SmartRecruiters IncLos Angeles,CA
Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make...
Posted October 4, 2026
CVS HealthLos Angeles,CA
CVS Health Corporation is hiring an Utilization Management Clinical Consultant to work remotely (Work at Home CST). You will apply clinical judgment to render coverage determinations across the continuum of care, coordinating with providers and...
Posted October 10, 2026
OptumLos Angeles,CA
Optum is recruiting a remote Behavioral Health Utilization Review Specialist to support case management for behavioral health and substance use. You will review cases, determine levels of care, and coordinate transitions between inpatient and...
Posted October 8, 2026
Physicians EastLos Angeles,CA
Physicians East seeks a QEC Pre Procedure Screening Nurse for a part-time remote role based in Greenville, NC. The nurse will review patient charts, screen for procedural eligibility, and coordinate with physicians to ensure proper evaluation and...
Posted October 1, 2026
Molina HealthcareLong Beach,CA
JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to...
Posted October 15, 2026
Bon Secours Mercy HealthLos Angeles,CA
Bon Secours Mercy Health is seeking an RN Infection Prevention professional to manage system-wide IPC activities, ensuring compliance with regulatory standards. This role supports outbreak investigation, surveillance, and performance improvement...
Posted October 13, 2026
SCP HealthLos Angeles,CA
SCP Health seeks a Senior Vice President, Anesthesia APP to lead multi-site CRNA teams and drive clinical leadership across the network. You will partner with hospital leadership, oversee performance and compliance, and help shape growth...
Posted October 4, 2026
Barton AssociatesLos Angeles,CA
Barton Associates, Inc. in Oregon is seeking a Physician-Anesthesiologist for a 60-day locum assignment starting August 3, 2026. The role offers diverse shifts (10, 12, and 16 hours) with remote first call, focused on medically supervising...
Posted October 14, 2026
Children's Hospital Los AngelesLos Angeles,CA
Certified Registered Nurse Anesthetist Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team...
Posted October 1, 2026
BJC HealthCareLos Angeles,CA
BJC HealthCare is seeking a registered nurse to join a remote Utilization Review team. The role supports multiple hospital units with no patient communication, and it is designed for local remote work with weekend rotation. Responsibilities...
Posted October 14, 2026
BeaconLos Angeles,CA
About the Role: Our client, a leading telehealth platform, is expanding rapidly and looking for a dedicated Nurse Practitioner to join their virtual care team. You will provide exceptional primary care services to a diverse patient...
Posted October 3, 2026
St Mary Medical CenterLong Beach,CA
*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...
Posted October 1, 2026
PIH HealthLos Angeles,CA
...
Posted October 12, 2026
Virginia Mason Medical CenterLos Angeles,CA
Virginia Mason Medical Center in the Puget Sound region seeks a Clinical Documentation Review Specialist (RN) to clarify patient records for appropriate reimbursement and care complexity. You will conduct concurrent reviews and engage with...
Posted October 11, 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 October 1, 2026
Department of Veterans AffairsLos Angeles,CA
Join us During a Time of Growth and Transformation Become a part of the Greater Los Angeles VA Healthcare System as it undergoes significant expansion and transformative change. This is a unique opportunity to contribute to a system...
Posted October 15, 2026
YohLos Angeles,CA
Yoh is seeking a Utilization Management Nurse Coordinator (RN or LVN) for a 6+ month remote contract with a managed care client based in Northern California. Training occurs onsite in Fairfield or Redding for three weeks, then transitions to fully...
Posted October 8, 2026
Northwell HealthLos Angeles,CA
Northwell Health is seeking a Registered Nurse CDI Auditor to validate acute inpatient coded charts and ensure documentation substantiates diagnostic information. This remote position in New York requires a NY RN license, a BSN, and strong...
Posted October 7, 2026
Gainwell TechnologiesLos Angeles,CA
Gainwell Technologies is hiring a Senior Nurse Reviewer for a remote, home-based role across the continental US. The position focuses on reviewing medical claims, UB-04 forms, and itemized bills to ensure accuracy and proper billing, with emphasis...
Posted October 15, 2026
FRESENIUSInglewood,CA
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new...
Posted October 14, 2026
IQVIALos Angeles,CA
IQVIA LLC is seeking a Flex Nurse Educator to advance patient support and education. The role combines remote education with in-field visits during territory vacancies, maintaining privacy and high educational standards. Responsibilities...
Posted October 14, 2026
ActalentLos Angeles,CA
Actalent is seeking a dedicated LVN Nurse Consultant for a fully remote telephonic nursing role. You will contact patients or caregivers, including those in nursing homes, to ensure adherence to prescribed therapies and resolve issues.
Posted October 9, 2026
PeratonLos Angeles,CA
Peraton is seeking a Nurse Reviewer Team Lead to guide a medical review team within SafeGuard Services, ensuring timely, accurate review of medical claims and referrals for investigations. The role demands clinical expertise, strong communication,...
Posted October 13, 2026
ADPLos Angeles,CA
IPRO in New Rochelle, NY seeks a Nursing Home Surveyor/Complaint Investigator to assist NYSDOH with surveillance and investigations at nursing homes and TCUs. The role involves reviewing abuse eglect allegations, preparing reports, and ensuring...
Posted October 14, 2026
The Ohio State UniversityLos Angeles,CA
The Ohio State University is seeking a Staff Nurse (RN) for Oncology Continuing Care Triage. This remote phone triage role handles oncology patient calls, performs initial assessments, and uses triage algorithms to guide care. The nurse documents...
Posted October 3, 2026