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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: We're seeking a highly skilled critical care nurse with at least three years of ICU or Emergency Department experience to join our flight team. You'll provide advanced care to critically ill and injured patients during air and...

POSITION SUMMARY Reporting to the Director, Ambulatory Services of the Martin Luther King, Jr. Los Angeles (MLK-LA) Healthcare Corporation, the Ambulatory Clinical Supervisor is responsible for successfully managing day to day...

We are looking for a L&D Nurse to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. Physicians & Advanced Practice...

#SRN This position represents 5 openings. Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in...

Providing clinical review support on an as-needed basis, the part-time PRN Clinical Review Nurse (RN) will review medical records for medical necessity, authorization compliance, and payer guideline alignment while supporting appeal submissions...

Optum Waste and Error Claims Investigator 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...

Senior Specialist, Quality Improvement (Registered Nurse) Reason for opening: FTE support needed for "Q4 Push" to close Medicare/MMP gaps in care with member & community events Will this role be fully remote? Yes Are there...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for...

Community Health Network is seeking an Ambulatory Triage Registered Nurse to join the Family Medicine Care team. The RN will perform phone triage, patient education, scheduling, prior authorizations, prescription refills, referrals and care...

The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely...

Guidehealth is seeking a Utilization Management Registered Nurse (RN) for a fully remote, full-time position. The role involves applying medical necessity criteria to reviews, documenting findings, and interfacing with providers and members to...

Quality Manager - RN Nursing leaders are encouraged to consider a full-time Quality Manager position with Liberty Healthcare. This is a key management role with new statewide initiative to improve the efficiency and effectiveness...

Clinical Professional Opportunity At Prenuvo, we are on a mission to flip the paradigm from reactive "sick-care" to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and...

Description This posting is for multiple openings of a Call Center Advice RN at The Nurse Advice Call Center in Brea, CA! We offer Part Time and Full Time positions, based on availability. Please ask at the time of...

Centene is hiring for a Care Manager (RN) to develop, assess, and facilitate complex care management activities for members with physical needs. This role targets nurses with bedside NICU experience and a passion for high-quality, cost-effective...

Townsen Memorial is looking for a full time Registered Nurse, PAT to join our team remotely ! Must reside in Texas. SUMMARY The Registered Nurse, Pre‑Admission Testing (PAT) is responsible for...

Pager Health℠ redefines how members navigate to care and wellness, validated by clinicians and powered by AI. Our solutions help people get the right care at the right time in the right place and stay healthy, while...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

MES Solutions seeks a self-driven RN to join as Clinical Quality Assurance Coordinator, in a 100% remote role. Work schedule is Monday - Friday, 10:00am-6:30pm EST with rotating Fridays 12:00pm-8:30pm EST. You will review peer reports, ensure...

Job Description Are you ready to bring your clinical competencies to a world-class facility recognized as top ten in the United States? Do you have a passion for the highest quality and patient satisfaction? Then please...

Staff Today is seeking a local contract nurse RN Behavioral Health for a local contract nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...

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,...

JOB TITLE: Preop - PACU Nurse GENERAL SUMMARY OF DUTIES: Under direction, the Nurse is responsible for providing professional direct or indirect nursing care to patients in both the preoperative and...

Become a part of our caring community The Field Care Manager Registered Nurse (RN) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources...