36 Results for

Remote Healthcare Jobs in La Palma, CA

Jobs

CA7 days ago

Remote

Solace 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.

Mission Hills, CA30+ days ago

Remote

$57.28–$88.92 Per Hour

Requsition ID: 433667 Company: Providence Jobs Job Category: Health Information Management Job Function: Revenue Cycle Job Schedule: Per-Diem Job Shift: Day Career Track: Nursing Department: 7000 UTILIZATION MGMT REMOTE Address: CA Mission Hills 15031 Rinaldi St Work Location: Providence Holy Cross Medical Ctr-Mission Hills Workplace Type: Remote Pay Range: $57.28 - $88.92 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.

CA30+ days ago

Remote

$54,095–$155,538 Per Year

Benefit 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.

Torrance, CA19 days ago

Remote

p>Requsition ID: 439222 Company: Providence Jobs Job Category: Clinical Administration Job Function: Clinical Support Job Schedule: Full time Job Shift: Evening Career Track: Nursing Department: 7014 LCMT CASE MGMT Address: CA Torrance 4101 Torrance Blvd Work Location: Providence Little Co of Mary Medical Ctr-Torrance Workplace Type: Remote Pay Range: $68.94 - $108.84 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.

Mission Hills, CA14 days ago

Remote

$57.28–$88.92 Per Hour

p>Requsition ID: 439689 Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 7000 UTILIZATION MGMT CA SOCAL Address: CA Mission Hills 15031 Rinaldi St Work Location: Providence Holy Cross Medical Ctr-Mission Hills Workplace Type: Remote Pay Range: $57.28 - $88.92 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.

Irvine, CA27 days ago

Remote

p>Requsition ID: 437114 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.

Irvine, CA27 days ago

Remote

Together, 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. These amounts 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.

Irvine, CA27 days ago

Remote

The Utilization Management RN must effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment, demonstrating excellent negotiation, communication, problem-solving, and decision-making skills. Together, 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.

Irvine, CA30+ days ago

Remote

Mission Hills, CA30+ days ago

Remote

$57.28–$88.92 Per Hour

Requsition ID: 434156 Company: Providence Jobs Job Category: Health Information Management Job Function: Revenue Cycle Job Schedule: Part time Job Shift: Day Career Track: Nursing Department: 7000 UTILIZATION MGMT REMOTE Address: CA Mission Hills 15031 Rinaldi St Work Location: Providence Holy Cross Medical Ctr-Mission Hills Workplace Type: Remote Pay Range: $57.28 - $88.92 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.

Irvine, CA27 days ago

Remote

$57.28–$88.92 Per Hour

Requsition ID: 437582 Company: Providence Jobs Job Category: Health Information Management Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 7000 UTILIZATION MGMT OCHD Address: CA Irvine 15480 Laguna Canyon Rd Work Location: Providence System Offices Discovery Park-Irvine Workplace Type: Remote Pay Range: $57.28 - $88.92 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.

Torrance, CA25 days ago

Remote

$57.28–$88.92 Per Hour

Requsition 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.

CA30+ days ago

Remote

Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.

Los Angeles, CA30+ days ago

Remote

$25–$28 Per Hour
Full-time
Part-time

We’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.

Alhambra, California25 days ago

Remote

The Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.

CA27 days ago
Remote
$28.37–$36 Per Hour
In 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.

Los Angeles, CA8 days ago
Remote
$39–$41
Care 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.

CA30+ days ago
Remote
$77,905–$116,858 Per Year
This 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.

CA10 days ago
Remote
$160,000–$199,000 Per Year
Business Development Account Executive - Marine Corps Program","customFields":[{"abbrFname":"Trav","fvalue":"Domestic & International","custid":2105,"fname":"Travel Requirement"},{"abbrFname":"Comp","fvalue":"$160,000 - $199,000","custid":2116,"fname":"Compensation"},{"abbrFname":"CAP","fvalue":"Unmanned Systems","custid":2182,"fname":"Capabilities"}],"BusinessUnitName":"Kratos Unmanned Aerial Systems, Inc.","jobcurrency":"USD","jobtype":"Full-Time/Regular","city":"Remote","joblevel":4,"companyname":"Kratos Defense","salarytype":"Y","jobdescription":".
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CA18 days ago
Remote
$80,000–$110,000 Per Year
Our 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.
Position Description:
The Care Manager (CM) RN will lead a multidisciplinary healthcare team in a primary care / telephonic setting, focusing on coaching and coordination of care for patients needing navigation, addressing nursing care needs and follow up after clinical events.

