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Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...

A specialized legal consulting firm in Los Angeles seeks a Legal Nurse Consultant to support attorneys with medical litigation. You will use your clinical expertise to conduct intakes, review key medical records, and provide guidance on complex...

Professional Education/Development Consultant RN job at Kaiser Permanente. Pasadena, CA.Job Summary Provides program planning/management, consultative and strategic planning services to senior executives and nursing executives in areas of nursing...

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting...

Utilization Review NurseWork Location: Los Angeles, CAJob #: 30315Work Hours: Monday-Friday 8am-4:30pmEmployment Type: 4 – Staff- LimitedDuration: 6 monthsSalary Range: $74.16–107.75 hourlyPosted Date: May 15, 2026Bargaining Unit: CNA –...

OverviewSt. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the hospital...

Duties Help Duties include, but are not limited to: Participate in several facility councils, committees, and workgroups. Apply specialized principles and practices to ensure a systems approach to healthcare...

Job Summary and ResponsibilitiesAs a RN Care Coordinator, you will be a central figure in patient care, seamlessly navigating the healthcare journey to achieve optimal outcomes and an exceptional patient experience.Every day, you will...

Senior Clinical Education Consultant 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...

A well-established, premier group practice specializing in Gynecology, Urogynecology, Hormone therapy, and medical aesthetics needs a FNP/WHNP to join. Established in 2004, the practice has grown consistently...

The Lead, RN Case Manager is an experienced RN Case Manager who provides clinical and operational support to the Care Management leadership team. In addition to performing the full scope of an RN Case Manager, the Lead is...

Praxis Health is hiring a Nurse Care Manager for a remote position, supporting patients through their healthcare journey. This role requires an active nursing license in Oregon, Washington, or Idaho. The Nurse Care Manager coordinates care,...

JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member...

A quality improvement consulting company is seeking a RN Health Care Facility Surveyor to conduct remote surveys with travel up to 75%. Candidates must possess a nursing degree and a valid RN license. The role requires evaluating healthcare...

Job DetailsLevel: ExperiencedJob Location: Hawthorne, CA 90250Position Type: Part TimeSalary Range: $90.00 - $117.00 HourlyJob Shift: DayStatement of Purpose The Nurse Practitioner (NP) is responsible for preventive and acute health care services...

Senior Clinical Education Consultant 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...

Nurse Consultant II (NS) This is a home-based position in the Central/Western Region and individuals should reside in Wake, Guilford, Alamance, Mecklenburg, Forsyth, Durham, Chatham, Randolph, Johnston, Harnett, Lee, Moore, Franklin,...

Registered Nurse Opportunity Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations...

Would you like to be part of an organization that is committed to delivering the highest quality of medical care to our patients? Do you have a passion for using your nursing skills in a state-of-the-art clinical environment? Samuel Oschin Center...

Quality Management Consultant The Quality Management Consultant is responsible for facilitating compliance with VHA Directive, local policies, national guidance, and is responsible for facilitating implementation of service and...

A healthcare consulting firm is seeking licensed Nurse Practitioners (NPs) in New York for part-time telemedicine consultations. The role requires at least 9 hours per week and offers $25 per completed consultation with weekly payments. Ideal...

Clinical Review Nurse - Remote ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to join a...

WHO WE ARE We are VITAS Healthcare, the nation s leading end-of-life care provider since 1978. Our hospice organization kickstarts careers in caring, promotes from within, and provides a nationally recognized best-in-class...

For further inquiries about this opportunity, please contact our Talent Specialist, Remy at (224) 394 4902. Title: Occupational Health Nurse (Part-Time) - REMOTE Duration: 12 Months Location: Deerfield,...

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply...