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Carle HealthLos Angeles,CA
Overview Position requires 6 months of in-office training prior to being remote. The office is located in Champaign, IL The Patient Advisory team is the first point of contact for our immediate and extended communities, PAN RN's are the key to...
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...
HumanaLos Angeles,CA
Humana Inc. in the United States is seeking a Part C G&A Nurse (Utilization Management Nurse 2) to support case preparation, review medical documentation and coordinate appeal determinations. This remote, full-time role requires an RN with...
California PostAcute CareLynwood,CA
Job description California Post Acute is a premier healthcare facility dedicated to providing exceptional care to our residents and patients. Our commitment to excellence, compassionate care, and innovative practices sets us apart as a...
LifeBridge HealthLos Angeles,CA
Sinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support staff who ensure hospital stays are clinically appropriate and fully covered by the patient's insurance. The team focuses...
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...
Providence Swedish Medical CenterLos Angeles,CA
A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and...
EcumenLos Angeles,CA
Ecumen is hiring a Triage Nurse (RN) for telephone-based care in Shoreview, MN. The role supports Assisted Living and Hospice by providing triage guidance, documentation, and follow-up, all from a remote-friendly setting. The position...
Alliance Health inLos Angeles,CA
Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel for in-person meetings. The role focuses on medical necessity reviews for inpatient and outpatient services,...
Santa Barbara Cottage HospitalLos Angeles,CA
R1 RCM Inc. is seeking a Clinical Coding Appeals Nurse to review medical records and draft appeals for denied and underpaid claims. The role focuses on accurate coding using ICD-9/10, CPT, HCPCS, and NCCI guidance, and requires inpatient...
National Brain Tumor SocietyLos Angeles,CA
National Brain Tumor Society (NBTS) unrelentingly invests in, mobilizes, and unites our community to discover a cure, deliver effective treatments, and advocate for patients and their care partners. NBTS is a leading policy advocacy and research...
AnacaliforniaLos Angeles,CA
UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and to assess member needs to help them live healthier lives. You will collaborate with clinicians, interpret plans of care,...
Mountain PacificLos Angeles,CA
Mountain Pacific is seeking a part-time Clinical Field Reviewer (Remote) to perform in-home nursing assessments for MedicaidCFCS/PCS programs across Eastern Montana. The role emphasizes member-centered care and collaboration with providers to...
TurningPoint Healthcare SolutionsLos Angeles,CA
TurningPoint Healthcare Solutions is a rapidly growing and innovative healthcare company that supports several large national health plans to improve the quality and affordability of healthcare patients receive. We are looking for motivated...
FairweatherLos Angeles,CA
Sato Inc. is seeking a Remote Nurse Navigator (RN) with 5+ years of clinical experience to join its AI-driven Centers of Excellence platform from Bodega Bay, CA. You will manage surgical patient journeys end-to-end, coordinate with U.S. and...
Registered NurseLos Angeles,CA
Unknown CDI team is seeking a Clinical Documentation Integrity (CDI) Specialist – RN for a 100% remote position based in the United States. You will drive accurate inpatient documentation, engage physicians, and ensure alignment with quality and...
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...
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,...
WPS Health SolutionsLos Angeles,CA
WPS Health Solutions in Columbus, OH, is seeking an Appeals Nurse to review medical records and Medicare claims for first-level appeals to determine medical necessity and coverage alignment. The role collaborates with Appeals Examiners to...
Molina HealthcareLos Angeles,CA
Care Review Clinician This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful transition from inpatient to...
Astrana HealthLos Angeles,CA
A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include...
GovernmentJobs.comLos Angeles,CA
Licensed Vocational Nurse The County of Los Angeles, LA Health Services is LA County's integrated healthcare system and the second-largest public health system in the nation. Our system includes four public hospitals, more than 20...
VITAS HealthcareEncino,CA
Job Description WHO WE ARE We are VITAS Healthcare, the nation's leading end-of-life care provider since 1978. Our hospice organization kickstarts careers in caring, promotes from within, and...
Maxim Health SystemsLos Angeles,CA
LPN 1.1 Homecare Angier, North Carolina Maxim Healthcare in Fayetteville, NC is hiring for a Licensed Practical Nurse (LPN) to work with Pediatric and/or Adult patients in their own homes. Why Join Maxim: ...
Med Supply USLos Angeles,CA
Consulting Rn For North Dakota CGM Services Med Supply US is an ACHC-accredited, Medicare-enrolled mail-order supplier of continuous glucose monitors serving patients nationwide. We're expanding into North Dakota and need an ND-licensed...

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