• Nurse Appeals Lead ( RN )

    Elevance Health (Cerritos, CA)
    ** Nurse Appeals Lead ( RN )** **Location** : This role requires associates to be in-office **1-2 days per week** , fostering collaboration and connectivity, ... locations may be considered. **Shift:** Monday to Friday from 8:00am-5:00pm **PST** The ** Nurse Appeals Lead** is responsible for serving as a team lead… more
    Elevance Health (05/06/25)
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  • Case Manager (CM) - Registered Nurse

    Select Medical (Los Angeles, CA)
    …Cedars, UCLA and Select Medical Century City / Los Angeles, CA Case Manager (CM) - Registered Nurse ( RN ) or Social Worker (LCSW) **Per Diem** **Pay Rate: ... valid state licensure in Social Work required or Current state licensure as a Registered Nurse required. + Previous experience in Case Management and Discharge… more
    Select Medical (05/14/25)
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  • Case Manager (CM) - RN or LCSW - FT - $10k…

    Select Medical (Los Angeles, CA)
    …/ Los Angeles, CA Case Manager (CM) - Full Time (on-site) - 8 hr shifts Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) **Schedule: Mon - ... overseeing negotiations of continued stay rationale, length of stays, and appeals process. Initiates activities to develop positive business relationships with… more
    Select Medical (05/14/25)
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  • Health Facilities Evaluator III

    The County of Los Angeles (Los Angeles, CA)
    …when needed to carry out job-related essential functions. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing** ... ensure the License and Certificate Section of the application is completed for the Registered Nurse License. Provide the title of your required license and… more
    The County of Los Angeles (05/10/25)
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  • Health Facilities Program Manager, Nursing

    The County of Los Angeles (Los Angeles, CA)
    …LICENSE: A valid, active license (without limitations or restrictions) to practice as a Registered Nurse issued by the State of California Board of Registered ... ensure the License and Certificate Section of the application is completed for the Registered Nurse License. Provide the title of your required license and… more
    The County of Los Angeles (03/06/25)
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  • Corporate Director of Clinical Utilization…

    Prime Healthcare (Ontario, CA)
    …Utilization Review or Case Management with a large Health Plan + An active CA Registered Nurse license + Current BCLS (AHA) certificate upon hire and maintain ... Service, to provide guidance on complex Authorizations, Referrals, Denials and Appeals . + Integrates and coordinates services using continuous quality improvement… more
    Prime Healthcare (04/17/25)
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