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Aya HealthcareLos Angeles,CA
Registered Nurse Navigator - Cancer Center Exams - 10 Hour Days Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally...
Seasoned RecruitmentLos Angeles,CA
Seasoned Recruitment is seeking licensed Psychiatric-Mental Health Nurse Practitioners (PMHNPs) to perform online clinical assessments and direct psychotropic medication management. Enjoy autonomy over your schedule and strong administrative...
AvailityLos Angeles,CA
Availity, a leader in healthcare technology, is hiring a UM Nurse Analyst (Clinical Informaticist) to interpret payer medical policies and build AI-enabled decision trees for automated prior authorization. You'll collaborate with Product,...
Thornton TomasettiLos Angeles,CA
Abbott is seeking a CORONARY, CLINICAL SPECIALIST to promote vascular products through education and sales support within a defined territory. You will travel to hospital accounts to educate physicians, nurses and staff on product usage and...
ActalentLos Angeles,CA
Actalent is seeking a dedicated LVN Nurse Consultant for a fully remote telephonic nursing role. You will contact patients or caregivers, including those in nursing homes, to ensure adherence to prescribed therapies and resolve issues.
Centene CorporationLos Angeles,CA
Centene Corp. is seeking a Clinical Review Nurse - Prior Authorization (Hospice) to analyze medical necessity and determine the appropriate level of care. This remote role supports patients nationwide and collaborates with medical directors...
100 Stormont-Vail HealthCareLos Angeles,CA
Position Status: Full time Shift: First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week: 40 Job Information Exemption Status: Non-Exempt A Brief Overview Provides professional nursing care for clinic...
St Camillus Residential HealthLos Angeles,CA
Job Description Job Description Currently Hiring Full Time/Part Time LPNs! ???? Improved Shift Differentials ???? This position is eligible for up to $2,000 sign on bonus! Many of our interviews are being done from the comfort of your own home,...
Catholic Health ServiceLos Angeles,CA
The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care to the terminally ill patient/family unit. The Triage Registered Nurse provides continuity of care to...
Anew CareLos Angeles,CA
American Senior Communities is seeking a Community Nurse Liaison (LPN) to evaluate patients and coordinate with hospital teams for admission to skilled nursing facilities. The role requires weekend hours (Saturday and Sunday 8a–5p) and a remote...
Molina HealthcareLos Angeles,CA
Molina Healthcare is seeking a remote field-based Care Manager RN to support care management and LTSS activities across the greater Cook County area. The role collaborates with a multidisciplinary team to coordinate member care and drive optimal...
HumanaLos Angeles,CA
Humana's CenterWell Specialty Pharmacy seeks a Registered Nurse with a BSN to join as Care Manager, Telephonic Nurse 2 in a fast-paced call-center setting delivering patient support and education. You will support the Patient Management...
kozmetickesluzby.vecnakraska.sk - JobboardLos Angeles,CA
Greenlife Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical studies. With a...
Care CareerTorrance,CA
Care Career is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Torrance, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 10/26/2026 Duration: 13 weeks 40...
Cohere HealthLos Angeles,CA
Cohere Health seeks an experienced RN Reviewer to perform prospective, concurrent, and retrospective reviews ensuring medical necessity and high-quality care. You will collaborate with Medical Directors, providers, and cross-functional teams to...
CVS HealthLos Angeles,CA
CVS Health is seeking a remote RN Case Manager to support members nationwide via telephonic case management. The role involves applying clinical guidelines, coordinating care with physicians and care teams, and ensuring appropriate benefits...
SedgwickLos Angeles,CA
Sedgwick, a global leader in claims management, seeks an RN Telephonic Case Manager to coordinate medical recovery and a successful return to work for injured workers. This remote US role requires an active RN license, a compact license, and 1.5...
The Ohio State UniversityLos Angeles,CA
The Ohio State University is seeking a Staff Nurse (RN) for Oncology Continuing Care Triage. This remote phone triage role handles oncology patient calls, performs initial assessments, and uses triage algorithms to guide care. The nurse documents...
Advocate HealthLos Angeles,CA
Advocate Health is seeking an experienced Registered Nurse for a remote-based Transitional Care role focused on high-risk patients undergoing discharge and 30-day transitions. The role emphasizes comprehensive assessments, patient education, and...
Inland Empire Health PlanLos Angeles,CA
Inland Empire Health Plan in California seeks an LVN-validated Claims Review Nurse to audit medical necessity across inpatient and outpatient claims and support the UM/Claims interface. You will analyze records, determine authorization needs, and...
Comagine HealthLos Angeles,CA
Comagine Health is seeking Clinical Utilization Review Nurses (RN) licensed in Alabama for a remote, full-time role. You will assess medical necessity and quality of healthcare services through prospective, concurrent, and retrospective reviews to...
FONEMEDLos Angeles,CA
Fonemed is seeking a Telehealth Triage Nurse to join our remote team in the United States. The role is full-time (0.8–1.0 FTE) with potential part-time consideration based on availability, requiring a compact nursing license and a CA license as...
CompassusLos Angeles,CA
Compassus is seeking a Hospice RN Clinical Coordinator to oversee administrative and management functions in the absence of the Director of Clinical Services. May carry caseload and ensure compliance with state and federal regulations. Remote role...
Virtual VocationsLos Angeles,CA
To support an innovative AI-driven clinical data annotation team, the remote contract Registered Nurse Clinical Data Specialist will review and annotate AI agent interactions for clinical accuracy, safety, and guideline adherence, with a...
Trinity HealthLos Angeles,CA
Trinity Health is seeking a Night Shift RN Utilization Review in Grand Rapids, MI, offering full-time work with remote options. You will review assigned cases against criteria and payor guidelines to ensure proper reimbursement and medical...

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