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AmpcusLos Angeles,CA
A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...
PIH HealthLos Angeles,CA
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BuyidahorealestateLos Angeles,CA
Bring your clinical expertise. Raise the standard. Add LIFE to the years of the people we serve. VitaCare Living is seeking an experienced Registered Nurse (RN) to support our assisted living and memory care communities in Stratford,...
Virtual VocationsLos Angeles,CA
Serving as the strategic quality advisor for a portfolio of Value-Based Care organizations, the full-time Lead VBC Quality Consultant will analyze performance, develop quality improvement strategies, and partner with provider organizations to...
Advanced Health InstituteLos Angeles,CA
Advanced Health Institute is seeking a skilled MDS nurse to join our consulting team. The role can be Part Time with potential to become Full Time and offers a mix of Remote and On-site engagement with clients in the Minneapolis area. You...
VitaCare Living Ladysmith I & Ladysmith IILos Angeles,CA
VitaCare Living seeks an experienced Registered Nurse (RN) to support our assisted living and memory care communities in Ladysmith, Wisconsin, as a contracted RN Consultant. You will oversee clinical practice, ensure regulatory compliance, educate...
State of North CarolinaLos Angeles,CA
State of North Carolina - Health & Human Services in North Carolina seeks a Nurse Consultant I who conducts regulatory nursing home inspections to ensure compliance with federal and state standards. The role involves travel across Central and...
VitaCare Living - Mount Horeb, WILos Angeles,CA
VitaCare Living - Mount Horeb, WI seeks an experienced Registered Nurse (RN) Consultant to support our assisted living and memory care communities in Mount Horeb. This contracted role focuses on clinical oversight, regulatory compliance, staff...
Womble Bond Dickinson (US) LLPLos Angeles,CA
Womble Bond Dickinson (US) LLP seeks a Nurse Consultant to join our team. The Nurse Consultant provides high-level medical analysis and insight in support of legal matters, reviewing, interpreting, and synthesizing complex records into clear,...
Cunningham Children's HomeLos Angeles,CA
Cunningham Children's Home in Urbana, IL seeks a Nurse Case Manager to support residential programs serving youth with emotional and physical care needs. Responsibilities include medical case management, screenings, education, counseling, and...
Prime HealthCareLynwood,CA
Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the...
IstssLos Angeles,CA
CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote capacity. The role reviews inpatient and outpatient services using evidence-based criteria, authorizes care with providers, and escalates cases as needed.
Guardian Life Insurance CompanyLos Angeles,CA
Guardian Life Insurance Company seeks an experienced RN Clinical Consultant to evaluate short- and long-term disability claims, analyze medical information, assess functional capacity, and support claim decisions. You will collaborate with...
River Valley Child Development ServicesLos Angeles,CA
River Valley Child Development Services Inc seeks a Child Care Nurse Health Consultant to provide technical assistance and develop trainings on health, safety, and nutrition for childcare providers in WV. This exempt, full-time role offers remote...
VeracityDowney,CA
RN - Quality & Safety Improvement Consultant V, Patient SafetyOnsiteDowney, CATravel: Yes, 10 % of the TimePatient Safety Officer RN in acute care hospital setting. You will attend national safety goal monitoring committees, sit on nursing...
Apremium Healthcare SolutionLos Angeles,CA
APremium Healthcare Solution, LLC is seeking a Virtual Nurse Consultant to provide remote nursing guidance and care coordination from a flexible, virtual setting in Conyers, GA. The role emphasizes high-quality patient outcomes and HIPAA-compliant...
State of WashingtonLos Angeles,CA
The State of Washington's Department of Social and Health Services seeks a Nursing Consultant Institutional in Arlington. You will conduct licensing inspections and investigations, evaluate care quality, and ensure compliance with state...
Michigan Public Health InstituteLos Angeles,CA
Michigan Public Health Institute (MPHI) is seeking a Nurse Consultant - Tuberculosis to coordinate and enhance Michigan's TB program, connecting providers with TB experts and promoting best practices across the state. The role focuses on...
4062 Aetna Resources, LLCLos Angeles,CA
CVS Health is seeking a Nurse Consultant in Utilisation Management for a 100% remote role in the United States. You will review inpatient and outpatient services, authorise care, and coordinate with providers, while maintaining documentation and...
4004 Aetna Medicaid AdministratorsLos Angeles,CA
CVS Health in Oklahoma is seeking an experienced Utilization Management Nurse Consultant (RN) for a 100% remote role based in Oklahoma. You will review medical necessity, coordinate care, support discharge planning and provide coverage...
UnitedHealth GroupLos Angeles,CA
About This Role The Clinical Consultant RN, Medical Policy Writer role at UnitedHealth Group involves providing clinical leadership for assigned Optum products, focusing on the development of clinical utilization management guidelines and...
ActalentLos Angeles,CA
Fully Remote: Clinical Documentation SpecialistFacilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical records to...
Amerit ConsultingLos Angeles,CA
Amerit Consulting is seeking an experienced Utilization Management Nurse (RN) in California for a remote 6-month contract. The incumbent will support inpatient utilization review, medical necessity determinations, and facility claims compliance,...
Preferra InsuranceLos Angeles,CA
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...
Guardian LifeLos Angeles,CA
Guardian Life seeks an experienced RN Clinical Consultant to evaluate disability claims, analyze medical information, and provide clinical recommendations for claim decisions. You will collaborate with providers, claimants, and staff, ensuring...

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