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Ocean State Job Lot is seeking an RN for Utilization Management in Los Angeles, CA. This role involves coordinating care submissions and documentation for patient admissions, focusing on high-quality care and efficiency. Candidates must hold an...

Details Client Name CHA Hollywood Presbyterian Medical Center Job Type Travel Offering Nursing Profession Nursing...

Nurse Navigator Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

Pre-Payment Review Nurse Consultant- Wisconsin 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.

About the Job ABOUT US: All Care Home Health is "Committed to Caring." The company provides home care and hospice care services to the Los Angeles and Orange County areas. Founded in 1995, All Care has...

MSA Nurse Reviewer We are seeking a MSA Nurse Reviewer with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation for medical...

Utilization Management Nurse RIHS Austin Regional Office - Austin, TX 78727 Overview Position Type Full Time Description Primary Responsibilities The Utilization Management Nurse will determine the...

Discharge Care Manager 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...

Workstream in Los Angeles is seeking a dedicated DSD to enhance our team. The selected candidate will lead onboarding and training programs, ensuring compliance with regulations while fostering a positive work environment. Candidates should have...

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...

Great opportunity to join a rapidly growing National Women's Healthcare Platform in Los Angeles, CA - looking for a Family Nurse Practitioner who has experience in an office based procedural setting. Board Certified Family Nurse...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families,...

U.S. Citizenship is required for this position due to Department of Defense restrictions. Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical records...

Professional Review Nurse The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical...

RN - Clinic Pulse Healthcare is currently seeking Travel Nurses for multiple positions in locations throughout the United States. Start Date: 07/06/2026 Duration: 91 days City: Los Angeles State: California Degree: RN Specialty:...

Location Address: 2925 Chicago AveLoading DockMinneapolis, MN 55407-1321 Date Posted: June 15, 2026 Department: 16007319 Care Management Disease Management Shift: Day (United States of America)...

RN - Clinic Nurse Out-patient clinic nurse City: Los Angeles State: CA Start Date: 01/06/2025 End Date: 04/07/2025 Duration: 13 Week(s) Shift: 5X8 Days Shifts Per Week: 5 Scheduled...

Clinical Claim Review Nurse 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...

Tele Travel RN Job Type: Travel Profession: RN Specialty: Tele Shift Details: Week 1 Shift 12H Nights Week 2 Shift 4x12 Nights Job Order Details: Start Date 05/04/2026 End Date 08/01/2026 Duration 13 Week(s)...

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...

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...

OverviewPosition Type: Full timeJob Title: Care Review Clinician ILocation: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle),...

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:...

City/State Manassas, VA Work Shift First (Days) Overview: Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA This is a...

Job Title Utilizes a collaborative review process of benefits, minimally necessary clinical information and evidence-based clinical guidelines to formulate decisions regarding medical necessity, pre-existing conditions, benefits and/or...