RN II United States, Los Angeles Jobs

Seeking a skilled RN or LCSW for a **Care Management Specialist II** role in **Los Angeles**. Manage complex, catastrophic cases using clinical judgment and care coordination. Requires 3+ years of experience in managed care, hospital, or hospice settings. Enjoy benefits like PTO, tuition reimburs...

Seeking a detail-oriented **Utilization Management Claims Review Nurse RN II** in **Los Angeles, CA**. This role conducts clinical reviews of medical claims for medical necessity, accuracy, and compliance, supporting payment integrity and FWA prevention. Requires an active **California RN license...

Appeals and Grievances Nurse Specialist RN II needed in Los Angeles. Investigate and resolve complex clinical member complaints and benefit coordination issues for a managed care health plan. Requires an active California RN license, 5+ years clinical experience, and 2+ years in Medicare/Medicaid...

Seeking a detail-oriented **Delegation Oversight Clinical Auditor RN II** in **Los Angeles, CA**. Ensure delegate compliance with **Utilization Management (UM)** regulations and **Medi-Cal** requirements. Requires an **Associate's Degree in Nursing**, an active **California RN license**, and 7+ y...