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CVS HealthLos Angeles,CA
CVS Health is seeking a Utilization Management Nurse Consultant (Medical Review) to ensure members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers. This fully remote role leverages your...
Dartmouth-Hitchcock Medical CenterLos Angeles,CA
Dartmouth-Hitchcock Health is seeking a Remote Registered Nurse (RN) for Direct Triage in a 24-hour-per-week, part-time role. The RN will perform telephone triage, assess symptoms, educate patients, and document in Epic EMR from a secure home...
Assured NursingLong Beach,CA
Assured Nursing is seeking a local contract nurse RN CCU - Coronary Care for a local contract nursing job in Long Beach, California. Job Description & RequirementsSpecialty:...
VITAS HealthcareLos Angeles,CA
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...
HCS 247Los Angeles,CA
HCS 247 is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...
Sentara HealthLos Angeles,CA
Sentara Health is hiring an Integrated Case Manager, RN. This remote role requires travel to Roanoke, VA for in-person assessments and periodic member visits. You will manage care plans, coordinate services, and collaborate with medical directors...
HCSC GroupLos Angeles,CA
HCSC is seeking a remote QOC Nurse under the supervision of the QOC Manager to conduct review and investigation of quality of care issues. The role supports quality improvement activities in compliance with CMS, NCQA and other regulatory...
VAIL HEALTH HOSPITALLos Angeles,CA
Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most...
Providence Health and ServicesSanta Monica,CA
Job Description RN - Ambulatory Surgery PreOp/PACU at Providence Saint John's Health Center in Santa Monica, CA. This position is Per-Diem and will work 8-hour, Day shifts. Join Providence Saint John's Health Center,...
TriWest Healthcare AllianceLos Angeles,CA
TriWest Healthcare Alliance is seeking a Utilization Management Clinical Review nurse to assess medical necessity and manage prior authorizations for Behavioral Health and Medical/Surgical requests. You will apply InterQual criteria, document in...
Remote ServicesLos Angeles,CA
Vivo Care, a patient-centered health platform, seeks a Care Navigator (RN/LPN/LVN) for remote work in the CST window. You'll build trusted relationships with patients, conduct wellness calls, and coordinate care using RPM data to drive health...
Syneos Health CareersLos Angeles,CA
Description Research Nurse (Per Diem) - Oahu, Hawaii Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include...
NTT DATALos Angeles,CA
NTT DATA is seeking a Clinical Reviewer Specialist to perform clinical and medical necessity reviews for appeals, ensuring compliance with state and federal regulations, Medicaid, and NCQA standards. This fully remoteFlorida-based position...
Children's Hospital Los AngelesLos Angeles,CA
Registered Nurse Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Evenings Job Description Join a team that's shaping the...
BlueCross and BlueShield of South CarolinaLos Angeles,CA
BlueCross and BlueShield of South Carolina seeks an RN Medical Reviewer II to join the Palmetto GBA Medical Review team. You will perform medical reviews using clinical information, apply guidelines, and help ensure accurate coverage and payment...
AmeriPharmaLos Angeles,CA
AmeriPharma is seeking a Clinical Intake Registered Nurse (RN) to provide nursing-focused clinical review and coordination for patients referred to specialty pharmacy, home infusion, and ambulatory infusion services. This fully remote role...
Trinity Health at HomeLos Angeles,CA
Trinity Health At Home is seeking a Virtual Care Coordinator RN to deliver telehealth hospice care and coordinate individualized care plans for patients and families from a remote setting. The role involves monitoring patient conditions,...
PeratonLos Angeles,CA
Peraton, through SafeGuard Services (SGS), is seeking a Nurse Reviewer to conduct medical record reviews and determine claim payments with sound clinical judgment. The role involves researching Medicare regulations, identifying billing issues, and...
Hippocratic AILos Angeles,CA
RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to 25 hrs/week About the Role We are seeking Nurses & Nurse Practitioners with clinical experience in one or more of the...
Bailey Medical CenterLos 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 team...
ElaraLos Angeles,CA
Elara Caring is seeking a Remote Hospice Triage Registered Nurse (RN) to join our expanding remote care team. This weekend-only position supports hospice patients and families after hours from home. You will triage by phone across multiple...
TalentBurstFullerton,CA
TalentBurst, Inc is seeking a travel nurse RN Research / Clinical Research for a travel nursing job in Fullerton, California. Job Description & RequirementsSpecialty:...
Pacer GroupLos Angeles,CA
Title: Clinical Review Nurse Concurrent Review Location: Remote Duration: 12 months (Potential Extension) Schedule: Mon-Friday, 11AM to 8pm CST; Weekends and Holidays on a rotation basis based on...
SedgwickLos Angeles,CA
Sedgwick is seeking an RN Telephonic Case Manager to support injured workers remotely. You will partner with workers, employers, and medical providers to develop care plans that promote medical recovery and a successful return to work. The...
Guide-HealthLos Angeles,CA
Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to...

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