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Molina HealthcareLos Angeles,CA
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...
Cedars-SinaiBeverly Hills,CA
Job Description Join Cedars-Sinai! Cedars-Sinai has been named to the Honor...
BJC HealthCareLos Angeles,CA
St. Louis Children's Hospital is seeking an RN for after-hours triage and nursing support via the Answer Line. The role involves assessing patient needs, guiding care plans, and educating families within established guidelines. Part-time...
HealthHelpLos Angeles,CA
HealthHelp, a WNS company, seeks a Clinical Review Nurse for a fully remote role in the United States. You will perform prospective reviews for medical necessity on prior authorization requests across multiple specialty programs and refer...
Valley Presbyterian HospitalVan Nuys,CA
Certified Nursing Assistant (CNA)Valley Presbyterian Hospital Make a Difference in Patient Care Every Day At Valley Presbyterian Hospital, our CNAs are at the heart of patient care. We're looking for a compassionate and reliable Certified Nursing...
Molina HealthcareLos Angeles,CA
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...
Children's Hospital Los AngelesLos Angeles,CA
Clinical Research Nurse I Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's...
Amerit ConsultingLos Angeles,CA
Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Registered Nurse (Utilization Management) .Candidate must be authorized to work in USA without requiring sponsorshipLocation: 100% Remote for California...
Emory HealthcareLos Angeles,CA
Emory Healthcare seeks a Virtual/Telehealth Registered Nurse (RN) to deliver high-quality patient care through telecommunication platforms. You will assess, triage, and support patients remotely, guided by clinical protocols and EMR usage.
Intermountain HealthLos Angeles,CA
Job Description: Flight Nurse – Pediatric Focus (PICU/Pediatric ED Experience Preferred) Join Our Life Flight Team | Elevate Your Nursing Career Are you a highly skilled critical care nurse with a passion for pediatric care and a sense of...
MercorLos Angeles,CA
About the Role Mercor is hiring experienced Nurse Practitioners to help evaluate and improve cutting-edge AI systems. In this role, you'll evaluate AI-generated clinical content and workflows, leveraging your real-world expertise in...
Managed Medical Review OrganizationLos Angeles,CA
Managed Medical Review Organization seeks a licensed RN for a home-office, remote role focused on telephonic customer service and clinical documentation. The position emphasizes quality review, case management, and adherence to policy, with...
Clarity PediatricsLos Angeles,CA
Clarity Pediatrics, Inc. is seeking a Nurse Care Coordinator (RN) to join our fully remote interdisciplinary care team. You will coordinate appointments, educate families, manage med authorizations, and serve as the primary contact between...
Martin Luther King, Jr. Community HospitalPico Rivera,CA
POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care. Reporting to the...
Comprehensive Community Health CentersBell Gardens,CA
Description: FAMILY NURSE PRACTITIONER JOB SUMMARY Provides continuous and comprehensive services necessary for the promotion of optimal health, prevention and treatment, in an underserved community clinic. To perform a variety of advanced clinical...
Virtual VocationsLos Angeles,CA
Working remotely, the part-time Mississippi Licensed Clinical Review Nurse will review clinical records to assess member eligibility and appropriateness of services while coordinating with providers and members for additional information.Key...
Hireops Staffing LlcLos Angeles,CA
Review NurseThis is a contract assignment that will start right away and end on April 30th 2024Summary Description:The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and...
Medix™Los Angeles,CA
Medix™ seeks an experienced Utilization Review Nurse Specialist for a fully remote role in the United States. You will evaluate medical necessity, determine level-of-care decisions, and collaborate with physicians, interdisciplinary teams, and...
Virtual MedicalLos Angeles,CA
Virtual Medical is seeking qualified Registered Nurses to join our fully remote 24-hour On Call Center. We handle incoming calls for clients requiring immediate medical attention and provide assessment, guidance and disposition to the appropriate...
BesticaFullerton,CA
Bestica is seeking a travel nurse RN Research / Clinical Research for a travel nursing job in Fullerton, California. Job Description & RequirementsSpecialty: Research /...
Healthcare Recruiters InternationalLos Angeles,CA
Clinical Registered Nurse (RN) – Remote Full-Time | Remote | $100,000 + Comprehensive Benefits Package We are recruiting RNs for a growing, technology-enabled healthcare organization, expanding its remote clinical...
Aviary HealthLos Angeles,CA
Redesigning heart health via virtual cardiac rehab for older adults.Mission-driven team of clinicians and engineers.Responsibilities:Review EMRs to determine eligibility and create orders.Conduct video intake assessments and treatment...
CVS HealthLos Angeles,CA
About This Role The Utilization Management Nurse Consultant utilizes clinical experience to assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members. This role is ideal for those looking to contribute to...
Shield HealthLos Angeles,CA
What You'll Do As an Enrollment Nurse, your primary responsibility is enrolling patients in a chronic care management program. You'll call eligible patients, educate them about the program, answer questions, and assist interested patients...
Oak St. HealthLos Angeles,CA
CVS Health Nurse Role We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply,...
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