GuidehealthLos Angeles,CA
Guidehealth is seeking an Utilization Management Registered Nurse to perform medical-necessity reviews and document findings for determinations. The role involves collaborating with medical leadership, reviewing cases for appropriate treatments,...
Posted September 7, 2026
InteProsLos Angeles,CA
A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The...
Posted September 8, 2026
Crossing HurdlesLos Angeles,CA
Overview Provide clinical nursing expertise to support the training and evaluation of healthcare-focused AI systems. Review, annotate, and evaluate clinical data, including patient records and care scenarios. Translate real-world nursing...
Posted September 1, 2026
The CKHobbie GroupLos Angeles,CA
Job OpportunitySeeking 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 opportunity...
Posted September 9, 2026
Strategic Staffing SolutionsLos Angeles,CA
A health care provider organization is seeking a Case Management Nurse to coordinate care for members. This role requires a Nursing Diploma and direct clinical experience, along with the current Michigan RN license. Responsibilities include...
Posted September 8, 2026
Vaya HealthLos Angeles,CA
Vaya Health seeks a Physical Health Registered Nurse to perform clinical reviews for authorization requests and medical necessity. You will reference standardized criteria and coordinate with physician peers when needed. This role is part of a...
Posted September 8, 2026
Northwell HealthLos Angeles,CA
Northwell Health is seeking a Registered Nurse CDI Auditor to validate acute inpatient coded charts and ensure documentation substantiates diagnostic information. This remote position in New York requires a NY RN license, a BSN, and strong...
Posted September 8, 2026
Brighton Health Plan SolutionsLos Angeles,CA
Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant...
Posted September 8, 2026
JobotLos Angeles,CA
RN opportunity with out the bedside burnout + sign on bonus. This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $80,000 -...
Posted September 7, 2026
Broadway VenturesLos Angeles,CA
Broadway Ventures, a veteran-owned SDVOSB headquartered in Mississippi, seeks an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud referrals. You will apply clinical expertise...
Posted September 9, 2026
Cambia Health SolutionsLos Angeles,CA
Cambia Health Solutions is seeking a Remote Care Management Nurse to provide comprehensive clinical care management, including case management, for members in Idaho and surrounding states. Candidates must be Registered Nurses with a minimum of 3...
Posted September 12, 2026
DaMar StaffingLos Angeles,CA
DaMar Staffing is seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. The role covers claims analysis, provider audits, fraud detection, and...
Posted September 13, 2026
Biopharma CareersLos Angeles,CA
EMD Serono is seeking a RN Patient Support Specialist – West Coast to join the Patient Support Hub. This remote role delivers individualized clinical education, product training, and ongoing support to patients and caregivers, across multiple...
Posted September 4, 2026
Fairview Health ServicesLos Angeles,CA
A prominent healthcare organization is seeking a Telephone Triage Nurse Line Advisor in Saint Paul, Minnesota. The role requires a current Minnesota RN License and 3+ years of RN work experience. You will independently triage patient calls and...
Posted September 1, 2026
IntelliResumeLos Angeles,CA
UnitedHealth Group is seeking an Inpatient Utilization Management Nurse, RN for a fully remote role serving the Sacramento area. The position requires 3+ years in acute care and 1+ year in utilization management, with certification in RN licensure...
Posted September 5, 2026
Healthcare SupportLos Angeles,CA
A national healthcare recruiting firm is seeking an experienced RN Case Manager in Sacramento, CA. In this telephonic role, you will assess and coordinate care for high-risk members. The ideal candidate will have an RN license and at least two...
Posted September 12, 2026
CareXMLos Angeles,CA
CareXM is hiring a Remote Registered Nurse (RN) for early morning triage on a part-time schedule. The role focuses on secure, compassionate after-hours triage for hospice and home health partners, conducted entirely from the nurse's home.
Posted September 8, 2026
Millipore CorporationLos Angeles,CA
EMD Serono is seeking a Registered Nurse to join the Patient Support Hub as a remote RN, providing individualized clinical education and ongoing support to patients and caregivers for prescribed products. You will leverage nursing expertise and...
Posted September 11, 2026
Mercy HealthLos Angeles,CA
A leading healthcare provider in Columbia, Illinois is seeking an RN Supervisor for the Patient Access Center, focusing on evening shifts. The role demands strong clinical judgment and communication skills to optimize patient admissions and...
Posted September 8, 2026
RangamLos Angeles,CA
A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must...
Posted September 8, 2026
Haven Home HealthLos Angeles,CA
Haven Home Health & Hospice is seeking a Quality Assurance RN (OASIS Certification Required) with COS-C or equivalent certification to review and ensure OASIS accuracy for patients in a fully remote Missouri-focused role. You will work with...
Posted September 13, 2026
IntelycareLos Angeles,CA
Chronic Care Manager (RN)Vitability Health of New Jersey Remote PositionOur MissionAt Vitability Health of New Jersey, we believe great care goes beyond checklists and charts—it's about relationships, trust, and walking alongside patients as...
Posted September 9, 2026
Centene CorporationLos Angeles,CA
Centene Corp. is hiring a Quality Improvement Coordinator II to conduct reviews of delegated entities for quality, service performance and utilization, and to lead clinical quality initiatives across provider sites. The role involves...
Posted September 12, 2026
Vitability HealthLos Angeles,CA
Chronic Care Manager (RN)Vitability Health of New Jersey Remote PositionOur MissionAt Vitability Health of New Jersey, we believe great care goes beyond checklists and charts—it's about relationships, trust, and walking alongside patients as...
Posted September 9, 2026
Providence Swedish Medical CenterLos Angeles,CA
A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and...
Posted September 1, 2026