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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...
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.
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...
Thyme CareLos Angeles,CA
OUR MISSION We exist to create a more connected, compassionate, and confident experience for people with cancer and those who care for them. We make it easier to get answers, access high-quality care quickly, and feel...
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...
Avery Healthcare GroupLos Angeles,CA
Utilization Management 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...
Sentara HealthLos Angeles,CA
Sentara Health Plans seeks a Clinical Claims Reviewer RN for remote work. You will perform utilization management, review pre/post payment claims and authorizations for inpatient/outpatient cases, and address provider inquiries with appropriate...
Lee AgencyLos Angeles,CA
Cattail Nurse Consulting is seeking an MDS Consultant/Nurse Consultant to provide MDS coordination, interim remote coverage, and training for skilled nursing facilities and senior living clients. This full-time RN role emphasizes education, mock...
NorthLakes Community ClinicLos Angeles,CA
NorthLakes Community Clinic is seeking a Remote RN, Triage, to provide phone-based triage and health advice using evidence-based protocols. You will process prescription refills and coordinate care to reduce unnecessary ER visits. The role...
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...
Bristol-Myers SquibbLos Angeles,CA
Clinical Nurse Consultant At Bristol Myers Squibb, our employees often ask, "Who are you working for?"—a question that fuels collaboration, accountability, and urgency in our work. Our purpose-driven culture inspires us to discover,...
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.
Vanderbilt University Medical CenterLos Angeles,CA
Discover Vanderbilt Health With eight hospitals and over 180 clinics, we are the region's largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South,...
TEKsystemsLos Angeles,CA
This position will be paying $26.50/hr for an LPN and $28.50/hr for an RN Job Description The Clinical Quality Assurance Coordinator is responsible for ensuring case reports are of the highest quality and integrity and in full...
Molina Healthcare CareersLos Angeles,CA
JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state. Three of the positions are open to RNs with at least two years of experience in in Behavioral Health or Substance Abuse...
Baptist HealthLos Angeles,CA
Baptist Health is seeking a Clinical Documentation Specialist to evaluate physician documentation and ensure the severity of illness is accurately portrayed in the medical record to support precise coding. This remote role requires residency in KY...
LEGION HEALTHLos Angeles,CA
Legion Health, Inc. is seeking exceptional PMHNPs for fully remote psychiatric care across the United States. You'll practice at the top of your license with strong clinical autonomy, supported by consults and peer reviews, while enjoying a...
JobgetherLos Angeles,CA
Jobgether, on behalf of a partner organization, seeks an experienced Registered Nurse for a remote Utilization Management role. You will review cases, assess medical necessity, and support prior authorization decisions while collaborating with...
OptumLos Angeles,CA
UnitedHealth Group in El Paso, TX is seeking a Field RN Service Coordinator 1 – Case Manager to remotely support members with holistic assessments, care planning, and coordination across health and community services. The role emphasizes...
Lehrer Family ChiropracticLos Angeles,CA
, remote Position: Remote Registered Nurse Company: Lehrer Family Chiropractic Location: Melville, New York, United States Contract Details: Part-time, remote Lehrer Family Chiropractic is seeking a highly...
CareFirst BlueCross BlueShieldLos Angeles,CA
Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for...
American Financial GroupLos Angeles,CA
Summit provides independent insurance agents and their clients with market-leading workers' comp insurance and elite customer service. We're growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South,...
Oak St. HealthLos Angeles,CA
Registered Nurse (RN) - Utilization Management Make an impact on patient care from wherever you are. We're seeking an experienced Registered Nurse (RN) to join our Utilization Management team. In this role, you'll use your clinical...
Piper CompaniesLos Angeles,CA
Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...
ESR HealthcareLos Angeles,CA
Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

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