Gainwell TechnologiesLos Angeles,CA
Nurse Consultant - Remote in California It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know...
Posted June 21, 2026
Virtual VocationsLos Angeles,CA
To support healthcare revenue solutions, the full-time Remote Clinical Review Nurse will analyze denied insurance claims, draft persuasive appeal letters, and collaborate with legal teams to optimize patient care revenue without direct patient...
Posted June 20, 2026
North CarolinaLos Angeles,CA
Nurse Consultant II (NS) This is a home-based position in the Central/Western Region and individuals should reside in Wake, Guilford, Alamance, Mecklenburg, Forsyth, Durham, Chatham, Randolph, Johnston, Harnett, Lee, Moore, Franklin,...
Posted June 26, 2026
Virtual VocationsLos Angeles,CA
Working remotely in a full-time capacity, the RN Clinical Documentation Specialist will review medical records to enhance the accuracy of clinical documentation, ensuring it reflects the patient's severity of illness and risk of mortality while...
Posted June 20, 2026
Incredible HealthLos Angeles,CA
Registered Nurse - Utilization Review Hospitals on Incredible Health are hiring and accepting applications in the Los Angeles, CA area.Work Details Shift(s) available: day shiftJob types available: full time and part timeQualifications RN Diploma...
Posted June 24, 2026
3B HealthcareLos Angeles,CA
Registered Nurse – Utilization Review (Remote) Contract Length: 13 Weeks (Extension Possible) Facility: Providence Medical Center Location: 4101 Torrance Blvd, Torrance, CA 90503 Shift: Days – 5x8-Hour (08:00 AM – 04:30 PM)...
Posted June 16, 2026
North CarolinaLos Angeles,CA
Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...
Posted June 26, 2026
AmergisLos Angeles,CA
" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...
Posted June 26, 2026
Amergis Healthcare StaffingLos Angeles,CA
Utilization Review Specialist The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in...
Posted June 25, 2026
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...
Posted June 29, 2026
Sanford HealthLos Angeles,CA
Registered Nurse Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. The Center for...
Posted June 18, 2026
BrightSpring Health ServicesLos Angeles,CA
Our Company PharMerica Overview Join a team of passionate and caring clinicians who make a difference in people's lives. Our nursing group focuses on compassion and meeting the needs of our...
Posted June 22, 2026
Care Navigators On DemandLos Angeles,CA
Center Nurse Executive The Center Nurse Executive (CNE) will oversee the day-to-day operations associated with nursing practice, direct patient care activities, clinical education, and the continuous improvement (Quality Assurance) of...
Posted June 22, 2026
FC Compassus LLCSanta Monica,CA
Company: Providence at Home with Compassus Position Summary The Clinical Liaison RN - PAH is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for...
Posted June 16, 2026
Oak St. HealthLos Angeles,CA
Join Us At CVS Health 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,...
Posted June 26, 2026
Engage ConsultingLos Angeles,CA
Job Type Full-time Description REMOTE RN MDS CONSULTANT-Full Time Engage Consulting is seeking an experienced Registered Nurse (RN) with strong MDS, Case Mix, and Quality Measure experience to...
Posted June 18, 2026
Beth Israel Lahey HealthLos Angeles,CA
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local to New England States for...
Posted June 20, 2026
CommuniCare Family of CompaniesLos Angeles,CA
Job Address: 10123 Alliance Road, Suite 320Blue Ash, OH 45242 Telehealth Administrator on Call (Registered Nurse), Remote Position The PHP Telehealth Administrator on Call has a passion for providing remote...
Posted June 16, 2026
CompassusSanta Monica,CA
Clinical Liaison RN - PAH The Clinical Liaison RN - PAH is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of...
Posted June 26, 2026
Gainwell TechnologiesLos Angeles,CA
Pre-Payment Review Nurse Consultant- Wisconsin It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible.
Posted June 28, 2026
BAYLOR SCOTT & WHITELos Angeles,CA
LocationBaylor University Medical Center (BUMC) | Downtown Dallas, TexasSchedule/ShiftPRN Days | 7a- 7p | One 12hr shift per weekAbout UsAt Baylor Scott & White Health, we support the health of people, families, and communities. Baylor Scott and...
Posted June 24, 2026
L.A. Care Health PlanLos Angeles,CA
Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13077 Salary Range:...
Posted June 25, 2026
ErgotronLos Angeles,CA
About Ergotron: Ergotron, Inc. is a global leader in designing ergonomic solutions that connect people and technology to enhance human performance, health and happiness. Through its 40+-year history, Ergotron has led the...
Posted June 28, 2026
Blind Children's CenterLos Angeles,CA
Blind Childrens Center Inc in Los Angeles seeks a Registered Nurse Consultant to provide pediatric nursing and health training. Responsibilities include conducting health screenings and developing health plans for children.The ideal candidate...
Posted June 17, 2026
Carle HealthLos Angeles,CA
Overview Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk of mortality which...
Posted June 24, 2026