Pacer GroupLos Angeles,CA
RN – Utilization Review Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8) | 08:00 – 16:30 PAY DETAILS (72 HOURS / 2 WEEKS) Pay Rate: $65/hr...
Posted June 23, 2026
BlueCross BlueShield of South CarolinaLos Angeles,CA
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or...
Posted June 29, 2026
ScionHealthLos Angeles,CA
Kindred Hospital Los Angeles helps patients return to the lives they love. At our hospital, our physician-led care teams provide critically ill patients with the specialized acute care and rehabilitation they need, for the time they need it -...
Posted July 1, 2026
TotalMed StaffingLos Angeles,CA
Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered Nurse (RN) supporting a health plan or insurance organization, you will use your...
Posted June 20, 2026
Mercy HealthLos Angeles,CA
Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a...
Posted June 21, 2026
Elevance HealthLos Angeles,CA
Elevance Health is seeking a Nurse Appeals RN to work virtually full-time, with in-person training required. The role involves investigating medical necessity appeals requests and requires a high school diploma and 2+ years of managed care...
Posted June 19, 2026
Sanford HealthLos Angeles,CA
Registered Nurse Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. The Center for...
Posted June 18, 2026
MemorialCareLong Beach,CA
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Posted July 1, 2026
Virtual VocationsLos Angeles,CA
Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, analyzing care services, coding requirements, and resource utilization while collaborating...
Posted July 1, 2026
University of WashingtonLos Angeles,CA
Job Description The Division of Metabolism, Endocrinology and Nutrition has an excellent opportunity for a Registered Nurse 2 - Research to join their team. This is an hourly position with a variable shift. Located in...
Posted June 26, 2026
Providence Health and ServicesTarzana,CA
Description Risk Management Analyst RN at Providence Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This position is Full-time and will work Day shifts. Providence Cedars-Sinai Tarzana Medical Center, recognized...
Posted July 1, 2026
University of UtahLos Angeles,CA
Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...
Posted June 22, 2026
Hireops Staffing LlcLos Angeles,CA
Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to...
Posted June 25, 2026
WalgreensLos Angeles,CA
Job Description: Job Summary: Responsible for patient focused programs which may include but is not limited to: collaborating with health care team in providing direction for maintaining high quality...
Posted June 26, 2026
American Recruiting and Consulting GroupLos Angeles,CA
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...
Posted June 26, 2026
Savant Senior LivingDowney,CA
Job DetailsPosition SummaryThe Quality Assurance Registered Nurse is a professional responsible for all quality activities of the organization. The role includes accountabilities for the monitoring, implementation, and evaluation of processes and...
Posted July 1, 2026
Sentara HealthcareLos Angeles,CA
City/State Virginia Beach, VA Work Shift Second (Evenings) Overview: Sentara is hiring Registered Nurses for the Innovative Inpatient Care Model in the Brand-New Centralized Virtual Acute...
Posted July 1, 2026
Molina HealthcareLos Angeles,CA
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...
Posted July 1, 2026
Johns Hopkins HospitalLos Angeles,CA
Overview Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Our employees are the...
Posted July 1, 2026
LOS ANGELES CARE HEALTH PLANLos Angeles,CA
Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)...
Posted June 29, 2026
Adventist HealthLos Angeles,CA
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus — a rejuvenating place for associates...
Posted June 19, 2026
CSMN - 1102080 - TACRI ClinicalLos Angeles,CA
Details Client Name CSMN - 1102080 - TACRI Clinical Job Type Travel Offering Nursing Profession Registered Nurse (RN)...
Posted June 26, 2026
Providence Health and ServicesInglewood,CA
Description The Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive, patient centric care management services for at risk patients in an acute care environment. Accountabilities include...
Posted July 1, 2026
Foundation Health ServicesLos Angeles,CA
Foundation Health in Alaska is hiring a professional to enhance nursing practice through developing and conducting education and training for clinical services staff. The role includes the development of strategic training initiatives, seamless...
Posted June 20, 2026
University of RochesterLos Angeles,CA
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the...
Posted June 29, 2026