JobotNewInsurance Defense Attorney — General Liability — $150k to $250k + Bonus — Hybrid Remote — Established Regional Firm JobotInsurance Defense Attorney — General Liability — $150k to $250k + Bonus — Hybrid Remote — Established Regional FirmLos Angeles, CARemote$150,000–$250,000 / yearFounded over 70 years ago, this California-based full-service firm has built one of the most expansive legal platforms in the region — 90+ attorneys and growing across 7 offices, 27 practice groups spanning insurance litigation, construction, white collar, international arbitration, renewable energy, oil & gas, and the 2028 LA Olympics & World Cup. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
Molina HealthcareNew(RN)Healthcare Services Supervisor- Inpatient UM/UR (CA License Required)- REMOTE Molina Healthcare(RN)Healthcare Services Supervisor- Inpatient UM/UR (CA License Required)- REMOTELong Beach, CARemote$76,425–$149,028 / yearRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). • At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
NTT DATA Services, LLCIT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote CA ) NTT DATA Services, LLCIT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote CA )Los Angeles, CARemote$179,000–$354,000 / yearSells complex managed services, full IT Outsourcing solutions, application services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational services and application management/support, digital workplace services, Business Process Outsourcing (BPO), etc. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.
Experian Information Solutions IncNewSales Solutions Engineer - Healthcare (Remote) Experian Information Solutions IncSales Solutions Engineer - Healthcare (Remote)CARemoteWe help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create digital marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. Reporting to the Director, Solutions Engineers, you will partner with Sales and fellow Solutions Engineers to understand client challenges, design solution strategies, and demonstrate how Experian Health solutions address healthcare workflows.
ERC PathlightNewProvider Outreach Representative – Healthcare ERC PathlightProvider Outreach Representative – HealthcareSanta Monica, CARemote$74,000–$90,000 / yearFocuses on newly established providers in the market and/or new business opportunities, with emphasis on re-establishing and creating relationships with providers not currently in the book of business. As one of the nation's leading treatment providers for eating disorders and mood, anxiety, and trauma-related conditions, we bring innovative, evidence-based, and deeply compassionate care to patients across the country.
Experian Information Solutions IncClient Implementation Analyst - Healthcare Billing and Claims (Remote) Experian Information Solutions IncClient Implementation Analyst - Healthcare Billing and Claims (Remote)CARemoteExperian''s people first, inclusive and purpose driven culture is multi award-winning; World''s Best Workplaces 2025 (Fortune Global Top 25), Great Place To Work in 26 countries to name a few. Monitor accuracy and completeness of all assigned jobs· Provide technical support including testing, debugging, troubleshooting and implementing necessary program updates.
Experian Information Solutions IncClaims and Remit Support Developer - X12 Healthcare transactions (Remote) Experian Information Solutions IncClaims and Remit Support Developer - X12 Healthcare transactions (Remote)CARemoteWe help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create digital marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. Our people-first approach has earned us global recognition: World''s Best Workplaces 2024 (Fortune Top 25), Great Place To Work 2025 in 26 countries, and Glassdoor Best Places to Work 2024, among others.
CVS Health CorpCase Manager, Registered Nurse - Fully Remote CVS Health CorpCase Manager, Registered Nurse - Fully RemoteCARemote$54,095–$155,538 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
TEEMA GroupNewRN Case Manager – Managed Care REMOTE TEEMA GroupRN Case Manager – Managed Care REMOTELos Angeles, CARemote$39–$41Care Coordination: Work closely with interdisciplinary teams, including physicians, case managers, social workers, and other healthcare professionals, to develop and implement individualized care plans for patients. This role involves assessing, monitoring, educating, and supporting patients in managing their diseases to improve overall health and quality of life while reducing unnecessary hospitalizations and emergency care.
RylemRemote Registered Nurse RN RylemRemote Registered Nurse RNLos Angeles, CARemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.
Providence Health & ServicesNewRevenue Cycle Auditor RN - Full time, Day, Remote Providence Health & ServicesRevenue Cycle Auditor RN - Full time, Day, RemoteCalifornia, CARemoteRequsition ID: 437237 Company: Providence Jobs Job Category: Revenue Cycle Operations Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4001 SS RC REV INTEGRITY Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: On-site Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Centene Corporation GroupNewUtilization Review Clinician - ABA Centene Corporation GroupUtilization Review Clinician - ABALos Angeles, CARemote$27.02–$48.55 / hourRN - Registered Nurse - State Licensure and/or Compact State Licensure RN - Registered Nurse- State Licensure and/or Compact State Licensure with BCBA required or. Interacts with BH healthcare providers as appropriate to discuss level of care and/or services provided to members receiving Applied Behavior Analysis Services.
