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CAPITOL BRIDGE, LLCLos Angeles,CA
Capitol Bridge LLC is seeking a Claims Review Nurse to support the Florida Statewide Health Plan CDR program and other state IRO programs. The role involves assessing documentation, coordinating with clinical reviewers, and drafting determinations...
Trillium Health ResourcesLos Angeles,CA
Trillium Health Resources is seeking a Population Health Nurse to provide clinical care management and population health support for assigned members, focusing on prevention, wellness, and outcomes. The role uses nursing judgment as an RN to...
Network Medical Review Co.Los Angeles,CA
ExamWorks is seeking a Utilization Review Nurse Auditor to perform quality utilization reviews and authorize medically necessary care. The role is fully remote with standard EST hours, requiring an active nursing license and coding certification.
Managed Medical Review OrganizationLos Angeles,CA
Managed Medical Review Organization is seeking a licensed RN to join our team for remote, home-office work. This role emphasizes telephonic customer service, accurate documentation, and clinical review of medical records with no face-to-face...
Virtual MedicalLos Angeles,CA
Virtual Medical is seeking qualified Registered Nurses to join our fully remote 24-hour On Call Center. We handle incoming calls for clients requiring immediate medical attention and provide assessment, guidance and disposition to the appropriate...
CorVelLos Angeles,CA
CorVel Corporation seeks a Nurse Trainer to develop and revise training materials for nursing staff in a clinical setting. You will organize curricula, assess effectiveness, and ensure new hires complete training and QA reviews. The role is...
Kaiser PermanenteHarbor City,CA
Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance...
ProlificLos Angeles,CA
Prolific is recruiting Registered Nurses to train and evaluate AI models. You may be invited to join as a Domain Expert participant and get paid for AI tasks. You'll complete a quick test to assess your skills and suitability, with flexible,...
Charter GlobalLos Angeles,CA
Job Title: Nurse, Clinical Medical Review Location: Columbia, MD (Primarily remote, but hybrid) Duration: 6 Months Contract PURPOSE: We are seeking a qualified RN or LPN with experience supporting HEDIS reporting and abstraction processes in a...
Cedars-SinaiWest Hollywood,CA
Job Description Why work here? Beyond outstanding employee benefits including health and dental insurance, vacation, and a 403(b), we take pride in hiring the best employees. Our accomplished staff...
Allina HealthLos Angeles,CA
Allina Health is seeking a Nurse Informaticist to join the Information Systems Optimization Solutions team. The role focuses on integrating nursing practice with data science to improve patient outcomes and care quality across inpatient and...
Ochsner HealthLos Angeles,CA
Exceptional care starts with exceptional people. For us, this is more than a job– it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you...
MachinifyLos Angeles,CA
Machinify is a leading healthcare intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to ensure compliance and high-quality documentation. The role emphasizes strong clinical...
TriStarLos Angeles,CA
TRISTAR Company is seeking an experienced Utilization Review Nurse for a fully remote role across all states. The job focuses on workers' compensation utilization review—prospective, concurrent, expedited, and retrospective reviews—to...
Catholic Health ServiceLos Angeles,CA
RN & LPN Virtual Interview Day for Catholic Health Home CareThis is an invite-only event.RN QualificationsNew York State RN licenseMinimum of one year of recent hands on experience as a Registered Nurse.LPN QualificationsLPN License in the state...
MercorLos Angeles,CA
About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack...
University of Minnesota School of NursingLos Angeles,CA
UnitedHealth Group is seeking a SSBV Clinical Claims Review RN for a remote role nationwide. You will perform administrative reviews of inpatient hospital claims, document determinations, and ensure accurate use of screening criteria to support...
ROCKPORT HEALTHCARE SERVICESTorrance,CA
A Certified Nursing Assistant (CNA) is responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or Administrator, to assure...
Providence Health & ServiceSanta Monica,CA
Certified Nursing AssistantCertified Nursing Assistant at Providence Saint John's Health Center in Santa Monica, CA. This position is Part Time and will work 12-hour, Night shifts.Join Providence Saint John's Health Center, recognized as one of...
Cincinnati Children's Office of Academic Affairs and Career DevelopmentLos Angeles,CA
Cincinnati Children's Hospital Medical Center is seeking an Associate/Diploma or BSN-prepared RN for our After Hours Helpline. This remote, full-time role operates 4:30 PM–9:00 AM, Monday to Friday with 24/7 weekend coverage, requiring holiday...
PeratonLos Angeles,CA
Peraton is seeking a Nurse Reviewer Team Lead to guide a medical review team within SafeGuard Services, ensuring timely, accurate review of medical claims and referrals for investigations. The role demands clinical expertise, strong communication,...
Molina HealthcareLos Angeles,CA
Molina Healthcare is hiring a remote RN Care Manager with a preference for candidates in Washington State. The role operates on Pacific Standard Time hours and focuses on telephonic case management for Medicare members, with no travel, direct...
Baptist Memorial Healthcare CorporationLos Angeles,CA
Baptist Memorial Health Care Corporation in Memphis, TN is seeking an Evening Virtual RN to join our telehealth-enabled inpatient team. This 11:00–23:00 shift supports assessment, documentation and care planning from a remote setting. The...
ATC West HealthcareCulver City,CA
Registered Nurse Intensive Care UnitRN ICU Per Diem Needed in Culver City, CA, USA. Make $763/ShiftWork Type: Per DiemPay: $763/ShiftLocation: Culver City, CACertifications: AHA BLS, AHA ACLS, NIHSS, PALSStart Date: ASAPShift: Days & Nights...
Preferra InsuranceLos Angeles,CA
CVS Health is seeking a Nurse Consultant for Utilization Management in a 100% remote role. You will apply clinical judgment and evidence-based criteria to review inpatient and outpatient services, collaborate with providers to authorize care, and...

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