RN Jobs in Los Angeles, CA

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Utilization RN

Pyramid Consulting, Inc.

•

Remote

Contract

Immediate need for a talented Utilization RN. This is a 10+months contract opportunity with long-term potential and is located in Dallas,TX(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:25-69315 Pay Range: $35 - $38/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Analyzes all prior authorization requests to
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Posted 3 days ago

Medical Case Manager RN (Emergency Department Program)

CalOptima

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Orange, California, USA

Full-time

Medical Case Manager RN (Emergency Department Program) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager RN (Emergency Department Program) to join our team. The Medical Case Manager for Long Term Services Supports (LTSS) Emergency Department Program is part of an advanced specialty collaborative practice, responsible for case management, care coordination, authorization and utilization management of the assigned population of focus (emergency department
Posted 24 days ago

Health Network Liaison Specialist (RN)

CalOptima

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Orange, California, USA

Full-time

Health Network Liaison Specialist (RN) CalOptima CalOptima Health is seeking a highly motivated an experienced Health Network Liaison Specialist (RN) to join our team. The Health Network Liaison Specialist Registered Nurse (RN) will serve as a liaison between the delegated Health Networks (HN) and CalOptima Health, assisting members assigned to the delegated HN with coordination of care and service-related issues. The incumbent will provide consultation to the health networks and groups to impro
Posted 24 days ago

RN (Registered Nurse)

Pyramid Consulting, Inc.

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Remote

Full-time

Immediate need for a talented RN (Registered Nurse). This is a Fulltime opportunity with long-term potential and is located in Missouri(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-68406 Pay Range: $67000 - $68000/annum. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Review patient medical documentation an
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Posted 9 days ago

Clinical Quality Audit Specialist

Talent Groups

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Remote

Contract, Third Party

Title: Clinical Quality Audit Specialist Location: Minneapolis, MN Remote Contract Job Description: 3+ years clinical EHR experience Working knowledge of ICD-10 codes Comprehensive knowledge of medical terminology Effective written, verbal, and electronic communication skills Ability to communicate effectively with diverse population Attention to detail and ability to proficiently read and interpret medical records Ability to define problems, collect data, establish facts and draw conclusions; m
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Posted 23 days ago

Registered Nurse - All Across USA

Key Infotek LLC

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Remote

Full-time, Third Party

We have 100+ Registered Nurse role open which are all across USA.
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Posted 60+ days ago | Updated 1 day ago

Registered Nurse

Hanker Systems Inc

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Duarte, California, USA

Contract

Job Description: Telephone triage/symptom management role for Oncology facility, with primarily hematology, surgical/medical oncology cases. Work may be done with others (5-6 RNs are on shift during the day and 3 at night) or solitary. Weekends required. Primarily night shift with occasional days as required by facility needs. Cisco, Jabber, and Finesse systems used. Ideal candidate has one year of phone triage and oncology experience. At least one (1) year of RN experience with a minimum of six
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Posted 18 days ago

Registered Nurse UMCase manager

Pyramid Consulting, Inc.

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Los Angeles, California, USA

Contract

Immediate need for a talented Registered Nurse UM Case manager . This is a 03+months contract opportunity with long-term potential and is located in Los Angeles, CA(Onsite ). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-68027 Pay Range: $85 - $100/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: They will be res
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Posted 2 days ago

Behavioral Health Case Manager

Zachary Piper Solutions, LLC

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Remote

Full-time

Piper Companies is currently seeking a Behavioral Health Case Manager for a remote opportunity within a health insurance organization. The Behavioral Health Care Manger will be serving as an essential bridge between health care and medical coverage. Responsibilities of the Behavioral Health Care Manager: Assess medical records, care plans, and medical charts to provide quality care for patients Prepare and analyze data from electrical medical records Coordinate with patients and providers to
Posted 21 hours ago | Updated 10 hours ago

Clinical Quality Audit Specialist

Talent Groups

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Remote

Contract

Job Description: 3+ years clinical EHR experience Working knowledge of ICD-10 codes Comprehensive knowledge of medical terminology Effective written, verbal, and electronic communication skills Ability to communicate effectively with diverse population Attention to detail and ability to proficiently read and interpret medical records Ability to define problems, collect data, establish facts and draw conclusions; must be able to think logically and critically Strong organizational, prioritization
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Posted 23 days ago

Medical Case Manager (Community Based Adult Services)

CalOptima

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Orange, California, USA

Full-time

Medical Case Manager (Community Based Adult Services) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager-RN (Community Based Adult Services) to join our team. The Medical Case Manager for Community Based Adult Services (CBAS) will be responsible for reviewing and processing requests for authorization for CBAS services. The incumbent will utilize Medi-Cal criteria along with policies and procedures to authorize requests from CBAS providers. The incumbent
Posted 4 days ago

Medical Case Manager (Behavioral Health - Utilization Management)