CA30+ days ago
Remote
$77,905–$116,858 Per Year
p>As an RN Case Manager (SNP), you will:
Provide telephonic case management to medically complex and chronically ill members Conduct comprehensive health assessments and create individualized care plans Coordinate care with internal and external partners, including physicians and specialists Educate members and caregivers on disease management and preventive care Monitor member progress and advocate for timely, appropriate interventions Identify and help resolve service or access issues impacting care quality.
Must-Haves:
Active, unrestricted RN license in California (Non-Compact) Minimum 2 years of clinical nursing experience At least 1 year of case management experience Proficiency with Microsoft Office (Word, Excel, Outlook).

CA30+ days ago
Remote
$77,905–$116,858 Per Year
p>What Youll Do:
• Provide telephonic case management to medically complex and chronically ill members • Conduct comprehensive health assessments and create individualized care plans • Coordinate care with internal and external partners, including physicians and specialists • Educate members and caregivers on disease management and preventive care • Monitor member progress and advocate for timely, appropriate interventions • Identify and help resolve service or access issues impacting care quality.
Requirements:
Must-Haves:
• Active, unrestricted RN license in California (Non-Compact) • Minimum 2 years of clinical nursing experience • At least 1 year of case management experience • Proficiency with Microsoft Office (Word, Excel, Outlook).

CA30+ days ago
Remote
$23–$26 Per Hour
This role serves as a knowledgeable resource for escalations, ensures accuracy across workflows that impact client outcomes, and partners closely with internal teams to prevent delays in care. Partner with the Revenue Integrity and Payer Compliance teams to resolve front-end rejections and registration related denials which includes collecting and updating patient billing information to ensure accurate submission/resubmission of claims.

New!
CA4 days ago
Remote
Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

Los Angeles, CA8 days ago
Remote
$102,183–$132,838 Per Year
li style="text-align:justify"> This 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.

New!
Los Angeles, CA3 days ago
Remote
$119,616–$129,366 Per Year
p>If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser:
https://wd5.myworkday.com/usc/d/inst/1$9925/9925$149307.htmld.
When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

Los Angeles, CA30+ days ago
Remote
$40.82–$63.27 Per Hour
p>Country Code+1+1242+1246+1264+1268+1284+1340+1441+1473+1649+1664+1670+1671+1684+1758+1767+1784+1849+1868+1869+1876+1939+20+211+212+213+216+218+220+221+222+223+224+225+226+227+228+229+230+231+232+233+234+235+236+237+238+239+240+241+242+243+244+245+248+249+250+251+252+253+254+255+256+257+258+261+262+264+265+266+267+268+269+27+290+291+297+298+299+30+31+32+33+34+345+350+351+352+353+354+355+356+357+358+359+36+370+371+372+373+374+375+376+377+378+379+380+381+382+385+386+387+389+39+40+41+420+421+423+43+44+45+46+47+48+49+500+501+502+503+504+505+506+507+508+509+51+52+53+54+55+56+57+58+590+591+593+594+595+596+597+598+599+60+61+62+63+64+65+66+670+672+673+674+675+676+677+678+679+680+681+682+683+685+686+687+688+689+690+692+7+77+81+82+84+850+852+853+855+856+86+872+880+886+90+91+92+93+94+95+960+961+962+963+964+965+966+967+968+970+971+972+973+974+975+976+977+98+992+993+994+995+996+998Phone Number.
Req ID 16769 Working Title Purchasing Contract Administrator - 8-Hour Day Shift Department Purchasing Business Entity Cedars-Sinai Medical Center Job Category Supply Chain / Procurement Job Specialty Supply Chain Overtime Status EXEMPT Primary Shift Day Shift Duration 8 hour Base Pay $40.82 - $63.27.

Los Angeles, CA11 days ago
Remote
p>Staff Los Angeles or Santa Barbara Posted 9 hours ago Antioch University Title: Graduate School of Nursing and Health Professions Ambassador Department: Graduate School of Nursing and Health Professions Classification: Part-Time, Staff, Non-Exempt, Hourly Reports to: Dean, Graduate School of Nursing and Health Professions Location: Remote position - Residing in either Los Angeles or Santa Barbara, California; Some travel may be required. Three years minimum of APRN clinical experience Excellent communication skills with approachability, high-energy, empathetic, and a champion for healthcare professions Ability to engage diverse populations with empathy, professionalism, and cultural humility Preferred Qualifications: Demonstrated commitment to social justice, equity, and inclusive healthcare.

CA30+ days ago
Remote
$77,905–$116,858 Per Year
If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/.
This 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.

CA20 days ago
Remote
$77,905–$116,858 Per Year
If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/.
This 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.

Los Angeles, CA27 days ago
Remote
$27.02–$48.55 Per Hour
RN - 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.

CA30+ days ago
Remote
Additional 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.

New!
CA4 days ago
Remote
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.
Proficiency with complex medication reconciliation and guideline-directed medical therapy, especially for heart failure, COPD, diabetes, atrial fibrillation/anticoagulation, and hypertension - including recognizing duplicate, inappropriate, or contraindicated medications and adjusting regimens safely.

