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CSI PharmacyLos Angeles,CA
CSI Pharmacy, LLC seeks a Regulatory and Compliance Nurse to implement and maintain the nursing employee health program across states, ensuring TB screening, immunization tracking, disease monitoring, and recordkeeping meet regulatory standards.
TalantirLos Angeles,CA
Essential Duties and Responsibilities: Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. Issue...
Centra HealthLos Angeles,CA
Clinical Documentation Integrity Specialist IIThe Clinical Documentation Integrity Specialist II (CDI) is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy, and completeness of...
Ivy LivingLa Palma,CA
Medication Nurse, LVN / LPN Part time Pay Range: $29.00 to $32.00 per hour Ivy Park at La Palma is a premier senior living community situated on a beautifully landscaped campus. Managed by Oakmont Management Group, we...
Palmetto GBALos Angeles,CA
Palmetto GBA, LLC, a BlueCross BlueShield subsidiary, seeks an RN reviewer to conduct medical claim reviews from a home office. You will assess medical necessity and ensure adherence to established criteria, while supporting staff with guidance...
U.S. Army 6th Medical Recruiting BattalionLos Angeles,CA
U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for...
Alignment HealthLos Angeles,CA
Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. You will assist patients through the continuum of care in collaboration with the patient's primary care physician, facility case manager,...
MaziCToolsLos Angeles,CA
MedWatch LLC is seeking a Remote Utilization Review Coordinator licensed practical nurse (LPN) to perform review and certification duties. The role requires an unrestricted LPN license and at least three years of clinical nursing experience.
Centene Management CompanyLos Angeles,CA
Centene is seeking a remote Utilization Review Nurse to perform concurrent reviews, determine appropriate levels of care, and support discharge planning for inpatient services. You will collaborate with Medical Affairs and care teams to ensure...
Healthcare SupportLos Angeles,CA
A leading healthcare provider is seeking a Registered Nurse for their LTSS department in New York. This role involves providing case management services, evaluating medical services, and managing appeals for denied services. Candidates must...
Southcoast HealthLos Angeles,CA
Southcoast Health seeks a Team Lead-Centralized Clinic Support to join a remote role serving MA/RI communities. The role guides nursing staff, ensures clinical workflow compliance, and drives care coordination and patient safety across ambulatory...
LancesoftLos Angeles,CA
Nurse Case ManagerPosition Type: Full-Time Contract RoleLocation: Work from homeWork Type: Remote Est. Pay Range: $35.00/hour – $38.46/Hour on W2 (USD) (all inclusive)Schedule: Mon-Fri 8am-5pm ESTRegistered Nurse with active state license in...
UCLA HealthLos Angeles,CA
Job DescriptionDescription The AN I as a clinical lead and is responsible for coordination of patient care activities and workflow within the Surgery Center Operating Room. Acts as a clinical and administrative resource...
Crossing HurdlesLos Angeles,CA
Position: Clinical Professionals: Paid Study on Healthcare Software Workflows Type: Hourly Contract Compensation: $60/hr Location: Remote Role Responsibilities Navigate a...
Cambia HealthLos Angeles,CA
Cambia Health is seeking an Appeals Clinician I to work remotely from home within Oregon, Washington, Idaho or Utah. You will apply nursing expertise to complete the clinical component of all appeal types, resolving member and provider appeals...
ProvidenceLos Angeles,CA
Providence Tarzana Medical Center in Tarzana, CA is seeking a Certified Nursing Assistant for the Cardiovascular Unit. This Full-Time role requires CA Nursing Assistant Certification, BLS, and completion of the Nursing Assistant course, with...
VHC HealthLos Angeles,CA
VHC Health in Arlington, VA is seeking a Virtual Nurse/Nursing Care Partner to provide indirect nursing care to assigned patients across inpatient units via remote technology. The role supports admissions, education and discharge planning with...
MedlogixLos Angeles,CA
Medlogix, LLC in Hamilton, NJ seeks a Quality Assurance Nurse for a hybrid role, combining remote work with occasional in-office days. The position involves reviewing IME and peer review reports, ensuring accuracy, consistency, and adherence to...
Alignment Healthcare USA, LLCLos Angeles,CA
Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. The role focuses on reviewing inpatients with complex medical needs, coordinating with PCPs, facilities, and community resources to ensure...
Care CareerLos Angeles,CA
Care Career is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Labor and...
Spectraforce TechnologiesLos Angeles,CA
Spectrumforce Technologies, Inc. is seeking a Clinical Review Nurse - Concurrent Review for a 3-month contract to hire. The role is remote with work location listed as Remote-MS CST, schedule 8 am-5 pm Central time, with occasional weekend...
United States ArmyFullerton,CA
Army Public Health Nurse Job Overview As an Army Public Health Nurse, you'll assess health risks and implement programs to monitor the spread of disease. You'll promote wellness for Soldiers and their families while also informing policy and...
NetsmartLos Angeles,CA
Netsmart is seeking a registered nurse to perform utilization review for emergency department admissions and ongoing stay reviews. You will evaluate EMRs, apply InterQual/MCG criteria, and collaborate with ED physicians to determine admission...
NTT GroupLos Angeles,CA
NTT DATA is seeking a BPO Clinical Review Specialist in the United States, with remote work available for Florida residents. The role requires an active RN license (Florida or Compact) and at least 3 years of appeals, utilization management, or...
Health Care Service CorporationLos Angeles,CA
About HCSC At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be...
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