RN II Jobs

Join our Arroyo Grande team as an RN II, delivering compassionate, high-quality care in a fast-paced environment. You'll perform pre-operative assessments, collaborate with an interdisciplinary team, and implement individualized patient care plans. Requires CA RN license, BLS, ACLS, and PALS. Enj...

Appeals and Grievances Nurse Specialist RN II needed in Los Angeles. This role investigates and resolves complex clinical member and provider complaints, ensuring compliance with CMS and regulatory guidelines. Requires an active CA RN license, 5+ years of clinical experience, and 2+ years in Medi...

RN Care Coordinator II – Cardiology role in San Diego, CA. Collaborate with specialty providers to deliver case management, direct patient care, and education. Requires an Associate’s Degree, CA RN License, BLS, and two years of experience. Enjoy competitive salary, tuition reimbursement up to $1...

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...

Seeking a Clinical Policy Clinical Coder RN II in Los Angeles to translate medical policies into accurate coding and claims logic. Requires an Associate's Degree in Nursing, 8+ years of clinical experience, and 3+ years in Medi-Cal/Medicare managed care. Key duties include developing codified cla...