Kedren Community Health CentersLos Angeles,CA
ECM Lead Care Manager The ECM (Enhanced Care Management) Lead Care Manager will outreach and enroll clients in enhanced care management and be responsible for overseeing the development and implementation of comprehensive care plans for...
Posted June 7, 2026
PacifiCare Health ManagementLos Angeles,CA
Pacificare Health Management - Nurse Consultant We are seeking a highly skilled and experienced Nurse Consultant to join our team at Pacificare Health Management in Los Angeles, CA. As a Nurse Consultant, you will be responsible for providing...
Posted June 17, 2026
LancesoftLos Angeles,CA
Remote Nurse Position in Michigan This position will be a remote role for Nurses in Michigan. Should have a valid MI RN License. Should have utilization management experience. Should have experience completing post-acute reviews for the...
Posted June 16, 2026
Providence ServiceLos Angeles,CA
Description RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...
Posted June 18, 2026
IngenesisLos Angeles,CA
RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City :...
Posted June 12, 2026
CSMN - 1102080 - TACRI ClinicalLos Angeles,CA
Details Client Name CSMN - 1102080 - TACRI Clinical Job Type Travel Offering Nursing Profession Registered Nurse (RN)...
Posted June 12, 2026
Vanderbilt University Medical CenterLos Angeles,CA
Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of...
Posted June 19, 2026
divvyDOSELos Angeles,CA
Clinical Review Clinician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...
Posted June 13, 2026
PIH HealthLos Angeles,CA
The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best...
Posted June 18, 2026
VariteLos Angeles,CA
Job Description: Participates in the development and ongoing implementation of QM Work Plan activities. Improve quality products and services, by using measurement and analysis to process, evaluate and make...
Posted June 16, 2026
Option Care EnterprisesSan Gabriel,CA
Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site...
Posted June 14, 2026
UCLA HealthLos Angeles,CA
General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work...
Posted June 10, 2026
Gainwell TechnologiesLos Angeles,CA
Pre-Payment Review Nurse Consultant- Wisconsin 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.
Posted June 14, 2026
Le CYR ConsultingLos Angeles,CA
Complex Medicare Claims Review Complex Medicare claims/prior authorization requests require the review of medical record documentation to determine the reasonableness and necessity of the billed service in accordance with Medicare rules...
Posted June 16, 2026
Virtual VocationsLos Angeles,CA
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...
Posted June 18, 2026
Veterans Affairs, Veterans Health AdministrationLos Angeles,CA
Summary The Greater Los Angeles VA Health Care System is seeking 1 experienced Licensed Vocational Nurse's (LVN) in Nursing Service for their Community Living Center 215-3 for Day Shift. Located in Los Angeles, CA. Responsibilities This position...
Posted June 15, 2026
CHRISTUS HealthLos Angeles,CA
Utilization Review Nurse Health Plans - Case Management US:NM:Alamogordo | Utilization Management | Full Time This position has a remote option for those living close and will be able to come into the hospital as needed.
Posted June 15, 2026
Critical ConnectionsLos Angeles,CA
Setting: Outpatient Clinic / Ambulatory Care Schedule: Full-Time | Day Shifts (Typically No Nights) About the Opportunity We are seeking a Registered Nurse (RN)...
Posted June 18, 2026
Dendreon PharmaceuticalsLos Angeles,CA
Nurse Educator The Nurse Educator is responsible for providing support to ensure safe, effective and appropriate use of PROVENGE® (Sipuleucel-T) from enrollment to completed infusion for commercial accounts prescribing the Product and...
Posted June 11, 2026
Dignity HealthGlendale,CA
**Job Summary and Responsibilities**As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery.Every day, you will leverage your...
Posted June 17, 2026
Virginia JobsLos Angeles,CA
The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...
Posted June 12, 2026
Parkview HealthLos Angeles,CA
Summary *This position is located in Fort Wayne, Indiana it is is NOT a remote role. Summary Independently plans and provides excellent professional nursing care for patients in accordance with...
Posted June 12, 2026
AmpcusLos Angeles,CA
Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Clinical Medical Review Nurse.
Posted June 16, 2026
Infusion for HealthBeverly Hills,CA
Join Our Team as an Infusion Registered Nurse in Santa Monica, California! Infusion for Health is a premier, referral-based infusion center serving patients across California, Arizona, Nevada, Washington, Colorado, and Missouri. Our...
Posted June 12, 2026
CSMN - 1102084 - TACRI ImagingLos Angeles,CA
Details Client Name CSMN - 1102084 - TACRI Imaging Job Type Travel Offering Nursing Profession Registered Nurse...
Posted June 12, 2026