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Walker HealthforceLos Angeles,CA
Registered Nurse - Review Analyst | Remote | Contract Walker Healthforce is seeking a Registered Nurse - Review Analyst with 2-4 years of clinical experience to provide clinical utilization reviews, evaluate medical...
Saint Alphonsus Health SystemLos Angeles,CA
Job Title Employment Type: Full time Shift: Rotating Shift Description: This is a remote position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint...
City of HopeDuarte,CA
Clinical Research Nurse-BSN Clinical Research Nurse Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of...
Care Navigators On DemandNorthridge,CA
Prior Authorization Nurse Case Manager (PACM) The role of the Prior Authorization Nurse Case Manager (PACM) is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of...
CommonSpirit HealthLos Angeles,CA
Where You'll Work Founded in 1887, Dignity Health - California Hospital Medical Center is a 318-bed, acute care, nonprofit hospital located in downtown Los Angeles. The hospital offers a full complement of services including...
Sagility India PrivateLos Angeles,CA
Job title Senior Care Specialist (Registered Nurse) - Work From Home About Sagility Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain...
Dane StreetLos Angeles,CA
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the...
AmeriPharmaLos Angeles,CA
Parenteral Services Clinical RN Specialist The Parenteral Services Clinical RN Specialist provides clinical support to the Parenteral Services team through advanced nursing expertise, education, care coordination, and operational...
Point32HealthLos Angeles,CA
Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard...
Providence Health and ServicesBurbank,CA
Job Description The Peer Review RN is responsible for facilitating the design, implementation and the ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician...
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,...
Cedars-SinaiLos Angeles,CA
Case Manager Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report's "Best Hospitals 2024-25" rankings, as well as placed among the very best...
HarrisLos Angeles,CA
Chronic Care Coordinator Location: MICHIGAN - 100% REMOTE (NOT A COMPACT STATE) Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before...
Providence SoCal Shared Services Case ManagementTorrance,CA
Details Client Name Providence SoCal Shared Services Case Management Job Type Travel Offering Nursing Profession Registered...
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...
Providence Little Company of Mary Medical Center TorranceTorrance,CA
Details Client Name Providence Little Company of Mary Medical Center Torrance Job Type Travel Offering Nursing Profession...
Arizona Department of AdministrationLos Angeles,CA
Claims Medical Review Nursing Consultant Job No: 544045 Work Type: Full-time Location: REMOTE OPTIONS, VARIOUS-STATEWIDE, PHOENIX Categories: Healthcare/Medical Support Level,...
AHMC HealthcareSan Gabriel,CA
Overview 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.
Aya HealthcareGlendale,CA
Aya Healthcare has an immediate opening for the following position: Case Manager Registered Nurse in Glendale, 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, we've...
OptumLos Angeles,CA
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...
Humana CenterWell Home Health OrangeburgLos Angeles,CA
Become a part of our caring community The Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the...
Harris ComputerLos Angeles,CA
Chronic Care Coordinator Location: MICHIGAN - 100% REMOTE (NOT A COMPACT STATE) Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing...
FirsthandLos Angeles,CA
firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking...
The Columbus OrganizationLos Angeles,CA
Location This is a hybrid role. Applicants must be able to commute to or travel to Mitchell and Dougherty counties, GA, when required. About Us The Columbus Organization is a nationally...
UPMCLos Angeles,CA
DRG Specialist UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home position working during standard business hours Monday through...

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