Virtual VocationsLos Angeles,CA
Focused on auditing outpatient and specialty claims, the full-time Clinical Auditor RN will utilize coding and clinical chart validation expertise to ensure accuracy, medical necessity, and appropriateness of services delivered, while working in a...
Posted June 20, 2026
PIH HealthWhittier,CA
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Posted June 25, 2026
Option Care EnterprisesHacienda Heights,CA
An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home, or in an alternate infusion suite, to ensure patient safety with continuity and compliance under a physicians...
Posted June 25, 2026
Dignity HealthLos Angeles,CA
As a 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 leverage your expertise to provide individualized,...
Posted June 25, 2026
UnitedHealth GroupLos Angeles,CA
Ssbv Clinical Claims Review Rn 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...
Posted June 25, 2026
RCM Health Care ServicesLos Angeles,CA
Job Description Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if applicable): This role is eligible...
Posted June 21, 2026
Carle HealthLos Angeles,CA
Overview Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk of mortality which...
Posted June 24, 2026
MRINetworkLos Angeles,CA
Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity criteria to provide quality care...
Posted June 17, 2026
Metropolitan Jewish Health SystemLos Angeles,CA
Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...
Posted June 21, 2026
University of Southern CaliforniaLos Angeles,CA
As an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. Provides nursing care in accordance with departmental policies and procedures and established standards of...
Posted June 25, 2026
HumanaLos Angeles,CA
Utilization Management Registered Nurse The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration...
Posted June 25, 2026
BroadpathLos Angeles,CA
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...
Posted June 23, 2026
Emory HealthcareLos Angeles,CA
Emory Healthcare Utilization Review Specialist Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership...
Posted June 24, 2026
UCLA HealthLos Angeles,CA
The CTRC is a research environment that cares for research participants on clinical trials. The clinical trials may be phase I trials, gene therapy, radioligand investigational products or investigational devices. The CTRC nurse practitioner will...
Posted June 25, 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 June 22, 2026
Denver HealthLos Angeles,CA
We are recruiting for a mission-driven RN Educator, Clinical Documentation Integrity - Must Reside in Colorado to join our team! We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something...
Posted June 25, 2026
Prisma HealthLos Angeles,CA
Post-Discharge Patient Outreach Coordinator Inspire health. Serve with compassion. Be the difference. Responsibility for initiating phone contact with discharged patients from specified units, conducting query on patient experience...
Posted June 23, 2026
DaVitaMonterey Park,CA
Deliver direct patient care in an outpatient dialysis setting. Monitor patients, manage treatment plans, and respond to health changes. Collaborate with a supportive clinical team, including Patient Care Technicians. Educate patients and families on...
Posted June 25, 2026
AHMC HealthcareMonterey Park,CA
Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation and evaluation. Responsible for directing and coordinating all nursing care based on established clinical nursing care for...
Posted June 25, 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 June 20, 2026
Cohere HealthLos Angeles,CA
Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...
Posted June 14, 2026
National Guard Employment NetworkLos Angeles,CA
CD RN (Clinical Documentation Specialist)-Level 2 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.
Posted June 18, 2026
Greenlife Healthcare StaffingLos Angeles,CA
RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time Hourly Rate: $50/hr...
Posted June 16, 2026
Providence Health & ServiceLos Angeles,CA
Job Description RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...
Posted June 24, 2026
Direct JobsLos Angeles,CA
Direct Jobs seeks a dedicated RN Navigator for Infectious Disease Transition Services to manage outpatient parenteral therapy and complex antimicrobial treatments. The role emphasizes collaboration with physicians and care teams to ensure safe...
Posted June 22, 2026