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Northwell HealthLos Angeles,CA
Job Description Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and...
Cambia Health SolutionsLos Angeles,CA
Cambia Health Solutions is seeking a Remote Care Management Nurse to provide comprehensive clinical care management, including case management, for members in Idaho and surrounding states. Candidates must be Registered Nurses with a minimum of 3...
HumanaLos Angeles,CA
Humana is seeking a skilled Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations for post-acute care such as SNF, Home Health, and DME. You will report to the Manager of Utilization...
MaximusLos Angeles,CA
RN Clinical Assessor - (Hybrid Remote - Cumberland/York, Maine) General information Date Friday, August 21, 2026 City Cumberland Center State ME Country United States Working...
Parkview HealthLos Angeles,CA
*This position is located in Fort Wayne, Indiana it is is NOT a remote role. Summary Independently plans and provides excellent professional nursing care for patients in accordance with physician orders,...
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...
Ontario Trillium FoundationLos Angeles,CA
Ontario Trillium Foundation is seeking Nursing Professionals for Seasonal Flu Clinics across various sites including corporate offices, schools and municipalities. Nursing staff will administer flu vaccines, answer questions, and monitor patients...
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...
Syneos HealthLos Angeles,CA
Syneos Health, Inc. in Spain is seeking a Perm Part Time Research Nurse to support clinical trials in the Barcelona area. This remote role coordinates patient visits, data collection, and adherence to study protocols while maintaining regulatory...
IsheLos Angeles,CA
UnitedHealth Group is seeking a SSBV Clinical Claims Review RN to perform administrative reviews of short stay inpatient hospital claims and document determinations. The role offers telecommuting from anywhere in the U.S. with a focus on...
EK Health ServicesLos Angeles,CA
EK Health is hiring a full-time Telephonic Nurse Case Manager (RN) for our Case Management Team. The role includes assessing, planning, coordinating, and evaluating service options to ensure injured workers receive timely, cost-effective care and...
CommonSpirit HealthLos Angeles,CA
Where You'll Work Founded in 1887, Dignity Health - California Hospital Medical Center is a 318-bed, acute care, nonprofit hospital located in downtown Los Angeles, California. Serving over 100,000 patients annually, the...
Oscar HealthLos Angeles,CA
Oscar Health is seeking a Utilization Review Nurse to join our team. You will review cases, verify medical records, and consult with care providers to assess treatment appropriateness using Oscar Clinical Guidelines, MCG, and InterQual. The...
Townsen MemorialLos Angeles,CA
A healthcare network is seeking a full-time Registered Nurse for Pre-Admission Testing (PAT) to work remotely. The role involves conducting comprehensive pre-operative assessments, coordinating with the medical team, and ensuring patient readiness...
ardent healthLos Angeles,CA
Virtual Care Registered Nurse (RN) Join our team as a day shift, full-time Virtual Care Registered Nurse (RN). Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our...
CareerwebsiteLos Angeles,CA
Atrius Health, part of the Optum family, seeks a Registered Nurse to deliver effective care within a specialty, adhering to nursing standards. The role emphasizes education, care coordination, and EMR documentation, with remote work flexibility...
The Ohio State UniversityLos Angeles,CA
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Bestica HealthcareLos Angeles,CA
RN Special Procedures • Start: 10/26/26 • Duration: 13 weeks • Shift: Variable 10-hour days • Schedule: 7:00a–5:30p, 8:00a–6:30p, or 9:00a–7:30p • Call: Required; Cath Lab RN call schedule • Specialty: Special Procedures...
Mass General Brigham Health PlanLos Angeles,CA
Mass General Brigham Health Plan is hiring a Registered Nurse for remote work with occasional onsite meetings in Somerville, MA. You will handle clinical appeals and grievances, interact with providers and members, and coordinate with the medical...
3B HealthcareLos Angeles,CA
Registered Nurse Outpatient Clinic CSMN - 1101290 - ENT 590W Day 5x8-Hour (08:00 - 17:00) Location: 8635 W. 3rd Street, Los Angeles, CA Required: CA RN license BLS COVID/Flu...
PIH HealthWhittier,CA
Registered Nurse (RN) Urgent Care, Per Diem, 10 Hour, 9:30am-8:30pm The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential...
Magnolia Health PlanLos Angeles,CA
Job Description You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive...
Virtual VocationsLos Angeles,CA
To support an upcoming clinical project, experienced Registered Nurses (RNs) will find a fully remote contract opportunity as a Remote RN Clinical Consultant, focusing on conducting comprehensive medical record and clinical chart reviews while...
IntelliResumeLos Angeles,CA
The Remote Registered Nurse in Clinical Denials Prevention & Appeals at Northwell Health is responsible for developing and implementing patient care plans while collaborating with healthcare teams. This role emphasizes assessment and communication...
Trinity HealthLos Angeles,CA
Employment Type: Full time Shift: Night Shift Description: Position Summary: Reviews assigned cases applying specific criteria and payor guidelines and communicates this review to...

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