Registered Nurse Healthcare Advocate (Remote 1099) - RN Find Solace IncRegistered Nurse Healthcare Advocate (Remote 1099) - RNCARemoteSolace cuts through the red tape of healthcare by pairing patients with expert advocates and giving them the tools to make better decisions-and get better outcomes. If youre looking to stretch yourself, sharpen your edge, and do the best work of your life alongside a team that cares deeply, youre in the right place.
Managed Healthcare and Commercial Litigation Associate Wilson ElserManaged Healthcare and Commercial Litigation AssociateLos Angeles, CaliforniaRemote$155,000–$210,000 / yearThis is an excellent opportunity for an attorney with litigation experience to grow their careers across a broad spectrum of business and consumer litigation on behalf of managed healthcare clients, including physician groups and health plans, in complex litigation and regulatory matters. The attorney will also handle a broader range of business and consumer litigation matters, including commercial disputes, reimbursement disputes, provider-payor issues, arbitration matters, and other healthcare-related litigation.
Client 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.
Senior Director of Regional Operations – PACE (Remote/Hybrid) Talent Connect NowSenior Director of Regional Operations – PACE (Remote/Hybrid)Reseda, CaliforniaRemoteTalent Connect Executive Search is partnering with a growing healthcare organization seeking an experienced Senior Director of Regional Operations to provide strategic operational leadership across multiple PACE (Program of All-Inclusive Care for the Elderly) locations throughout Southern California. This executive leadership role is ideal for an experienced healthcare operations leader who thrives in multi-site environments, enjoys building high-performing teams, and is passionate about improving care for older adults.
Hybrid Remote Bcba CSD Autism ServicesHybrid Remote BcbaWest Covina, CARemote$85,000–$100,000 / yearWe've rebalanced service minimums to deliver greater flexibility, sustainable workloads, and real ownership over earning potential, while launching breakthrough clinical programs that strengthen outcomes for both families and clinicians. Stability & Innovation- Our model balances long‑term stability with thoughtful innovation, supporting clinicians with sustainable growth and evolving modalities that enhance clinical care - not disrupt it.
Hybrid Remote BCBA Center for Social DynamicsHybrid Remote BCBAWest Covina, CaliforniaRemote$85,000–$100,000 / yearWe’ve rebalanced service minimums to deliver greater flexibility, sustainable workloads, and real ownership over earning potential, while launching breakthrough clinical programs that strengthen outcomes for both families and clinicians. Stability & Innovation – Our model balances long‑term stability with thoughtful innovation, supporting clinicians with sustainable growth and evolving modalities that enhance clinical care - not disrupt it.
Hybrid Remote BCBA Center for Social Dynamics IncHybrid Remote BCBALos Angeles, CARemote$80,000–$100,000 / yearWe've rebalanced service minimums to deliver greater flexibility, sustainable workloads, and real ownership over earning potential, while launching breakthrough clinical programs that strengthen outcomes for both families and clinicians. Stability & Innovation - Our model balances long‑term stability with thoughtful innovation, supporting clinicians with sustainable growth and evolving modalities that enhance clinical care - not disrupt it.
NewUtilization Management Policy Initiatives Registered Nurse Macpower Digital Assets Edge Private LimitedUtilization Management Policy Initiatives Registered NurseLos Angeles, CARemote$102,183–$132,838 / yearThis role ensures that the day to day functions of Utilization Management initiatives comply with regulatory and accreditation requirements such as those stated in contracts, CalAIM Population Health Management (PHM) Policy Guide, National Committee on Quality Assurance (NCQA) Department of Health Care Services (DHCS) All Plan Letters (APLs), and Centers for Medicare and Medicaid Services (CMS) Model of Care (MOC) through sound clinical policy maintenance. Non-negotiable requirements of this position: Direct past experience with Health Care / Medical Policy work specifically within a Managed Care Plans environment; experience with the ongoing development of the Medical Policy review process including clinical and utilization data analysis; Assisted in developing training documents and presentations for new and/or revised Medical Policies to internal stakeholders.
Remote 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.
