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vTech SolutionTorrance,CA
Job Summary: We seek a highly skilled and experienced Registered Nurse with specialties in Medical/Surgical, ICU, ER, Psychiatric, Labor & Delivery, PACU, or Operating Room to perform utilization review duties. The Registered...
HealthRIGHT 360Los Angeles,CA
HealthRIGHT360 gives hope, builds health, and changes lives for people in need by providing comprehensive, integrated, compassionate care that includes primary medical care, mental health services, and substance use disorder treatment. ...
CareFirst BlueCross BlueShieldLos Angeles,CA
Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for...
Cambia Health SolutionsLos Angeles,CA
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah Preference will be given to current employees and candidates who reside in Idaho and Utah...
Counseling and Research AssociatesNorwalk,CA
The Registered Nurse is responsible for overseeing the health, wellness, and psychiatric stability of patients receiving Full-Service Partnership (FSP) and broader outpatient behavioral health services. The position is primarily...
Harris Health SystemLos Angeles,CA
Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...
Premise HealthLos Angeles,CA
Premise Health Care Manager Premise's mission is to help people get, stay, and be well. We hope you will join us in our mission and experience why amazing health starts with amazing healthcare. As a Full Time Registered Nurse, Care...
Kheir ClinicLos Angeles,CA
About the Job ASSIGNMENT SUMMARY: The Registered Nurse (RN) will be responsible for coordinating, implementing and supervising all nursing and personal care services at the Adult Day Health Care Center. The...
Texas Health and Human ServicesLos Angeles,CA
Nurse II Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your...
Central California Alliance for HealthLos Angeles,CA
Utilization Management Nurse (RN) (Temporary) Remote in California We believe every candidate deserves thoughtful consideration. That's why we do not use AI or automated systems to review applications. Every application is reviewed...
Sanford HealthLos Angeles,CA
Sanford Health Careers Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility:...
Integra PartnersLos Angeles,CA
LPN/LVN Utilization Management Nurse Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key...
Manpower GroupLos Angeles,CA
Utilization Management Specialist Make an impact behind the scenes in healthcare by helping ensure members receive timely access to the medications and services they need. If you're detail-oriented, thrive in a high-volume environment,...
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...
PRISM Vision GroupLos Angeles,CA
Collaborative Practice Nurse (CPN) Blue Ridge Cancer Care is seeking an experienced and highly motivated Collaborative Practice Nurse (CPN) to support oncology patients across the continuum of care. The CPN serves as a clinical resource...
La Casa Health CareHuntington Park,CA
La Casa Health Care | Take Your Nursing Career Beyond the Bedside! Location: Tarzana, CA Job Type: Full-Time | Office-Based Pay: $30.00 per hour...
WellcoveLos Angeles,CA
Care Manager, Registered Nurse (RN) Wellcove has been recognized as the nation's leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care...
Memorial HospitalGardena,CA
RN Case Manager Per Diem Weekends (Floater for Gardena Hospital & Coast Plaza Hospital)Job Summary: Under the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting...
ALPHA Business SolutionsLos Angeles,CA
Job DescriptionJob DescriptionTitle: Care Management Coordinator/RN Location: 100% Remote Duration: 3+ Months (FT conversion) This is a Utilization Management RN part time position - working every other weekend (2 days a week in a 2 week...
A-Line Staffing SolutionsLos Angeles,CA
Job Description Remote Prior Authorization LVN/LPN Location: Remote (United States) Type: W2 Contract (Temporary) | Hours: 40/week Pay Rate:...
Molina Healthcare CareersLong Beach,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...
Seen HealthAlhambra,CA
Home Care Coordinator LVNAlhambra, CAAbout Seen HealthAt Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, Seen Health is a...
Sweetwater Care LLCLos Angeles,CA
JOIN OUR FULLSHIFT STAFFING TEAM!Facility Information:Our facilities are Intermediate Care Facilities for individuals with disabilities (ICF/DD-H and ICF/DD-N)Caregiver (DSP) to people supported ratio is usually...
MedicaLos Angeles,CA
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure...
ArchimedesLos Angeles,CA
Supervisor, Clinical Operations Archimedes is seeking an Supervisor, Clinical Operations to join our team! This can be a fully remote role. The Supervisor, Clinical Operations supports Archimedes' specialty drug management programs...

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