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Quality Assurance Nurse Location: Remote with travel to facilities as needed. Des Moines, Kansas City, Omaha/Council Bluffs region Position Type: Full-Time Description We are seeking a dedicated Quality Assurance...

CD RN (Clinical Documentation Specialist)-Level 2 The Clinical Documentation Specialist (CDS) is responsible for distributing documentation information to respective departments; performing educational outreach to individual units and...

Clinical Claim Review Nurse 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...

Nurse, Concurrent Review WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. We bring together deep domain excellence with AI-powered...

Duration: 8 months contract (with possible extension) Job Summary The Clinical Reviewer, Precertification RN, is a licensed Registered Nurse that is expected to function independently in her / his role...

Stability Healthcare is seeking a local contract nurse RN Endoscopy for a local contract nursing job in Los Angeles, California. Job Description & Requirements Specialty: Endoscopy Discipline: RN Start Date: 07/13/2026 Duration: 13 weeks 40 hours per...

RN School Support Manager The RN School Support Manager is responsible for the clinical oversight of the designated medical care needs per the district contract. This oversight includes support of care management as required by...

Details Client Name Cedar Sinai TACRI Imaging Job Type Travel Offering Nursing Profession RN Specialty...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Working Nurse is seeking an RN Navigator to provide coordinated care for cancer patients in Los Angeles. This role involves collaborating with a team to support patients from initial referral through treatment and follow-up care.Candidates must...

Summary VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking to hire experienced Registered Nurse to work as our Chief Nurse of Acute Care Units. As Chief Nurse, you will provide program management to ensure coordination of care,...

Role SnapshotThe Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

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...

Anticipated End Date: 2026-07-01 Position Title: Nurse Appeals-RN (California) Job Description: Nurse Appeals RN Locations: Woodland Hills, CA and Costa Mesa, CA ...

Overview Carenet Health is not authorized to hire in certain states due to internal business considerations: CA, CO, NY, NJ, NV, OR, WA, MD, RI, WV, AK, HI, CT, DE, VT, or Puerto RicoAre you a compassionate, self-motivated registered nurse with...

Are you a dedicated clinician passionate about providing exceptional care? Join our team at Adara Home Healthcare where we pride ourselves on delivering top-tier home health services. At Adara Home Healthcare, you'll not only make a difference in...

Overview This is a short-term assignment. What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and...

Description Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing...

About the Job ABOUT US: All Care Home Health is "Committed to Caring." The company provides home care and hospice care services to the Los Angeles and Orange County areas. Founded in 1995, All Care has...

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...

Clinical Appeals 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 people with the...

Utilization Review Nurse Remote Ability to travel on-site to 3031 NE Stephens St., Roseburg OR, 97457, as needed for business operations. Employment Type: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more...

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...

Job Title Job Requirements: Experience: 2 years of relevant exp CA RN License Certs: BLS, Chemo (ONS/ONCC). OCN preferred. First time travelers accepted: NO Special Requirements: EPIC REQ Job Details: Weekend REQ: 6-8 per contract...