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School RN Opportunity Make a real impact on student well-being by providing vital nursing support in a dynamic middle school setting near Los Angeles, CA. This contract opportunity places you at the forefront of student health as a...

A healthcare organization is seeking an RN Case Manager to work remotely and facilitate case management activities, evaluating medical needs for overall member wellness. Candidates should have an active RN license, ideally compact, with at least...

Highmark Inc. is seeking a Case Manager to deliver comprehensive case management services to members, coordinating care plans and monitoring progress to improve outcomes while containing costs. You will assess needs, develop individualized...

To support client care authorization processes, the full-time Clinical Letter Writer will gather and review medical records, draft letters of medical necessity, and communicate with team members regarding client authorizations and recertifications...

56300 Job Description Join a team that's shaping the future of pediatric care. Children's Hospital Los Angeles is consistently ranked among the top 10 children's hospitals in the nation, delivering world-class care through more...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

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...

A leading healthcare provider in Columbia, Illinois is seeking an RN Supervisor for the Patient Access Center, focusing on evening shifts. The role demands strong clinical judgment and communication skills to optimize patient admissions and...

VA Greater Los Angeles Healthcare (VAGLAHS) seeks two RN professionals for Remote Patient Monitoring - Home Telehealth. You will oversee the nursing process, care coordination, patient education, and health promotion, collaborating with the...

Impresiv Health is seeking an experienced Concurrent Review Registered Nurse (RN) to join its Utilization Management team remotely. You will perform concurrent reviews, prior authorizations, and discharge planning while collaborating with...

UnitedHealth Group seeks an Inpatient Care Management Nurse to ensure proper utilization of health services for members. You will assess needs, plan care, and collaborate with physicians to expedite appropriate levels of care. The role...

Overview: Mountain Ridge is HIRING MDS Coordinator Flexible Schedule - Full time OR Part time This is not a remote role, onsite is required Offering $10,000 Bonus We are dedicated to improving the lives we touch through the delivery of...

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...

Palo Verde Community College District is seeking an experienced Clinical Documentation Integrity (CDI) Specialist (RN) for a fully remote role based in the US. The position supports quality outcomes, reimbursement accuracy, and regulatory...

Gainwell Technologies is seeking a Medical Reviewer (Registered Nurse) to support California healthcare programs. You will use clinical judgment to review medical records, healthcare services, claims, and authorization requests. You will...

J29, Inc. is seeking a Remote Medical Reviewer (RN) for a temporary assignment to audit Medicare FFS claims, including Part A/B, DMEPOS, and Home Health/Hospice as needed. You will apply CMS rules, document findings, and ensure accuracy in...

Care Career is seeking a local contract nurse RN Case Manager, Utilization Review for a local contract nursing job in Torrance, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/28/2026 Duration:...

JOB DESCRIPTION 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...

Vaya Health seeks a Physical Health Registered Nurse to perform clinical reviews for authorization requests and medical necessity. You will reference standardized criteria and coordinate with physician peers when needed. This role is part of a...

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...

Personify Health is seeking a registered nurse to coordinate wellness and disease management for members in a remote role serving the Pacific Time Zone. You will apply clinical knowledge in a managed care setting, review care gaps, create care...

RN- Immunizing / Vaccination Job Duration: 3+ months (possibilities of extension) Job Location: Monterey Park, CA 91754 Shift: Monday - Sunday-Saturday - 10am-7pm Pay Range: $53.00 to $55.75 per hour on w2 Position Summary: Helping people...

Telenett is seeking a Remote Patient Monitoring Nurse to provide home-based telehealth care. The role involves monitoring patients remotely, performing virtual assessments, and educating on disease and medication management. You will...

A healthcare company is seeking a Tele-Health Registered Nurse to join their Specialty Pharmacy team in Irving, Texas. This role involves counseling patients on specialty drug therapies and ensuring adherence to treatment protocols. Successful...

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...