Alois HealthcareTorrance,CA
ALOIS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Torrance, California. Job Description & RequirementsSpecialty: Utilization...
Posted September 4, 2026
CVS HealthLos Angeles,CA
CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely,...
Posted August 25, 2026
TeamHealthLos Angeles,CA
Remote Nursing OpportunitiesAre you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional...
Posted September 1, 2026
MaziCToolsLos Angeles,CA
MaziCTools is seeking a Freelance Utilization Management Nurse Consultant to work remotely in the United States. This full-time role requires an active RN licensure and 3+ years of clinical experience. Responsibilities include assessing healthcare...
Posted September 1, 2026
Kaiser PermanenteBaldwin Park,CA
Job Summary Collaborates with Education Consultants, Managers, CNS staff and Physicians to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on clients departmental goals and needs, as well as...
Posted September 2, 2026
J29Los Angeles,CA
Medical Reviewer, RN - Temporary Position Location: Remote *This role is a temporary position and that employment is expected to be for a limited duration. About J29 J29, Inc. (J29) has...
Posted September 1, 2026
Virtual VocationsLos Angeles,CA
To ensure the highest quality and integrity of peer review case reports, the full-time Remote RN Clinical QA Coordinator will perform quality assurance reviews, verify compliance with client specifications and regulatory standards, and support the...
Posted September 3, 2026
The Judge GroupLos Angeles,CA
A healthcare recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an active RN license and experience with health plan operations. Responsibilities include...
Posted August 25, 2026
Santa Barbara Cottage HospitalLos Angeles,CA
Santa Barbara Cottage Hospital is seeking a licensed practical nurse to join BHPS Utilization Management as a remote reviewer of medical necessity and benefit determinations. You will assess cases using clinical guidelines and coordinate with...
Posted August 25, 2026
Santa Barbara Cottage HospitalLos Angeles,CA
Santa Barbara Cottage Hospital is seeking a Part-Time Triage Registered Nurse (RN) – Hospice to triage calls, provide symptom management advice, and coordinate patient care from a remote setting. You will work a 2-week rotation with...
Posted August 25, 2026
CadenceLos Angeles,CA
Cadence in Dallas, TX is seeking an RN Supervisor to lead a remote team of Registered Nurses in a high-volume triage environment. This role demands strong clinical judgment, operational management, and performance coaching to maintain quality...
Posted August 25, 2026
Virtual VocationsLos Angeles,CA
To support a growing clinical operations team, the Remote RN Clinical Expert will deliver high-impact clinical work, manage complex clinical operations workflows, and provide quality oversight while collaborating with product and engineering...
Posted September 3, 2026
Beth Israel Lahey HealthLos Angeles,CA
Clinical Documentation Improvement Specialist-RN- Remote The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with the identification of diagnoses, conditions, and procedures that are representative of the...
Posted September 1, 2026
Vatica HealthLos Angeles,CA
A healthcare technology company seeks an experienced Registered Nurse for a remote role providing clinical technology services. This position is for independent contractors, focusing on chart reviews and clinical data analysis. Candidates should...
Posted September 1, 2026
Molina HealthcareLos Angeles,CA
Molina Healthcare is recruiting a qualified RN for a fully remote Utilization Management role requiring an active Illinois license. The position operates Monday–Friday, 8:30 AM–5:30 PM CST, with emphasis on clinical determinations using MCG...
Posted August 25, 2026
Veterans Health AdministrationLong Beach,CA
Qualifications VA Health Professional Trainees (HPT) pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. A HPT is an individual...
Posted September 4, 2026
BroadpathLos Angeles,CA
Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...
Posted September 2, 2026
Walker Healthforce, LLCLos Angeles,CA
Back Medical Claim Review Nurse | Remote | Washington | Contract Business & Care Management Long Beach , California Contract Aug 11, 2026 Medical Claim Review Nurse | Remote (Washington) | Contract Walker Healthforce is seeking a...
Posted August 29, 2026
Sutter HealthLos Angeles,CA
Mist Registered Nurse (Rn) – Position SummaryThe 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 providers...
Posted September 3, 2026
Brighton Health Plan SolutionsLos Angeles,CA
Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant...
Posted August 25, 2026
MedixLos Angeles,CA
Salary: USD25 - USD28 per hour HealthVisionDentalWeekly Pay401kPrior Authorization Specialist (LPN /MA / Certified Medical Assistant) Position Title: Prior Authorization...
Posted September 2, 2026
TEEMA GroupLos Angeles,CA
Job Title: Registered Nurse (RN) Disease Manager Job Overview: The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or...
Posted September 1, 2026
LancesoftLos Angeles,CA
Overview Position Type: Full time Job Title: Care Review Clinician I Location: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH,...
Posted August 25, 2026
UnitedHealth GroupLos Angeles,CA
Position is Hybrid serving the Inner West Valley region of the Phoenix metro area, with proximity to Central Phoenix (S. Glendale, Avondale, Tolleson, Litchfield Park) (Time spent in the field, working from home and occasionally in the office for...
Posted September 2, 2026
Broadway VenturesLos Angeles,CA
Broadway Ventures, a veteran-owned SDVOSB headquartered in Mississippi, seeks an experienced Registered Nurse to perform medical review of complex claims, pre-authorization requests, appeals, and fraud referrals. You will apply clinical expertise...
Posted August 26, 2026