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HumanaLos Angeles,CA
Utilization Management Registered Nurse The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration...
The Judge GroupLos Angeles,CA
Prior Authorization RN - Contract Role Location Requirement: Candidate must reside in NJ, PA, NY, CT, or MD Work Model: WFH, but must be able...
Working NurseLos Angeles,CA
Working Nurse in Los Angeles is seeking a Clinical Policy Nurse RN II. This full-time position involves analytical research and assessment based on legislation affecting healthcare policies. The ideal candidate will translate regulatory impacts...
staff todayLos Angeles,CA
Job Description Health Advocates Network is currently seeking a Registered Nurse to work at a facility in Los Angeles, California. These are registry positions with our company.
TeamHealthLos Angeles,CA
Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...
University of UtahLos Angeles,CA
Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...
MedWatch LLCLos Angeles,CA
Medical Review Specialist Scope: The Medical Review Specialist is a Registered Nurse who conducts the Utilization Review process by obtaining medical information and confirming the medical necessity of hospital admissions and/or...
LancesoftLos Angeles,CA
LanceSoft is seeking a local contract nurse RN Research / Clinical Research for a local contract nursing job in Los Angeles, California. Job Description & Requirements Specialty: Research / Clinical Research Discipline: RN Start Date: 07/20/2026...
CareforthLos Angeles,CA
About Us A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and...
City of Los Angeles, CALos Angeles,CA
A municipal government agency in Los Angeles is looking for a Correctional Nurse to provide professional nursing services to arrestees in City jails. The role involves performing patient evaluations, treatments, and emergency care, alongside...
Carle HealthLos Angeles,CA
Overview Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk of mortality which...
Hireops Staffing LlcLos Angeles,CA
Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to...
Greenlife Healthcare StaffingLos Angeles,CA
RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time Hourly Rate: $50/hr About Greenlife...
WalgreensLos Angeles,CA
Job Description: Job Summary: Responsible for patient focused programs which may include but is not limited to: collaborating with health care team in providing direction for maintaining high quality...
L.A. Care Health PlanLos Angeles,CA
Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13077 Salary Range:...
Choices Case ManagementLos Angeles,CA
Choices Case Management, Inc. is seeking a Medical Case Manager to work from home while providing care coordination in workers' compensation cases. This is a training position for Registered Nurses without prior workers' comp experience, requiring...
Blue Shield of CaliforniaLong Beach,CA
Job Description Your Role The Clinical Quality Team is responsible for reviewing and abstracting medical records to capture data and to ensure accuracy and completeness. The Clinical Quality Reviewer...
Mary Washington HealthcareLos Angeles,CA
Start the day excited to make a difference...end the day knowing you did. Come join our team. Job Summary: The Virtual Registered Nurse (VRN) is responsible for providing professional nursing care with collaboration from the...
UnitedHealth GroupLos Angeles,CA
Job Title Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care,...
Universal Hospital ServicesTorrance,CA
ResponsibilitiesDel Amo Behavioral Health System, a subsidiary of UHS, offers a safe and compassionate environment for individuals seeking hope and healing from emotional, psychiatric and addiction issues. The system provides inpatient, outpatient...
Molina HealthcareLong Beach,CA
Job Title Provides support for healthcare services clinical auditing activities. Job Summary Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired...
City of Los AngelesLos Angeles,CA
Annual Salary$82,162 to $120,122; $92,373 to $135,051; $98,031 to $143,341. A 2.75% bonus may be paid upon proof of professional nursing certification by a professional organization that is relevant and applicable to the duties performed. Some...
University of WashingtonLos Angeles,CA
Job Description UW Medical Center - Montlake has an outstanding opportunity for a Registered Nurse to join our Clinical Research Center team. Our CLINICAL RESEARCH CENTER (7S) is a 15-bed unit (10 in-patient beds, 5...
Denver HealthLos Angeles,CA
We are recruiting for a mission-driven RN Educator, Clinical Documentation Integrity - Must Reside in Colorado to join our team! We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something...
Elevance HealthLos Angeles,CA
Elevance Health is seeking a Nurse Appeals RN to work virtually full-time, with in-person training required. The role involves investigating medical necessity appeals requests and requires a high school diploma and 2+ years of managed care...

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