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OptumLos Angeles,CA
Improve the lives of others while Caring. Connecting. Growing together. Job Description - Preservice Review RN - Remote in HI (2391946) Preservice Review RN - Remote in HI - 2391946 Optum is a global organization that delivers...
Santa Barbara Cottage HospitalLos Angeles,CA
Santa Barbara Cottage Hospital is seeking an experienced RN/LPN to perform remote clinical reviews for appeal cases. You will review medical records, apply InterQual criteria, and prepare clinical determinations for physician review. The...
AAHLos Angeles,CA
Department: 35406 Enterprise Corporate - Virtual Nursing Observation Status: Full time Benefits Eligible: Yes Hours Per Week: 36 Schedule Details/Additional...
Hireops Staffing LlcLos Angeles,CA
Job Title This position is fully remote, however, you must reside in the State of Texas. The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...
UnitedHealth GroupLos Angeles,CA
UnitedHealth Group is seeking a Texas-licensed RN to support community health initiatives. This role offers remote-work flexibility within the assigned territory and involves coordinating care and connecting members to resources. Strong...
NightingalePasadena,CA
Nightingale Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Pasadena, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start...
BigR.ioLos Angeles,CA
Clinical Appeals and Grievances Specialist Will this role be fully remote? Yes. Are there any specific locations the candidates should be in (i.e., do they need to live in IL)? No but must have CA license. Work Schedule/Shift & Time Zone:...
UCLA HealthSanta Monica,CA
Nurse Practitioner The NP will manage clinical questions by telephone and Epic inbasket, perform procedures as needed, manage clinical issues that arise following procedures and surgeries, address prescription-related issues such as prior...
Penn-Mar-Healthcare-CenterEl Monte,CA
Penn-Mar-Healthcare-Center in California is seeking a Licensed Vocational Nurse to administer medications, provide comprehensive nursing care, and support chronically ill residents under RN supervision. The LVN will participate in...
Sentara HealthcareLos Angeles,CA
Sentara Health Plans is hiring a Clinical Claims Reviewer/RN for a remote, full-time role. The position supports utilization management and conducts comprehensive pre- and post-payment claim reviews across inpatient and outpatient settings, with...
Thompson HealthLos Angeles,CA
UR Medicine Thompson Health is seeking a Lead Clinical Documentation Specialist (RN) to oversee CDI efforts and improve documentation quality. The role emphasizes collaboration with physicians and the care team, ensuring compliance and optimized...
MedixLos Angeles,CA
Medix™ is seeking a clinically strong, detail-oriented Registered Nurse to join our Utilization Review team in a fully remote role. You will conduct medical necessity reviews, determine appropriate patient status, and collaborate with physicians...
American HomeCareLos Angeles,CA
Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN)Are You Ready to Make a Difference in Healthcare? We are currently seeking a Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN) to join our outstanding healthcare team!Salary...
Los Angeles Community HospitalsLos Angeles,CA
Los Angeles Community Hospitals is seeking a Clinical Educator - RN to plan, design and implement education programs for nursing staff. You will work with nursing directors to assess educational needs and develop orientation for new hires and new...
Intermountain HealthLos Angeles,CA
Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...
Coast Plaza Hospital, LPNorwalk,CA
Registered Nurse Job Title: Registered Nurse - Full Time: 3 shifts per week, weekend availability required Base Rate: $41.73- $61.35 12 hr. shifts- paid overtime after 8 hours, resulting in an average rate of $48.69 - $71.57...
Post UniversityLos Angeles,CA
Adjunct Faculty For Nurse Practitioner Program The Adjunct Faculty for the Nurse Practitioner Program is responsible for facilitating online nursing courses that meet the quality and standards set forth by the accrediting bodies and...
Trinity Clinics AMNBeverly Hills,CA
Job Details This plastic surgery clinic is looking for a registered nurse (RN) who is specialized and who cares for patients undergoing both cosmetic enhancements and reconstructive surgeries. Will work preop as well. Benefits...
WellStar Health SystemLos Angeles,CA
Clinical Nurse Professional Development Educator Advanced How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At...
Dover CorporationLos Angeles,CA
Role Title: Registered Nurse Role Type: Contractor Location: United States, Remote We are engaging Registered Nurses to contribute their expertise to a dynamic project for a valued customer. In this role,...
HumanaLos Angeles,CA
Humana/iCare is seeking an RN Care Manager to join the Family Care Partnership (FCP) program in Milwaukee and surrounding counties. You will perform home visits, complete nursing assessments, and ensure members access to appropriate services.
WellframeLos Angeles,CA
HealthEdge in the United States seeks a Telephonic Utilization Management RN for Behavioral Health to coordinate care and perform medical necessity reviews across inpatient, outpatient, and ancillary services. Coordinate care through the health...
hireopsLos Angeles,CA
The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...
University of MiamiLos Angeles,CA
Nurse Specialist - Ambulatory Triage The University of Miami/UHealth Department of Neurological Surgery has an exciting opportunity for a remote full time Nurse Specialist - Ambulatory Triage. The Nurse Specialist assesses a healthcare...
Trinity HealthLos Angeles,CA
Trinity Health is seeking a Night Shift RN Utilization Review in Grand Rapids, MI, offering full-time work with remote options. You will review assigned cases against criteria and payor guidelines to ensure proper reimbursement and medical...

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