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
Blue Cross and Blue Shield of Kansas CityLos Angeles,CA
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...
Posted June 14, 2026
Orb HealthLos Angeles,CA
A healthcare company is seeking a Care Management Nurse to provide telephonic care services to chronic patients. The ideal candidate will have a nursing license and 1-2 years of experience in clinical or telehealth settings. Responsibilities...
Posted June 17, 2026
BAY AREA HOSPITALLos Angeles,CA
Details Client Name Cedars Sinai - The Angeles Clinic and Research Institute Job Type Travel Offering Nursing Profession RN...
Posted June 12, 2026
MLK Community HospitalGardena,CA
Event...
Posted June 16, 2026
divvyDOSELos Angeles,CA
Ssbv Clinical Claims Review Rn 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...
Posted June 14, 2026
U.S. RENAL CARELos Angeles,CA
USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting...
Posted June 15, 2026
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...
Posted June 10, 2026
Children's Health System of TexasLos Angeles,CA
Nurse Navigator Department: ECM Outpatient Care Management Location: Children's Health- Dallas Shift: Part-time working Monday, Wednesday, and every other Friday 8:00a to 4:30p or 8:30a to 5:00p. Job Type: Remote, but...
Posted June 18, 2026
American Recruiting & Consulting GroupLos Angeles,CA
Clinical Review Nurse - Remote ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to join a...
Posted June 16, 2026
VITAS HealthcareGlendale,CA
Admissions Nurse Salary Range: $48 - $51 / Hourly Job Description Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty—one that blends clinical expertise with deep human connection?
Posted June 6, 2026
American Recruiting and Consulting GroupLos Angeles,CA
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...
Posted June 12, 2026
U Mass Memorial HealthLos Angeles,CA
Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range:...
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
Blue Cross Blue Shield of ArizonaLos Angeles,CA
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families,...
Posted June 16, 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
Ocean State Job LotLos Angeles,CA
CAUnited States of AmericaOnsiteClinics – AmbulatoryHourly$47.56 - $73.72If you are interested, please apply online and send your resume to y
[email protected] SummaryReporting to the Director, Ambulatory Services of Martin Luther King,...
Posted June 17, 2026
St. Louis County (MO)Los Angeles,CA
Salary: See Position Description Location : North Central Community Health Center - St Louis County, MO, MO Job Type: Full-Time Remote Employment: Flexible/Hybrid...
Posted June 8, 2026
Genoa TelepsychiatryLos Angeles,CA
Discharge Care Manager (Central or Eastern Region) 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...
Posted June 18, 2026
Sanford HealthLos Angeles,CA
RN Diabetes Educator Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility: Bemidji...
Posted June 16, 2026
Johns Hopkins HospitalLos Angeles,CA
Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. Make It Happen At Hopkins! Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins...
Posted June 18, 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
BJCLos Angeles,CA
Remote Registered Nurse Position Join a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all units/staff (commercial, behavioral health,...
Posted June 16, 2026
CERIS HealthLos Angeles,CA
Itemization Review Nurse II The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position.
Posted June 18, 2026
Sutter HealthLos Angeles,CA
We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone...
Posted June 18, 2026