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ComagineLos Angeles,CA
Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years. We...
Gainwell TechnologiesLos Angeles,CA
Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We...
VariteLos Angeles,CA
Job Description: Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical...
MLK Community HospitalGardena,CA
Event...
Virtual VocationsLos Angeles,CA
To support clinical auditing efforts, the full-time RN Clinical Auditor will perform retrospective chart reviews on Readmission and Place of Service Claims, utilizing clinical guidelines and proprietary systems while maintaining productivity and...
Engage ConsultingLos Angeles,CA
Job Type Full-time Description REMOTE RN MDS CONSULTANT-Full Time Engage Consulting is seeking an experienced Registered Nurse (RN) with strong MDS, Case Mix, and Quality Measure experience to...
Greenlife Healthcare StaffingLos Angeles,CA
RN Health Care Facility Surveyor - Washington Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting...
Guardian Life InsuranceLos Angeles,CA
RN Clinical Consultant The RN Clinical Consultant serves as a clinical resource for the investigation and assessment of medical information regarding disability by providing comprehensive medical reviews and analysis of long-term and or...
Atlantis HealthLos Angeles,CA
Are you our next Change Agent? We are seeking a compassionate and experienced Patient Support Program (PSP) Nurse to deliver exceptional, one-on-one support to patients navigating their treatment journey. You will be part of...
San Gabriel/Pomona Regional CenterMaywood,CA
Description: The Organization San Gabriel/Pomona Regional Center (SG/PRC) is a private, nonprofit agency contracted with the California Department of Developmental Services (DDS) to provide services and...
Generis TEkLos Angeles,CA
Please contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Nikhil Jhajharia at email address [email protected] can be reached on # 630-576-1935. We have...
Trinity HealthLos Angeles,CA
Employment Type: Full timeShift: Day Shift Description: Purpose Work Remote Position (Pay Range: $36.8795-$47.8193) The...
Aptive ResourcesLos Angeles,CA
Registered Nurse Risk Manager Aptive is seeking a registered nurse risk manager. IHSC's mission is to provide medical care to maintain the health of individuals in the custody of ICE through an integrated health care delivery system,...
InSync Consulting ServicesLos Angeles,CA
Travel Registered Nurse Travel profession: RN specialty: L&D Weekly pay: $2,779 Shift details: 12-hour NOC Job order details: start date 07/06/2026, end date 10/05/2026, duration 13 weeks Client details: city...
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...
Oak St. HealthLos Angeles,CA
Utilization Management Nurse Consultant 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...
LifePoint HealthLos Angeles,CA
RN Clinical Documentation Improvement Specialist This is a REMOTE opportunity Your experience matters: Frye Regional Medical Center, located in the beautiful foothills of North Carolina is a 355-bed acute care hospital,...
Allina HealthLos Angeles,CA
Location Address: 2925 Chicago AveLoading DockMinneapolis, MN 55407-1321 Date Posted: June 15, 2026 Department: 16007317 System Complex Care Management Shift: Day (United States of America)...
Cambia Health SolutionsLos Angeles,CA
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah *Please be advised that this role is part of our candidate pool, which allows us to identify and attract...
Care Navigators On DemandGlendale,CA
RN Case Manager Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. Partners with medical staff, utilizes...
Hireops Staffing LlcLos Angeles,CA
Medical Review Nurse (RN) Remote position, however, candidates must reside in the State of TX or State of IL This position is a contract for about 9 months. Pay: $41/hour RN working in the insurance or managed care...
Virtual VocationsLos Angeles,CA
To support healthcare revenue solutions, the full-time Remote Clinical Review Nurse will analyze denied insurance claims, draft persuasive appeal letters, and collaborate with legal teams to optimize patient care revenue without direct patient...
Becton DickinsonLos Angeles,CA
Clinical Specialist The Clinical Specialist is a resource for the execution of the Medication Delivery Solutions value-added clinical business strategy. The role implements clinical programs and initiatives that differentiate the MDS...
Yes Him ConsultingLos Angeles,CA
Clinical Documentation Integrity Specialist/Consultant The Clinical Documentation Integrity (CDI) Specialist/Consultant serves as a trusted advisor to client organizations, providing expert guidance in clinical documentation practices...
Vivian HealthHuntington Park,CA
RN Utilization Mgmt Full-Time Day POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include: the e-TAR process, denials management,...

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