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Avery Healthcare GroupLos Angeles,CA
CVS Aetna Appeals Nurse Consultant 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...
RelateCare | Care is in our nameLos Angeles,CA
A leading health care provider is seeking a Massachusetts Telehealth Nurse to assist patients in accessing care through phone consultations. Candidates must have a valid RN license in Massachusetts and 3+ years of clinical experience. The ideal...
CVS HealthLos Angeles,CA
CVS Health in Maryland seeks a Registered Nurse to assess, plan, implement, and coordinate healthcare services and benefits for members. You will render coverage determinations using clinical guidelines and collaborate with providers to facilitate...
ICU MedicalLos Angeles,CA
ICU Medical Inc is seeking a Customer Success Nurse Consultant to drive post-implementation success for infusion devices through clinical expertise and data-driven consulting. You will partner with healthcare organizations to optimize medication...
CVSLos Angeles,CA
Registered Nurse (RN) - Utilization Management 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...
Rising Medical SolutionsLos Angeles,CA
Utilization Review Nurse Rising Medical Solutions has an opening for a Utilization Review Nurse, and we want to hear from you! We're a bill review and cost containment company - so what does that mean? Basically we are trying to fix a...
ALPHA Business SolutionsLos Angeles,CA
Care Management Coordinator/RNLocation: 100% Remote Duration: 3+ Months (FT conversion)This is a Utilization Management RN part time position - working every other weekend (2 days a week in a 2 week cycle). Must be available M-F 8:30-4:30pm for...
AccentcareLos Angeles,CA
AccentCare, Inc. is seeking a Hospice Triage Registered Nurse for a remote, full-time position with nights and weekends coverage. Compensation ranges from $34.00 to $37.00 per hour based on experience, with eligible benefits for employees working...
Arizona Department of AdministrationLos Angeles,CA
Claims Medical Review Nursing Consultant Job No: 544045 Work Type: Full-time Location: REMOTE OPTIONS, VARIOUS-STATEWIDE, PHOENIX Categories: Healthcare/Medical Support Level,...
WHO - World Health OrganizationLos Angeles,CA
International Consultant - Primary Care Consultant, Nurse The World Health Organization (WHO) is seeking an international consultant with expertise in primary care nursing and curriculum development to support the Palestinian Ministry of...
Sentara HealthLos Angeles,CA
Sentara Health Plans Community Care seeks a Utilization Review Nurse (RN) in Norfolk, VA. The role supports utilization management, including prior authorization, pre-certification, and care coordination to ensure treatment aligns with medical...
Gainwell TechnologiesLos Angeles,CA
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 you've honed your career in a fast-moving...
Cambia HealthLos Angeles,CA
Cambia Health seeks an Appeals Clinician I to evaluate member and provider appeals using nursing expertise and clinical judgment. This remote role supports multiple states and emphasizes medical policy, reimbursement guidelines, and compliance.
trinity health grand havenLos Angeles,CA
Job Title This is a remote position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint Joseph Health System? At Saint Joseph Health System, our values guide...
Concierge Home CareLos Angeles,CA
Utilization Review Specialist (RN) – Work From Home (Florida-Based Candidates Only)Concierge Home Care | Work From Home Opportunity – Must Reside in Florida At Concierge Home Care, we are growing and looking for an experienced...
WellSkyLos Angeles,CA
WellSky is seeking a registered nurse to conduct telephonic patient evaluations for multiple payer programs, working on Pacific Time hours. The role emphasizes remote care coordination, schedule management, and collaborative protocol development.
IQVIALos Angeles,CA
Diabetes Specialist Nurse Are you a passionate and experienced Diabetic Specialist Nurse looking for flexible and rewarding opportunities? We are inviting skilled professionals to join our Healthcare Professionals Network for a series of...
Amergis Healthcare StaffingLos Angeles,CA
Amergis Healthcare Staffing seeks a Clinic Registered Nurse (RN) for a contract-full time role based in Kingfisher, OK. The RN will work across clinic and immunization settings, providing quality care with clinical judgment per facility protocols.
Davies Public AffairsLos Angeles,CA
Our Story Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier...
Comagine HealthLos Angeles,CA
Comagine Health is seeking an experienced Registered Nurse for a remote Clinical Reviewer role supporting a Washington L&I contract. The position emphasizes evaluating medical necessity, quality, and appropriateness of care using established...
UnitedHealth GroupLos Angeles,CA
About This Role As a Clinical Grievances Nurse, you will review incoming retrospective cases to determine if appropriate care was given and ensure members' immediate needs are addressed. This role is ideal for those who can work PST hours...
PACELos Angeles,CA
PACE Early Childhood Education Program Consultant PACE Early Childhood Education (ECE) Program provides high quality early childhood education and support services for children aged 0-5 years old children for economically disadvantaged...
MES SolutionsLos Angeles,CA
MES Solutions is seeking a Clinical Quality Assurance Coordinator (RN/LPN) to review peer reports and ensure accuracy, compliance with client agreements, and regulatory standards. This 100% remote role aligns clinical expertise with quality...
CorVelLos Angeles,CA
CorVel Corporation seeks a Care Advocate Nurse for a remote role focused on assessing injury severity, reviewing medical data, and supporting the Claims Management department as a nurse consultant. The position requires clinical nursing...
Apremium Healthcare SolutionLos Angeles,CA
APremium Healthcare Solution, LLC is seeking a Virtual Nurse Consultant to provide remote nursing guidance and care coordination from a flexible, virtual setting in Conyers, GA. The role emphasizes high-quality patient outcomes and HIPAA-compliant...

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