American Recruiting & Consulting GroupLos Angeles,CA
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...
Posted June 16, 2026
Molina HealthcareLos Angeles,CA
Job Opportunity Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, no afterhours support, no holidays Job Summary Are you seeking a unique nursing position that gives you a great...
Posted June 10, 2026
Gainwell TechnologiesLos Angeles,CA
Nurse Consultant - Remote in California It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know...
Posted June 21, 2026
Greenlife Healthcare StaffingLos Angeles,CA
RN Health Care Facility Surveyor - Washington Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting...
Posted June 19, 2026
Le CYR ConsultingLos Angeles,CA
Complex Medicare Claims Review Complex Medicare claims/prior authorization requests require the review of medical record documentation to determine the reasonableness and necessity of the billed service in accordance with Medicare rules...
Posted June 16, 2026
Case Management Society of AmericaLos Angeles,CA
Harris Health System is seeking a Utilization Management Review Nurse (UMRN) to assess the necessity and appropriateness of medical services. The UMRN utilizes clinical expertise to ensure care aligns with industry standards, works with healthcare...
Posted June 20, 2026
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,...
Posted June 15, 2026
Herzing UniversityLos Angeles,CA
Description To participate in a remote work arrangement, employees must reside in the United States. No remote work arrangement will be considered for working from outside the United States. Current staff, faculty/adjunct at Herzing...
Posted June 20, 2026
First Connect HealthLos Angeles,CA
First Connect Health is seeking a travel nurse RN NICU - Neonatal Intensive Care for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...
Posted June 19, 2026
Cambia Health SolutionsLos Angeles,CA
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah *Please be advised that this role is part of our candidate pool, which allows us to identify and attract...
Posted June 12, 2026
ComagineLos Angeles,CA
Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years. We...
Posted June 17, 2026
Providence Health & ServiceLos Angeles,CA
Job Description The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically based appeals between Providence Health and Services, California Region (PH&S)...
Posted June 20, 2026
Hines and AssociatesLos Angeles,CA
Description: About Us Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates,...
Posted June 19, 2026
Vivian HealthHuntington Park,CA
RN Utilization Mgmt Full-Time Day POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include: the e-TAR process, denials management,...
Posted June 13, 2026
Kaiser PermanentePasadena,CA
Kaiser Permanente is looking for a nursing leader in Pasadena, CA to provide consultation and leadership in nursing with minimal oversight. This role requires a Bachelor's degree in nursing, a California RN License, and at least two years of...
Posted June 17, 2026
UnitedHealth GroupLos Angeles,CA
RN Health and Social Services Care Coordinator $5,000 Sign-on Bonus for External Candidates At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.
Posted June 19, 2026
Emanate HealthCovina,CA
The Staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. He/she is a clinical practitioner who coordinates and implements patient care specific to the age of the...
Posted June 20, 2026
Virginia Department of Human Resource ManagementLos Angeles,CA
Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients'...
Posted June 15, 2026
UCLA HealthLos Angeles,CA
Advanced Practice Nurse Work Location: Santa Monica, CA, USA Onsite or Remote Fully On-Site Work Schedule 4-day 10-hour shifts, 7:00am-5:30pm; may include weekends and holidays Salary Range: $65.53 - $84.75 Hourly...
Posted June 12, 2026
Sentara HealthcareLos Angeles,CA
City/State Doral, FL Work Shift First (Days) Overview: Sentara Health Plan AvMed is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates...
Posted June 21, 2026
yourcommissionLos Angeles,CA
yourcommission is looking for a Utilization Management Review Nurse to evaluate and ensure the effectiveness of medical services in Texas. This role supports the healthcare system by leveraging clinical expertise and management skills.Candidates...
Posted June 20, 2026
Elite Nursing and Rehabilitation CenterLos Angeles,CA
Regional MDS / PDPM / CMI / RAI Consultant Are you ready to make a change? We are seeking an experienced Regional MDS / PDPM / CMI / RAI Consultant to provide remote reimbursement, MDS, PDPM, Case Mix Index, and RAI support to our...
Posted June 17, 2026
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...
Posted June 14, 2026
North CarolinaLos Angeles,CA
Nurse Consultant I (NS) The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health,...
Posted June 21, 2026
Veterans In HealthcareLos Angeles,CA
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 –...
Posted June 17, 2026