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AppworksLos Angeles,CA
Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role, you'll perform both inpatient and outpatient...
AmpcusRedondo Beach,CA
Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Nurse 3 Job Location: Redondo...
Bon Secours Mercy HealthLos Angeles,CA
Forensic Registered Nurse (RN) Scheduled Weekly Hours: 36 Work Shift: Days/Afternoons (United States of America) Summary of Primary Function The Forensic Registered Nurse (RN) is a highly specialized professional who...
Walker HealthforceLos Angeles,CA
Clinical Appeals Nurse (RN) | Remote | Contract Walker Healthforce is seeking a Clinical Appeals Nurse (RN) with 2+ years of clinical nursing experience to provide clinical review and...
Geisinger Health SystemLos Angeles,CA
RN CDI Specialist As one of the Top 8 Most Innovative Healthcare Systems in Becker's Hospital Review, we're working to create a national model for improving health. Today, we're focused on bringing our region services that improve every...
Cobalt Benefits GroupLos Angeles,CA
Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse, you'll play an important role in helping us offer customized, self-funded...
GovernmentJobs.comLos Angeles,CA
Public Health Nurse The County of Los Angeles Department of Public Health is seeking qualified candidates to fill emergency Public Health Nurse vacancies related to the homelessness crisis. Under the emergency order, applicants who...
Devoted HealthLos Angeles,CA
Clinical Guide A bit about this role: As a Clinical Guide on our Outpatient Utilization Management team, you'll have the opportunity to make a difference in the lives of our members. You'll be responsible for clinical review of...
ChartSpanLos Angeles,CA
ChartSpan is the largest chronic care management (CCM) service provider in the US. CCM and Remote Patient Monitoring (RPM) programs focus on patients who have multiple (two or more) chronic conditions that are expected to last at least 12 months...
STARS Behavioral Health GroupLos Angeles,CA
Partner with us in making a positive change! Join a team where your work truly matters. We're proud to have been certified as a Great Place to Work for 8 years by our own employees. We invite you to partner with us in...
Carver County, MNLos Angeles,CA
Salary: $82,555.20 - $123,822.40 Annually Location : Chaska Government Center, MN Job Type: Full-Time Remote Employment: Flexible/Hybrid Job Number:...
AHMC HealthcareSan Gabriel,CA
Facilitates, in collaboration with the Manager of Quality Management accurate, timely and consistent clinical data to public reporting databases and agencies, including The Joint Commission (Oryx), and CMS. Reviewing paper and electronic medical...
Intus CareLos Angeles,CA
Contract Utilization Management Nurse IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and...
Billet HealthLos Angeles,CA
Billet Health in the United States is seeking Licensed Practical Nurses (LPNs) to provide Home Health services to geriatric patients in a 9-week episode. You will assess patient needs and collaborate with an RN case manager and Director of Nursing...
Blue Shield of CALong Beach,CA
Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans,...
Syneos Health/ inVentiv Health Commercial LLCLos Angeles,CA
Research Nurse (Per Diem) - Greater Portland, OR /Vancouver, WA areaIllingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include...
Kaiser PermanenteDowney,CA
Description: Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient...
PIH HealthLos Angeles,CA
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headlightLos Angeles,CA
Join a team that's transforming mental healthcare. Founded by psychiatrists , Headlight is more than a company: it's a movement. A movement that exists on the front lines of the mental health crisis, transforming the way people access care and the...
L.A. Care Health PlanLos Angeles,CA
Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13298 Salary Range:...
Charlie HealthLos Angeles,CA
Clinical Clearance Specialist (RN) Remote, United States Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often,...
American Financial GroupLos Angeles,CA
Summit provides independent insurance agents and their clients with market-leading workers' comp insurance and elite customer service. We're growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South,...
IntusLos Angeles,CA
About IntusCare IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay...
Central California Alliance for HealthLos Angeles,CA
Utilization Management Nurse (RN) (Temporary) Remote in California We believe every candidate deserves thoughtful consideration. That's why we do not use AI or automated systems to review applications. Every application is reviewed...
Aya HealthcareTorrance,CA
Aya Healthcare has an immediate opening for the following position: Utilization Review Registered Nurse in Torrance, CA. We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country,...

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