. The staff RN utilizes the nursing process by use of...
Kaiser PermanenteLos Angeles,CA
Kaiser Permanente in Los Angeles is seeking an experienced RN for a case management role within a multidisciplinary team. You will assess patient needs, develop individualized care plans, and coordinate access to services across physicians,...
Carle HealthLos Angeles,CA
Overview The Quality Outcomes Coordinator (QOC) works at the unit-level, in collaboration with bedside staff and unit leaders to deliver effective, efficient, high-quality care. The QOC continuously evaluates care at the bedside, identifies gaps...
Davies Public AffairsLos Angeles,CA
Telephonic Nurse Case Manager (Remote) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States Reporting To: Karen...
PIH HealthLos Angeles,CA
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Providence Health and ServicesSanta Monica,CA
Job Description Navigator RN - Breast Center at Providence Saint John's Health Center in Santa Monica, CA. This position is Full-time and will work 10-hour, Day shifts. Join Providence Saint John's...
GuidehealthLos Angeles,CA
Guidehealth is seeking a Registered Nurse (RN) for a remote Telehealth Medicare Annual Wellness Visit Specialist - PRN. The role conducts AWVs via telehealth under physician supervision, focusing on preventive care and patient education.
AHMC HealthcareSan Gabriel,CA
Facilitates, in collaboration with the Manager of Quality Management accurate, timely and consistent clinical data to public reporting databases and agencies, including The Joint Commission (Oryx), and CMS. Reviewing paper and electronic medical...
Crawford & CompanyLos Angeles,CA
Crawford & Company is seeking an experienced RN Telephonic Case Manager to work remotely providing case management services for patients and employees. You will navigate their healthcare journeys, align with URAC standards, CMSA Standards of...
SymbriaLos Angeles,CA
Nurse Consultant Come join our Symbria Team! We are seeking a highly professional and dedicated individual to join our EMPLOYEE-OWNED TEAM as a Nurse Consultant in the pharmaceutical industry at our Pharmacy in Pennsylvania!
Prolific AcademicLos Angeles,CA
Prolific is seeking Registered Nurses to train and evaluate AI models. If successful, you'll be invited to join Prolific as a Domain Expert participant, where you'll get paid to train and evaluate powerful AI models. Researchers paying up...
United States ArmyPasadena,CA
Army Public Health Nurse Job Overview As an Army Public Health Nurse, you'll assess health risks and implement programs to monitor the spread of disease. You'll promote wellness for Soldiers and their families while also informing policy and...
VeracityLos Angeles,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...
AMN HealthcareLos Angeles,CA
Job Description & Requirements Remote RN Utilization Management StartDate: 10/15/2026 Pay Rate: $1800.00 - $2500.00 POSITION SUMMARY – Remote RN Utilization ManagementPOSITION DUTIES Reviews medical records...
Inizio EngageLos Angeles,CA
Bank Community IV Nurse Are you an experienced Registered Nurse looking for flexible work alongside your existing commitments? We are looking for patient-focused Registered Nurses to join our growing Clinical Homecare Nursing Team as Bank...
Ageatia Global SolutionsLos Angeles,CA
Clinical Appeals Nurse We are seeking an experienced Clinical Appeals Nurse to support the appeal and grievance processes by analyzing and responding to adverse coverage decisions. This role involves clinical judgment, regulatory...
CommonSpirit HealthLos Angeles,CA
Quality Liaison LVN Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic...
Cambia HealthLos Angeles,CA
Cambia Health is hiring a Payment Integrity Nurse I to work remotely from Oregon, Washington, Idaho, Utah, or North Dakota. You will apply nursing expertise to ensure accurate reimbursement and maintain compliance with medical policies. The...
WelbehealthRosemead,CA
Case Manager, RNRosemead, CA, USAWelbeHealth PACE helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. We serve the most vulnerable seniors with better quality and compassion in a...

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