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Utilization Review Rn 1st time ok/ 2 yr exp required for utilization review rn every other weekend required or more depending on unit needs no call or floating required must have experience with milliman care guidelines and acute hospital...

Job Description: CareLinx by Sharecare is not your average agency or registry. We empower you to build the schedule that works best for you - and then we'll help you fill it. Whether you prefer full-time, part-time, or steady...

Event Details Join us for an Interview and Hiring Day! Registered Nurses welcomed! Location : 1680 E. 120th Street, Los Angeles, California 90059 Date : Tuesday, June 30, 2026 Time : 9:00 am to 2:00 pm Directions/Parking: Our main lobby entrance is...

School Nurse Published Date: Jun 8, 2026 Location: US Company: Los Angeles Unified School District SALARY DETAILS All Salary Tables located at School Nurse Salary Table - N Table APPLICATION FILING DATES...

Job Title Nurse Appeals-RN (California)Location & Remote Work Locations: Woodland Hills, CA and Costa Mesa, CA. This role is available for associates to work virtually full‑time, except for required in‑person training sessions.Responsibilities...

Description The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically based appeals between Providence Health and Services, California Region (PH&S) outside...

CHA Hollywood Presbyterian Medical Center CHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed...

Type: Clinic Beverly Hills , CA SkyBridge Healthcare is currently seeking Licensed Vocational Nurse with Clinic experience for a 13-week contract in CA. SkyBridge Healthcare is a premier staffing firm dedicated to matching...

Introduction The Department of Corrections is focused on public safety through the custody and supervision of those in our care. Corrections employees have the opportunity to positively impact the lives of others through careers in a...

Description Location: UCHealth Eastview Medical Center, Colorado Springs, CO Department: EV ASC OR All Specialties Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $42.90 - $66.50 / hour. Pay is dependent on...

Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including...

Job Title: Permanent -Licensed Vocational Nurses - multiple openings Number of positions: 4 Years of experience: One to three years Shift: Day and Night...

City/State Norfolk, VA Work Shift Multiple shifts available Overview: Sentara Health Plansis hiring a Quality Improvement Coordinator /Registered Nurse (RN) - Remote in Virginia! ...

Nurse Reviewer - Itemized Bill Review 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...

About the Job ABOUT US: All Care Home Health has proudly served the community for over 30 years, partnering with major health plans and other leading insurers. We are committed to delivering high-quality,...

Description Position at Healthmap Solutions Company Background Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise...

Job Description Nemours Children's Health in JACKSONVILLE Florida at our home office location, is seeking a Virtual Care ON-SITE RN! Current opportunities: FULL-TIME,...

About the Employer Inglewood Unified School District, located in beautiful Southern California. Centrally located within the greater metropolitan Los Angeles area, Inglewood Unified School District is the only school district...

Remote Rn – Medical Claims Reviewer At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled...

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...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

Nurse I, Level 1 Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) The Nurse I, Level 1 Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible and accountable for individual nursing...

Utilization Review Nurse (RN) Neuropsychiatric Hospitals is looking for a Utilization Review Nurse (RN) to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and...

Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, analyzing care services, coding requirements, and resource utilization while collaborating...

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...