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Prime Healthcare ServicesInglewood,CA
At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital...
Praxis HealthLos Angeles,CA
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,...
MLK Community HospitalHuntington Park,CA
Event...
CareFirst BlueCross BlueShieldLos Angeles,CA
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 claim is eligible for benefits and to...
ProlificLos Angeles,CA
A leading data platform company in the United States is seeking Registered Nurses to evaluate and train AI models. This part-time position offers competitive pay, flexible hours, and the ability to work from home. Registered Nurses will review...
Molina HealthcareLos Angeles,CA
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...
UCHealthLos Angeles,CA
Description Location: UCHealth Anschutz Inpt Pavilion, Aurora,CO Department: UCHA Care Management Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant...
Harris HealthLos Angeles,CA
Harris Health is seeking a Utilization Management Review Nurse (UMRN) in Houston, Texas, to evaluate the necessity and efficiency of medical services. The ideal candidate will hold a Bachelor's in Nursing and a valid Texas RN license, with 5 years...
InteProsLos Angeles,CA
A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The...
Santa Barbara Cottage HospitalLos Angeles,CA
Santa Barbara Cottage Hospital is looking for an RN TeleNurse responsible for triaging incoming patient calls, demonstrating leadership, and promoting wellness. The role includes assessing and advising patients during calls, scheduling...
OptumLos Angeles,CA
Optum is seeking an Associate Care Manager to enhance patient care through effective collaboration with members and healthcare providers. The role involves conducting clinical evaluations, developing care management plans, and ensuring that...
HeadwayLos Angeles,CA
" Licensed Psychiatric Nurse Practitioner Wage: Up to $196.58/hour Did you know that you can build a flexible...
MORGAN COUNTY GEORGIA HOSPITAL AUTHORITYLos Angeles,CA
Description: OR PACU RN – FT Days $10,000 Sign On Bonus About the Role: The OR RN PACU - FT days role is critical in providing specialized nursing care to patients recovering from anesthesia following surgical procedures. This position focuses...
University of Missouri Health CareLos Angeles,CA
Shift: Monday - Friday, 8am - 5pm Work Arrangement: Remote - after training (up to one month) Department: MU Virtual Care Clinic Compensation: •...
Harris Health SystemLos Angeles,CA
Harris Health System, Inc. is looking for a Nurse Clinician for their Hospital at Home program. This role involves providing high-quality acute care at home, coordinating patient enrollment, and engaging in quality improvement projects. Candidates...
CommonSpirit HealthLos Angeles,CA
Job Summary and ResponsibilitiesAs our 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...
Virtual VocationsLos Angeles,CA
To support a growing team, the full-time remote Clinical Reviewer (LPN, LVN, RN) will review medical records against established criteria to determine medical appropriateness while managing daily workloads and collaborating on quality monitoring...
Included HealthLos Angeles,CA
A modern healthcare company is seeking a Nurse Care Manager to guide members through complex healthcare situations. This role focuses on members with behavioral health needs, requiring experience with psychiatric disorders. Responsibilities...
Providence Health and ServicesGlendale,CA
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...
CVS HealthLos Angeles,CA
We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...
NPHireLos Angeles,CA
Work From Home Nurse Practitioner (PMHNP - Telehealth - Flexible Schedule)Join to apply for the Work From Home Nurse Practitioner (PMHNP - Telehealth - Flexible Schedule) role at NPHireBase pay range$175,000.00/yr - $200,000.00/yrAbout the RoleA...
LancesoftTarzana,CA
LanceSoft is seeking a local contract nurse RN Vaccination for a local contract nursing job in Tarzana, California. Job Description & Requirements Specialty: Vaccination Discipline: RN Start Date: 08/23/2026 Duration: 14 weeks 40 hours per week...
ObsidianLos Angeles,CA
About the Role Mercor is seeking experienced nurse practitioners to support a leading AI lab in advancing research and infrastructure for next-generation machine learning systems. This engagement focuses on diagnosing and solving real issues in...
Department of Health and Human ServicesLos Angeles,CA
Duties Consult with health experts and review the medical and scientific literature to obtain information for improving clinical practice and measures. Develop health care quality improvement policies and procedures for use in...
UNIVERSITY OF VIRGINIALos Angeles,CA
The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...

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