Registered Nurse ClarvidaRegistered NurseAnaheim, CaliforniaRemotePosition at Clarvida - California Registered Nurse Location: Anaheim, California Employment Type: Full-time Salary Annual: $89,440.00-$95,680.00 About the Program Opportunity Knocks is a full service partnership (FSP) treating adults struggling with severe mental health disorders along with a current/recent legal history and are at risk of being homeless or currently homeless. Communication about legitimate Clarvida job opportunities will only come from an authorized Clarvida.com email address, from a [email protected] email, or a personal LinkedIn account that is associated with a Clarvida.com email address."
NewRN 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.
Bilingual Spanish RN, Care Management (Los Angeles) SCAN Health PlanBilingual Spanish RN, Care Management (Los Angeles)Los Angeles, CaliforniaRemotePerform nursing related California Integrated Care Management (CICM) activities related to specific Populations of Focus (POF): Individuals Experiencing Homelessness, Individuals At Risk For Avoidable Hospital Or ED Utilization, Adults Living In The Community At Risk Of LTC Institutionalization, Adult Nursing Facility Residents Transitioning Back To The Community, Documented Dementia, Serious Mental Illness (SMI) & Substance Use Disorder (SUD). The Registered Nurse (RN) – Care Management is a clinically accountable role responsible for delivering high-touch, person-centered care management to members with complex medical needs who cannot be effectively supported through telephonic care management alone.
Utilization Management - RN Impresiv HealthUtilization Management - RNLong Beach, CARemoteIn this role, you will perform concurrent reviews, prior authorizations, medical necessity reviews, discharge planning, and transitions of care while collaborating with physicians, hospitals, and interdisciplinary teams to ensure members receive appropriate, cost-effective, and evidence-based care. Impresiv Health is a healthcare consulting partner specializing in clinical and operations management, enterprise project management, professional services, and software consulting services.
NewRemote Call Center Triage Registered Nurse CVS Health CorpRemote Call Center Triage Registered NurseCARemote$26.01–$74.78 / hourThe progression path from Level I to Level II positions within the Triage RN team is a structured path that encourages nurses to widen their knowledge base, take on more responsibility, demonstrate expertise, and reward team members for their proven success and dedication. Role Description: The Clinical Call Center Triage Nurse effectively extends care during and outside of regular Oak Street Health clinic hours by addressing patients' medical, social, and psychological needs telephonically.
Manager, CM (RN) Centene Corporation GroupManager, CM (RN)CARemote$102,900–$190,500 / yearSets goals and objectives for care management team and oversees care management data and reporting metrics to achieve quality and cost-effective healthcare results and works with senior leadership, as required. Educates and provides resources for care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers.
NewUtilization Manager, Registered Nurse COPE HEALTH SOLUTIONSUtilization Manager, Registered NurseCARemote$90,000–$110,000 / yearOur comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. Working knowledge of the following required: Principles of utilization management; care management principles; basic knowledge of health plan contracts and benefit eligibility requirements; Hospital structures, Managed Care and payment systems.
Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriage, Inc.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license neededCARemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Utilization Management Nurse RN Temporary Central California Alliance for HealthUtilization Management Nurse RN TemporaryCARemote$52–$57.50 / hourAssociate's degree in Nursing and a minimum of five years of experience in a patient care setting which included a minimum of one year of experience in Utilization Management or Case Management (a Bachelor's degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying. Final compensation will be determined by our compensation philosophy, analysis of the selected candidate''s qualifications (direct or transferable experience related to the position, education, or training), as well as other factors (internal equity, market factors, and geographic location).
Prior Authorizations Nurse (RN) (Temporary) Central California Alliance for HealthPrior Authorizations Nurse (RN) (Temporary)Los Angeles, CARemote$52–$57.50 / hourAssociate's degree in Nursing and a minimum of five years of experience in a patient care setting which included a minimum of one year of experience in Utilization Management or Case Management (a Bachelor's degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying. Final compensation will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education, or training), as well as other factors (internal equity, market factors, and geographic location).
Bilingual Spanish Telephonic RN Nurse Case Manager -Special Needs Plan (California RN Required) (Remote) Alignment Healthcare IncBilingual Spanish Telephonic RN Nurse Case Manager -Special Needs Plan (California RN Required) (Remote)CARemote$77,905–$116,858 / yearThis is a fully remote, phone-based position where you''ll play a vital role in helping members navigate their care journeys, close gaps in care, and overcome barriers to better health. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.