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WorkCareLos Angeles,CA
Job Summary The Nurse Specialist is responsible for utilizing their nursing knowledge and clinical judgement in reviewing all client employee examinations, testing, and questionnaires, in consultation withWorkCarePhysicians, ensuring compliance...
trustaffLos Angeles,CA
Trustaff is seeking a travel nurse RN Clinic for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: ClinicDiscipline:...
Carle HealthLos Angeles,CA
Carle Health is seeking an Ambulatory Nurse to complete 6 months of in-office training in Champaign, IL, before transitioning to a remote work arrangement. The role supports patient care in dermatology and related services within the RN scope.
UCHealthLos Angeles,CA
Description Location: UCHealth Admin 2450 Peoria, Aurora - CO Department: UCHealth Virtual Nursing Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Day and Night Rotation Pay: $35.29 - $54.71 / hour. Pay is dependent on...
CVS HealthLos Angeles,CA
CVS Health is seeking a Utilization Management Nurse Consultant (Medical Review) to ensure members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers. This fully remote role leverages your...
Ochsner HealthLos Angeles,CA
Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers...
WorkCareLos Angeles,CA
Job Summary The Nurse Specialist is responsible for utilizing their nursing knowledge and clinical judgement in reviewing all client employee examinations, testing, and questionnaires, in consultation withWorkCarePhysicians, ensuring compliance...
InovaLos Angeles,CA
Inova Schar Cancer Institute is seeking a qualified Registered Nurse for a remote PRN position. The role supports oncology clinics with a flexible M-F schedule and no night shifts or on-call hours. Remote eligibility is limited to specific states,...
NTT DATALos Angeles,CA
NTT DATA is seeking a Clinical Reviewer Specialist to perform clinical and medical necessity reviews for appeals, ensuring compliance with state and federal regulations, Medicaid, and NCQA standards. This fully remoteFlorida-based position...
ADPLos Angeles,CA
Health Plan of San Joaquin (HPSJ) seeks a Concurrent Review Nurse to conduct onsite and telephonic reviews of inpatient care from California. You will ensure care is appropriate, coordinate transfers and discharge planning, and escalate complex...
PeratonLos Angeles,CA
Peraton, through SafeGuard Services (SGS), is seeking a Nurse Reviewer to conduct medical record reviews and determine claim payments with sound clinical judgment. The role involves researching Medicare regulations, identifying billing issues, and...
LumiMeds HealthLos Angeles,CA
Manage patient messages through the telehealth platform and address routine clinical questions within scope.Escalate complex medical concerns to providers and coordinate timely follow-ups.Maintain accurate documentation and follow established...
Vassar Brothers Medical CenterLos Angeles,CA
Vassar Brothers Medical Center in Poughkeepsie, NY is seeking a skilled Utilization Review Nurse to perform clinical reviews, determine level of care, and collaborate with physicians to ensure appropriate patient placement and regulatory...
University of South Florida Tampa General PhysiciansLos Angeles,CA
University of South Florida Tampa General Physicians (USFTGP) is seeking a Clinic Registered Nurse Coordinator for the Urology clinic. The RN Coordinator will collaborate with the health care team to develop theory-based patient care for patients...
AmpcusLos Angeles,CA
A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...
Sentara HospitalsLos Angeles,CA
Sentara Health is hiring a Remote Utilization Review Registered Nurse to perform prior authorization and utilization review for inpatient and outpatient services. Candidates must reside in Virginia and hold an active Virginia RN license. As...
Insight GlobalLos Angeles,CA
Job Description Key Responsibilities Telehealth Patient Care: Provide remote patient care and support through telehealth platforms. Virtual Assessments: Conduct virtual patient assessments, including reviewing...
Cooper Home HealthLos Angeles,CA
Cooper Home Health is seeking a compassionate Clinical Care Navigator (RN) to join our growing team in the Tampa Bay area, with flexible work-from-home options. You will guide patients and families through the home dialysis journey, from referral...
TalentBurstFullerton,CA
TalentBurst, Inc is seeking a travel nurse RN Research / Clinical Research for a travel nursing job in Fullerton, California. Job Description & RequirementsSpecialty:...
Cardinal HealthLos Angeles,CA
Cardinal Health, Inc. in the United States is seeking a Nurse for Individualized Care to educate patients, schedule calls, and coordinate services for patients on client products. You will handle inbound and outbound calls, educate on...
HCSC GroupLos Angeles,CA
HCSC is seeking a remote QOC Nurse under the supervision of the QOC Manager to conduct review and investigation of quality of care issues. The role supports quality improvement activities in compliance with CMS, NCQA and other regulatory...
Infirmary HealthLos Angeles,CA
Responsibilities Plans, implements, coordinates, and evaluates comprehensive care for designated patients to ensure quality of care and continuity of care delivery through telehealth platforms. QualificationsMinimum...
Hummingbird HealthcareLos Angeles,CA
Hi. We're Hummingbird. We're elevating patient access so patients can get healthcare how, when, and where they need it. We partner with healthcare systems to transform how patients access care, enabling their providers to focus on what...
BlueCross and BlueShield of South CarolinaLos Angeles,CA
BlueCross and BlueShield of South Carolina seeks an RN Medical Reviewer II to join the Palmetto GBA Medical Review team. You will perform medical reviews using clinical information, apply guidelines, and help ensure accurate coverage and payment...
GREAT LAKES MANAGEMENTLos Angeles,CA
Plymouth, MN-based position for a Triage RN—Remote, Part Time & On Call. Must reside in MN, WI or CO and hold an RN license in those states or be willing to obtain it. Schedule includes weekends and on-call shifts, with a $40/hour pay rate.
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