Providence Health & ServicesNewAppeals RN - Case Management - Per Diem - REMOTE Providence Health & ServicesAppeals RN - Case Management - Per Diem - REMOTETorrance, CARemote$57.28–$88.92 / hourRequsition ID: 437924 Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Job Shift: Multiple shifts available Career Track: Nursing Department: 7000 UTILIZATION MGMT CA SOCAL Address: CA Torrance 21311 Madrona Ave Work Location: PMI Madrona-Torrance Workplace Type: Remote Pay Range: $57.28 - $88.92 The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S) outside payers.
Providence St. Joseph HealthNewAppeals RN - Case Management - Per Diem - REMOTE Providence St. Joseph HealthAppeals RN - Case Management - Per Diem - REMOTETorrance, CARemoteTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S) outside payers.
Healthmap Solutions IncRN Care Navigator - Remote (PST time zone) Healthmap Solutions IncRN Care Navigator - Remote (PST time zone)CARemoteManaging a set caseload of mixed acuity members, reviewing and/or obtaining member data and entry in HealthMaps Care Management documentation system (Compass), completing member health and social determinants of health screenings, medication reconciliation, creation and maintaining member-centric care plans, updates of identified problems, barriers, interventions, and goals and assistance with ongoing case management. Serve as liaison between the patient, the patients support network, treating physician, and other ancillary providers as a member of an interdisciplinary care team to coordinate care, resolve nursing problems and assist patients in meeting individualized goals.
Alignment Healthcare IncUtilization Management (UM) - Pre-Service (Remote | California RN / LVN | Pacific Time Schedule) Alignment Healthcare IncUtilization Management (UM) - Pre-Service (Remote | California RN / LVN | Pacific Time Schedule)CARemote$77,905–$116,858 / yearThis is a fast-paced, production-driven role ideal for nurses with recent pre-service UM experience in a managed care setting who are comfortable managing multiple cases, meeting turnaround time expectations, and collaborating cross-functionally in a fully remote environment. Reasoning Skills: Able to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
Acentra HealthNewClinical Reviewer - RN - PRN (Remote U.S.) Acentra HealthClinical Reviewer - RN - PRN (Remote U.S.)CARemote$28.37–$36 / hourIn fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Responsibilities: Review and interpret patient records, comparing them against criteria to determine medical necessity and appropriateness of care; assess if the medical record documentation supports the need for services.
Devoted Health IncBilingual (Spanish/English) Transitions of Care Advanced Practice Provider (APP) Devoted Health IncBilingual (Spanish/English) Transitions of Care Advanced Practice Provider (APP)CARemoteAdditional requirements include completing a post-discharge medication reconciliation, placing appropriate orders (prescriptions, labs, imaging, referrals, home health, DME), providing appropriate disease education, communicating contingency plans for worsening symptoms, and comprehensively assessing a patient's medical conditions. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love.
Providence Health & ServicesRevenue Cycle Auditor RN -Remote Providence Health & ServicesRevenue Cycle Auditor RN -RemoteCalifornia, CARemoteRequsition ID: 428089 Company: Providence Jobs Job Category: Revenue Cycle Operations Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4001 SS RC REV INTEGRITY Address: CA Irvine 15480 Laguna Canyon Rd Work Location: Providence System Offices Discovery Park-Irvine Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Devoted Health IncNewTransitions of Care Advanced Practice Provider (APP) Devoted Health IncTransitions of Care Advanced Practice Provider (APP)CARemoteAdditional requirements include completing a post-discharge medication reconciliation, placing appropriate orders (prescriptions, labs, imaging, referrals, home health, DME), providing appropriate disease education, communicating contingency plans for worsening symptoms, and comprehensively assessing a patient's medical conditions. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love.
Centene Corporation GroupNewClinical Review Nurse - Concurrent Review (RN) Centene Corporation GroupClinical Review Nurse - Concurrent Review (RN)Remote-CA, CARemote$27.02–$48.55 / hourPosition Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines.