Star NursingLos Angeles,CA
RN Clinical Manager / Clinical Consultant (RN or MSW) – California Pay Rate: $52.50–$53.00/hr Position Type: Special Projects – 12-Month W2 Contract (renewal based on performance, project continuation, and health plan needs)...
Posted June 16, 2026
Blue Cross Blue Shield of ArizonaLos Angeles,CA
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families,...
Posted June 16, 2026
HealthMap Solutions LLCLos Angeles,CA
Position SummaryThe Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective outcomes...
Posted June 20, 2026
Vivian HealthHuntington Park,CA
RN Utilization Mgmt Full-Time Day POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include: the e-TAR process, denials management,...
Posted June 13, 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 June 14, 2026
PIH HealthWhittier,CA
Provide care for individuals who have, or will have, a diverting ostomy. Provides wound and skin evaluation and care. This specialized nursing care is given independently...
Posted June 22, 2026
UnitedHealth GroupLos Angeles,CA
RN Health and Social Services Care Coordinator $5,000 Sign-on Bonus for External Candidates At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.
Posted June 19, 2026
InnovAgeLos Angeles,CA
Responsibilities Under the direction and supervision of the Chief Nursing Officer, The Vice President of Nursing Operations leads and manages a national team of RN Case Managers. The primary responsibility of...
Posted June 10, 2026
Virginia Department of Human Resource ManagementLos Angeles,CA
Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients'...
Posted June 15, 2026
Cambia Health SolutionsLos Angeles,CA
Utilization and Care Management Nurse Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are...
Posted June 10, 2026
UCLA Health and David Geffen School of MedicineLos Angeles,CA
Job ID: 30409 *Description*Become a key member of a world-class health organization. Contribute to the delivery of Magnet® designated nursing excellence. Take your career to the next level. Ucan do all this and more at UCLA Health. ...
Posted June 21, 2026
MVP Health CareLos Angeles,CA
Join Us in Shaping the Future of Health Care At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we...
Posted June 21, 2026
Bileddo AssociatesLos Angeles,CA
Travel RN Case Manager Assignment length- 13 weeks Near Los Angeles Area Our Client is a nonprofit, independent healthcare organization committed to improving the health status of the...
Posted June 11, 2026
Mosaic Life CareLos Angeles,CA
Job Description The Denials Nurse Auditor works under the supervision of the manager of PFS Denials. The Denials Nurse Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to...
Posted June 16, 2026
Veterans In HealthcareLos Angeles,CA
Utilization Review NurseWork Location: Los Angeles, CAJob #: 30315Work Hours: Monday-Friday 8am-4:30pmEmployment Type: 4 – Staff- LimitedDuration: 6 monthsSalary Range: $74.16–107.75 hourlyPosted Date: May 15, 2026Bargaining Unit: CNA –...
Posted June 17, 2026
LancesoftLos Angeles,CA
OverviewPosition Type: Full timeJob Title: Care Review Clinician ILocation: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle),...
Posted June 20, 2026
VariteLos Angeles,CA
Job Description: Participates in the development and ongoing implementation of QM Work Plan activities. Improve quality products and services, by using measurement and analysis to process, evaluate and make...
Posted June 16, 2026
Hireops Staffing LlcLos Angeles,CA
Job Title The position is work from home with field visits. Job Purpose This position is responsible for conducting medical management and health education programs for customers on government health care programs.
Posted June 21, 2026
Herzing UniversityLos Angeles,CA
Description To participate in a remote work arrangement, employees must reside in the United States. No remote work arrangement will be considered for working from outside the United States. Current staff, faculty/adjunct at Herzing...
Posted June 20, 2026
Blind Children's CenterLos Angeles,CA
Blind Childrens Center Inc in Los Angeles seeks a Registered Nurse Consultant to provide pediatric nursing and health training. Responsibilities include conducting health screenings and developing health plans for children.The ideal candidate...
Posted June 17, 2026
Virtual VocationsLos Angeles,CA
To support healthcare revenue solutions, the full-time Remote Clinical Review Nurse will analyze denied insurance claims, draft persuasive appeal letters, and collaborate with legal teams to optimize patient care revenue without direct patient...
Posted June 20, 2026
Hines and AssociatesLos Angeles,CA
Description: About Us Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates,...
Posted June 19, 2026
Protouch StaffingLos Angeles,CA
Clinical Research Registered Nurse (RN) Infusion Registered Nurse (RN) to support the execution of clinical trials in a fast-paced research environment. This role combines direct patient care with clinical research responsibilities,...
Posted June 18, 2026
Lumen Solutions GroupLos Angeles,CA
Utilization Management Nurse Specialist Company Description Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients...
Posted June 20, 2026
Gentiva HospiceLos Angeles,CA
Overview Expand Access. Lead Markets. Transform Care. We are seeking a RN Executive Director Specialist - Hospice to join our leadership team. This role acts as the administrator on call and is...
Posted June 16, 2026