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CVS HealthLos Angeles,CA
CVS Health is seeking an experienced RN Utilization Management Nurse Consultant for Medicare joint procedures. This remote, full-time role follows a Monday–Friday schedule (9:00 am–5:30 pm in your time zone) with occasional evenings/holidays,...
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...
Sutter HealthLos Angeles,CA
We are so glad you are interested in joining Sutter Health!OrganizationSHSO-Population Health Services-UtahPosition OverviewThe Virtual Mental Health Intake RN is a Registered Nurse who provides competent and thorough intake services by conducting...
CVS HealthLos Angeles,CA
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, innovate with purpose, hold...
SedgwickLos Angeles,CA
Sedgwick is seeking a Nurse for Utilization Review in a telecommuter role based in Tennessee. You will provide timely, evidence-based utilization reviews to maximize quality care and cost-effective outcomes for injured employees. The ideal...
Voca HealthcareLos Angeles,CA
We are looking for a Travel Case Manager - RN RN for a great Travel nursing job in Los Angeles, CA. This Case Manager - RN Travel nursing job pays for 40 hours a week for 13 weeks. With...
TriageLos Angeles,CA
We are looking for a Travel Oncology RN for a great Travel nursing job in Los Angeles, CA. This Oncology Travel nursing job pays for 36 hours a week for 12 weeks. With Wanderly you can...
TalentBurstFullerton,CA
TalentBurst, Inc is seeking a travel nurse RN Research / Clinical Research for a travel nursing job in Fullerton, California. Job Description & RequirementsSpecialty:...
Virtual VocationsLos Angeles,CA
To enhance the Medical Risk Consultant team's effectiveness, the full-time Medical Risk Process Improvement & Training Consultant will develop and deliver training programs, oversee process improvements, and conduct medical risk assessments to...
Molina HealthcareLos Angeles,CA
Molina Healthcare is seeking a Care Review Clinician to provide prior authorization for behavioral health services for the OH Medicaid population from a remote home office in the United States. The role requires strong BH care experience and an...
LifelancerLos Angeles,CA
CVS Health is seeking a Utilization Management Nurse Consultant to operate in a remote capacity from New York. This role supports a 24/7 utilization management team with weekend, holiday, and evening shifts, coordinating care decisions and...
UHCLos Angeles,CA
UnitedHealthcare is seeking an experienced registered nurse to guide and educate members, delivering frontline clinical support across the continuum of care in a customer-service role. The position emphasizes nursing generalist expertise,...
Public Consulting GroupLos Angeles,CA
Public Consulting Group is seeking a Client Success Partner for EDPlan Health. You will manage relationships across states, deliver training, and lead client engagements focusing on school nurse EHR workflows. The role blends nursing...
County of San JuanLos Angeles,CA
Penn State University is seeking a part-time, on-call remote forensic nurse (TeleSANE) to provide remote forensic nursing consultations from home with equipment provided. Self-scheduled: 48 hours of evening and overnight call per month,...
Sedgwick Claims Management ServicesLos Angeles,CA
Sedgwick is seeking a Clinical Consultation Triage Nurse for a part-time, remote position. Apply your nursing expertise to assess needs, provide care guidance, and determine appropriate level of care for injured employees, supporting...
CareHarmony LLCLos Angeles,CA
CareHarmony's Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN)...
SCAN Health PlanLong Beach,CA
Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12...
nTech WorkforceLos Angeles,CA
nTech Workforce seeks a HEDIS Clinical Review Nurse to support an annual HEDIS retrospective project. You will drive medical record retrieval, abstraction, provider outreach, and quality measure management in a team focused on compliance and...
Elevance HealthLos Angeles,CA
Elevation Health seeks a Nurse Practitioner Clinical Quality Consultant to enhance documentation, coding, and risk adjustment accuracy across Medicare pathways. This remote-friendly role emphasizes chart reviews, provider feedback, and...
Call 4 HealthLos Angeles,CA
Call 4 Health is seeking an experienced Registered Nurse (RN) to join our 24-hour remote triage team. Work from home delivering triage and clinical support across multiple states, with EHR documentation and telephonic assessments. Ideal...
Molina HealthcareLos Angeles,CA
RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req) CA, United States and 5 more Trending Job Description JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment...
SCANLong Beach,CA
SCAN Health Plan Job OpportunityFounded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists...
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...
ScangroupLong Beach,CA
Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12...
CVS HealthLos Angeles,CA
CVS Health in Sacramento, CA seeks a registered nurse to support Utilization Management in a 24/7 operation. This full-time role includes evaluating care options, applying clinical criteria, coordinating with providers, and promoting efficient use...
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