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Centene CorporationLos Angeles,CA
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...
PacifiCare Health ManagementLos Angeles,CA
Pacificare Health Management is seeking a Nurse Consultant in Los Angeles, CA to provide support for long-term care facilities, ensuring compliance with regulatory standards. The role requires a Bachelor's degree in Nursing, with at least 5 years...
San Gabriel/Pomona Regional CenterHuntington Park,CA
Description: The Organization San Gabriel/Pomona Regional Center (SG/PRC) is a private, nonprofit agency contracted with the California Department of Developmental Services (DDS) to provide services and...
Providence Health & ServiceMission Hills,CA
Providence Health & Services is seeking an RN Utilization Review for a part-time remote position. This role focuses on conducting clinical reviews and utilization reviews across Southern California ministries, requiring effective problem-solving...
Sanford HealthLos Angeles,CA
Registered Nurse Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. The Center for...
Orb HealthLos Angeles,CA
A healthcare company is seeking a Care Management Nurse to provide telephonic care services to chronic patients. The ideal candidate will have a nursing license and 1-2 years of experience in clinical or telehealth settings. Responsibilities...
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...
Sentara HealthLos Angeles,CA
City/State Norfolk, VA Work Shift Multiple shifts available Overview: Sentara Health Plansis hiring a Quality Improvement Coordinator /Registered Nurse (RN) - Remote in Virginia! ...
ViaQuestLos Angeles,CA
Behavioral Consultant (BC) ViaQuest Community Solutions (VCS) offers an excellent opportunity for seasoned clinicians with experience providing waiver-funded Behavioral Support Services. We welcome experienced Behavioral Consultants from...
Voca HealthcareLos Angeles,CA
Voca Healthcare is seeking a travel nurse RN Oncology for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...
UCLALos Angeles,CA
DescriptionThe Utilization Review Nurse is part of the Utilization Management Department at the Resnick Neuropsychiatric Hospital, supporting inpatient, partial hospital, and intensive outpatient programs. Performs clinical reviews with third...
LifePoint HealthLos Angeles,CA
RN Clinical Documentation Improvement Specialist This is a REMOTE opportunity Your experience matters: Frye Regional Medical Center, located in the beautiful foothills of North Carolina is a 355-bed acute care hospital,...
The Expert InstituteLos Angeles,CA
# Legal Nurse Consultant## Company DescriptionAt Expert Institute, we are pioneers and disruptors in the legal space. Simply put, we pair attorneys with the perfect expert witnesses to win high-stakes cases and be the hero for the people,...
LOS ANGELES CARE HEALTH PLANLos Angeles,CA
Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00...
UnitedHealth GroupLos Angeles,CA
Ssbv Clinical Claims Review Rn 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...
Legacy HealthLos Angeles,CA
Overview The Legacy/OHSU Interventional Radiology practice provides services at four locations (EMC, GSMC, MHMC and MPMC) including ambulatory clinics at each site. The IR team cares for both adult and pediatric patients with...
Cohere HealthLos Angeles,CA
Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...
Fairview Health ServicesLos Angeles,CA
Telephone Triage Nurse Line Advisor Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other! Are you ready...
MindoulaLos Angeles,CA
Nurse Educator (RN) The Substance Use Disorder Program at Mindoula Health is looking for a skilled Nurse Educator (RN) with a compact license to join their team. The SUDP works with health plans and physicians to identify, engage and...
L.A. Care Health PlanLos Angeles,CA
L.A. Care Health Plan in Los Angeles is hiring a Utilization Management Claims Review Nurse RN II responsible for conducting clinical reviews of medical claims. The position requires a minimum of 5 years in clinical nursing, with experience in...
AmericareLos Angeles,CA
Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services. To maintain open lines of communication with referral sources and within Americare...
Scion StaffingWest Hollywood,CA
Scion Nonprofit Staffing has been engaged to conduct a search for a Registered Nurse (RN) - Research for a mission-driven clinical research organization advancing equitable healthcare access and innovative treatment...
AccentcareLos Angeles,CA
Clinical Liaison Registered Nurse / RN, Hospice Location: West Allis, WI Position: Clinical Liaison - Hospice RN Remote/Virtual Position: Yes Coverage Area: SE Wisconsin Find Your Passion and Purpose as a...
Amergis Healthcare StaffingLos Angeles,CA
Registered Nurse – Clinic/Wellness/Immunization The Registered Nurse – Clinic/Wellness/Immunization works in a variety of either remote or clinic locations to serve a specific population's health and wellness needs. The Registered...
Staffing Solutions Organization LLCLos Angeles,CA
Nurse Reviewer – State of Illinois Location: Remote with on-site visits across Illinois We are currently seeking Nurses who reside in Central Illinois - preferably in McLean and Sangamon Counties. Position Overview...

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