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Care CareerTorrance,CA
Care Career is seeking a local contract nurse RN Case Manager, Utilization Review for a local contract nursing job in Torrance, California. Job Description &...
PACSSouth El Monte,CA
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude...
CommonSpirit HealthLos Angeles,CA
OverviewAs our Educator, RN in Periop, you will serve as a consultant/resource professional by providing staff development expertise as an educator, facilitator, change agent, leader, and researcher, ensuring educational initiatives are...
Intermountain HealthLos Angeles,CA
Job Description: The Nurse Clinical Leader provides leadership and clinical expertise during their shift and within their department. They manage unit resources and supervise personnel to ensure appropriate staffing levels based on the unique...
OptumLos Angeles,CA
Optum is seeking an Utilization Management Nurse to review medical records, extract key case details, and craft defensible appeal letters in line with process instructions and guidelines. The role requires an RN with an associate degree, 3+...
Intermountain HealthLos Angeles,CA
Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...
Virtual VocationsLos Angeles,CA
Working remotely on a seasonal contract basis, the Virtual Registered Nurse (Compact License) will provide high-quality patient care through EMR messaging, manage direct patient needs, and triage concerns while collaborating with RPM providers.Key...
Harris Health SystemLos Angeles,CA
Care Manager Care Manager will manage Community Health Choice (Community) members with chronic disease and medically complicated needs through comprehensive evaluation and through coordination of Community resources. The Care Manager will...
WVU MedicineLos Angeles,CA
Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information...
OptumLos Angeles,CA
Optum is seeking a Utilization Review Nurse, RN, to lead inpatient utilization management, applying evidence-based guidelines and criteria to determine medical necessity for admissions and authorizations. The role requires 3+ years of...
Santa Barbara Cottage HospitalLos Angeles,CA
A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing...
GuidehealthLos Angeles,CA
Guidehealth is seeking a dedicated Registered Nurse (RN) to join as a Telehealth Medicare Annual Wellness Visit Specialist - PRN. In this remote role, you will conduct AWVs via telehealth under physician supervision, focusing on preventive care,...
Sutter HealthLos Angeles,CA
Mist Registered Nurse (Rn) – Position Summary The Multidisciplinary Inbasket Support Team (MIST) Registered Nurse is a highly skilled ambulatory care nurse who provides comprehensive, remote clinical support to primary care patients and...
UnitedHealth GroupLos Angeles,CA
UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient criteria, preauthorizations, and ensuring medical necessity while applying evidence-based...
PharmD LiveLos Angeles,CA
PharmD Live is seeking a Virtual Chronic Care LVN/LPN to support patients with complex, ongoing health conditions through structured remote care programs. This role emphasizes patient engagement, education, and coordinated virtual care delivery...
PIH HealthWhittier,CA
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ADPLos Angeles,CA
iMPROve Health seeks an RN Reviewer (Workers' Compensation Utilization Review) to perform independent external medical reviews remotely as an independent contractor (1099). The reviewer applies clinical expertise to evaluate cases, ensuring...
Beth Israel Lahey HealthLos Angeles,CA
Beth Israel Lahey Health, Inc. is seeking a Clinical Documentation Integrity Specialist (RN) for a remote position. This role focuses on improving the accuracy and quality of patient documentation and requires collaboration with physicians and...
CommonSpirit HealthLos Angeles,CA
Job Summary and ResponsibilitiesAs our Educator in Critical Care Emergency, In accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position is established to serve as a consultant/resource...
UCHealthLos Angeles,CA
Description Location: UCHealth Anschutz Inpatient Pavilion - Aurora Department: Labor & Delivery Metro Denver Women and Infants (W&I) Float Pool RNs will support patients and teams at Highlands Ranch Hospital, Longs Peak Hospital, and University...
Molina HealthcareLos Angeles,CA
JOB DESCRIPTION Opportunity in Southern California for an experienced Managed Care Leader to join our health plan in California. Candidates must have a minimum of 7 years of healthcare experience, 3 of those should be with a Managed Care...
Department of Veterans AffairsLos Angeles,CA
VA Greater Los Angeles Healthcare (VAGLAHS) seeks two RN professionals for Remote Patient Monitoring - Home Telehealth. You will oversee the nursing process, care coordination, patient education, and health promotion, collaborating with the...
Intermountain HealthLos Angeles,CA
Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of...
RWJBarnabas HealthLos Angeles,CA
RWJBarnabas Health is seeking an experienced Registered Nurse for a remote, day-shift role in New Jersey. The RN will support virtual urgent care navigation, referrals, and care coordination while working with a multidisciplinary team to ensure...
Sutter HealthLos Angeles,CA
Mist Registered Nurse (Rn) – Position Summary The Multidisciplinary Inbasket Support Team (MIST) Registered Nurse is a highly skilled ambulatory care nurse who provides comprehensive, remote clinical support to primary care patients and...
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