CalOptima

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Orange, California, USA

Full-time

Medical Case Manager (Behavioral Health - Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager (Behavioral Health - Utilization Management) to join our team. The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and processing requests for authorization and notification of behavioral health services from health professionals, clinical facilities and ancillary providers. The incumbent will be respons
Posted 24 days ago

CDI Specialist - Inpatient (NICU)

GHR Healthcare

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Remote

Contract

Remote: Experienced Concurrent CDI Specialist with NICUexp Credential: RN Systems: EPIC/3M 360 Productivity: 28Reviews/Rereviews Project Length: 6-12 Months Start date: April28, 2024 Responsibilities Perform concurrent reviews of hospital inpatient NICU cases Identifying pdx, CCs, MCCs, and querying for the accuracy of the medical records Utilize EPIC and 3M 360Apply now to join our healthcare team today! Benefits401K with Matching, Healthcare, Dental and Vision About GHRWith over 30 years of he
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Posted 16 days ago | Updated 16 days ago

EPIC Care Ambulatory - Community Connects

APN Software Services, Inc

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Remote

Contract

Job Title - EpicCare Ambulatory - Community Connects Location - Remote Length - Contract (6 Months+) Description - Required Certifications:EpicCare AmbulatoryAnalysis of Clinical Tools and Reporting BadgeHealthy Planet & RegistriesRegulatory Reporting (MIPS) BadgesPreferred Qualifications:Clinical background such as Medical Assistant (MA), Registered Nurse (RN), or Licensed Practical Nurse (LPN)Experience working directly in clinical environments and understanding of day-to-day workflowsStrong c
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Posted 18 days ago | Updated 22 hours ago

Registered Nurse | Case Manager I Remote | Contract

Walker Healthforce

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Remote

Contract

RN Case Manager | Remote | Michigan | Contract Walker Healthforce is seeking an RN Case Manager with 3 years of experience in Michigan. This is a 12 month contract opportunity. CORE REQUIREMENTS: 3 years of clinical nursing experience in a clinical, acute/post-acute care, or community setting 1 year of case management experience in a managed care setting Experience managing patients telephonically and via digital channels (mobile applications and messaging) MS Office computer skills required-
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Posted 3 days ago

Registered Nurse | Case Manager I Remote | Contract

Walker Healthforce

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Remote

Contract

RN Case Manager | Remote | Michigan | Contract Walker Healthforce is seeking an RN Case Manager with 3 years of experience in Michigan. This is a 12 month contract opportunity. CORE REQUIREMENTS: 3 years of clinical nursing experience in a clinical, acute/post-acute care, or community setting 1 year of case management experience in a managed care setting Experience managing patients telephonically and via digital channels (mobile applications and messaging) MS Office computer skills required-
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Posted 3 days ago

Registered Nurse | Case Manager I Remote | Contract

Walker Healthforce

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Remote

Contract

RN Case Manager | Remote | Michigan | Contract Walker Healthforce is seeking an RN Case Manager with 3 years of experience in Michigan. This is a 12 month contract opportunity. CORE REQUIREMENTS: 3 years of clinical nursing experience in a clinical, acute/post-acute care, or community setting 1 year of case management experience in a managed care setting Experience managing patients telephonically and via digital channels (mobile applications and messaging) MS Office computer skills required-
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Posted 3 days ago

Medical Management Specialist I | Remote | Texas | Contract to Hire

Walker Healthforce

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Remote

Contract

Medical Management Specialist I | Remote | Texas | Contract to Hire Walker Healthforce is seeking a Medical Management Specialist Ifor a healthcare client located in Texas. This is acontract opportunity. Start Date: ASAP Walker Healthforce Standard Perks: Weekly pay via Direct Deposit Medical, Dental, and Vision Available 401K JOB DESCRIPTION This position is responsible for conducting medical management and health education programs for customers on government health care programs. This role
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Posted 8 days ago

Registered Nurse | Philadelphia, PA | Contract

Walker Healthforce

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Remote

Contract

Registered Nurse | Philadelphia, PA | Contract Walker Healthforce is seeking a Registered Nurse for a healthcare client located in Philadelphia, PA. This is acontract opportunity. We have an immediate shift available:5/3/2025 (11:00AM-3:00PM) Hourly Pay: $43.00 Start Date: ASAP JOB SUMMARY Will be responsible for providing health screenings in Mobile Care Units (traveling bus) along with potential in-clinic appointments. Will be required to travel each day to different location for shift. Tak
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Posted 1 day ago

Clinical Auditor Sr

CalOptima

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Orange, California, USA

Full-time

Clinical Auditor Sr CalOptima CalOptima Health is seeking a highly motivated an experienced Clinical Auditor Sr to join our team. The Clinical Auditor Sr (Behavior Health) will serve as the auditor for clinical and quality areas within the Behavioral Health Integration department. The incumbent will ensure regulatory (Medicare and Medi-Cal) and accreditation National Committee for Quality Assurance (NCQA) compliance for all CalOptima Health lines of business by conducting routine oversight, moni
Posted 17 days ago