CA25 days ago
Remote
Additional 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.

Los Angeles, CA30+ days ago
Remote
$44.98–$71.97 Per Hour
p>Country Code+1+1242+1246+1264+1268+1284+1340+1441+1473+1649+1664+1670+1671+1684+1758+1767+1784+1849+1868+1869+1876+1939+20+211+212+213+216+218+220+221+222+223+224+225+226+227+228+229+230+231+232+233+234+235+236+237+238+239+240+241+242+243+244+245+248+249+250+251+252+253+254+255+256+257+258+261+262+264+265+266+267+268+269+27+290+291+297+298+299+30+31+32+33+34+345+350+351+352+353+354+355+356+357+358+359+36+370+371+372+373+374+375+376+377+378+379+380+381+382+385+386+387+389+39+40+41+420+421+423+43+44+45+46+47+48+49+500+501+502+503+504+505+506+507+508+509+51+52+53+54+55+56+57+58+590+591+593+594+595+596+597+598+599+60+61+62+63+64+65+66+670+672+673+674+675+676+677+678+679+680+681+682+683+685+686+687+688+689+690+692+7+77+81+82+84+850+852+853+855+856+86+872+880+886+90+91+92+93+94+95+960+961+962+963+964+965+966+967+968+970+971+972+973+974+975+976+977+98+992+993+994+995+996+998Phone Number.
Req ID 15469 Working Title Facility Inpatient Surgical and Claims Edit Auditor Department CSRC Coding Audit Business Entity Cedars-Sinai Medical Center Job Category Patient Financial Services Job Specialty Revenue Integrity Overtime Status NONEXEMPT Primary Shift Day Shift Duration 8 hour Base Pay $44.98 - $71.97.

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Remote Healthcare Jobs in La Palma, CA

Registered Nurse Healthcare Advocate (Remote 1099) - RN Find Solace Inc

RN Utilization Review - Per Diem - REMOTE Providence Health & Services

Case Manager, Registered Nurse - Fully Remote CVS Health Corp

Clinical Program Manager RN - Full time - REMOTE Providence Health & Services

Appeals RN - Care Management - Full-time - REMOTE Providence Health & Services

Revenue Cycle Auditor RN - Full time, Day, Remote Providence Health & Services

Revenue Cycle Auditor RN - Full time, Day, Remote Providence St. Joseph Health

RN Utilization Review - Full-time - REMOTE Providence St. Joseph Health

RN Utilization Review - Per Diem - REMOTE Providence St. Joseph Health

RN Utilization Review - Part-time - REMOTE Providence Health & Services

RN Utilization Review - Full-time - REMOTE Providence Health & Services

Appeals RN - Case Management - Per Diem - REMOTE Providence Health & Services

Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriage, Inc.

Remote Registered Nurse RN Rylem

Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union) University of Southern California

Clinical Reviewer - RN - PRN (Remote U.S.) Acentra Health

RN Case Manager – Managed Care REMOTE TEEMA Group

Utilization Management (UM) - Pre-Service (Remote | California RN / LVN | Pacific Time Schedule) Alignment Healthcare Inc

Sr. Business Development Account Executive - Marine Corps Program Kratos Defense & Security Solutions Inc

Care Manager - Registered Nurse COPE HEALTH SOLUTIONS

Telephonic RN Case Manager-Special Needs Plan - Remote (California RN License Required) (Bilingual preferred) Alignment Healthcare Inc

Remote Telephonic RN Case Manager - Special Needs Plan (California RN License Required) Bilingual preferred Alignment Healthcare Inc

Patient Access Specialist - 100% Remote in PST, MST or CST Time Zones Expressable, Inc,

RN Supervisor Cohere Health Technologies LLC

Utilization Management Policy Initiatives Registered Nurse Macpower Digital Assets Edge Private Limited

RN Clinic Manager University of Southern California

Purchasing Contract Administrator - 8-Hour Day Shift Cedars-Sinai Medical Center

Graduate School of Nursing and Health Professions Ambassador (Part-Time) Antioch University

Telephonic RN Nurse Case Manager (California RN Required) - Bilingual Spanish/Vietnamese Preferred -Special Needs Plan (California RN Required) Alignment Healthcare Inc

Bilingual Spanish Telephonic RN Nurse Case Manager -Special Needs Plan (California RN Required) Alignment Healthcare Inc

Utilization Review Clinician - ABA Centene Corporation Group

Bilingual (Spanish/English) Transitions of Care Advanced Practice Provider (APP) Devoted Health Inc

Transitions of Care Advanced Practice Provider Devoted Health Inc

Bilingual (Spanish/English) Transitions of Care Advanced Practice Provider Devoted Health Inc

Transitions of Care Advanced Practice Provider (APP) Devoted Health Inc

Facility Inpatient Surgical and Claims Edit Auditor Cedars-Sinai Medical Center

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