Medical review nurse jobs in Los Angeles, CACreate job alerts

If interested, please apply and submit your resume to POSITION SUMMARY The RN Utilization Management Lead (RN UM) is an onsite position responsible for overseeing the daily operations of the utilization management team to ensure effective, timely, and compliant revie...

Overview: Nurse Practitioner – PRN Home Risk Assessments New Grad NP's welcome to apply About Us: Matrix Medical Network offers a broad range of clinical services and proven expertise that give primary care providers and the at-risk health plan members we visit with every day the too...

Overview: Nurse Practitioner – PRN Home Risk Assessments New Grad NP's welcome to apply About Us: Matrix Medical Network offers a broad range of clinical services and proven expertise that give primary care providers and the at-risk health plan members we visit with every day the too...

Job DescriptionDescription: Job Type: Full-time Haven Health, a well-established home health agency hiring RN's! Haven is a thriving home health agency seeking nurses that want to make a difference and be part of a team of health care professionals that are committed to quality nursin...

Job Description POSITION SUMMARY Reports to the UM Manager. This position is a position for a California Licensed Nurse whose primary responsibilities are to perform the prospective and retrospective review of the requests for service authorizations in order to monitor the continuity and coordin...

Job DescriptionMedica Talent Group is excited to share this direct-hire opportunity with you!Our client, a reputable community-based health care organization in Los Angeles County is seeking a Nurse Supervisor to join their growing team. If you have experience in a supervisor or management nursin...

Job DescriptionDescription: Attention all Registered Nurses, we are calling you to partner with us as independent contractors providing services to our Military Service members. We primarily work weekends, with some occasional weekdays under the Reserve Health Readiness Program (RHRP) in the ...

Job DescriptionPart-time & Full-time opportunities. This Jobot Job is hosted by: Dexter Dionio Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume. Salary: $50 - $50 per hour A bit about us: Here's a new nursing opportunity to teach, lead, and inspire —...

Job Description QUALITY COMPLIANCE NURSE PURPOSE: The Quality and Compliance Nurse is responsible for working with the Medical Director, the VP of Clinical Policy, the QM Committee in developing, implementing, and refining the Quality Management Program. They are also responsible for oversight ...

Job Description Position Purpose: The purpose of the Clinic Nurse-RN position is to deliver high-quality, patient-centered care by assessing, planning, implementing, and evaluating nursing interventions in collaboration with interdisciplinary healthcare teams. The Clinic Nurse plays a critical r...

Job Description Education: • Graduate of an accredited nursing program, • Registered Nurse or Licensed Vocational Nurse licensed in California, • Current basic life support (BLS) certification Experience: • Minimum 3 years of clinical experience in a Skilled Nursing Facility setting, • 1 – ...

Job DescriptionMedica Talent Group is excited to share this short term temp assignment opportunity with you! The RN Case Manager will provide daily care coordination with concurrent review for patient in the hospital or Skilled Nursing Facilities (SNF) in person or telephonically. This position ...

Job Description Summary Provides overall coordination in the delivery of medical services and discharge planning for a specified patient population. Performs concurrent review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies ...

Job Description GENERAL STATEMENT OF FUNCTIONS: Under the general direction of a licensed clinical program director, supervises and coordinates multidisciplinary and ancillary support staff in the planning and provision of mental health services to emotionally or mentally disturbed adults, and o...

Job Description RN Care Coordinator at Zócalo Health Work From Home Compensation:$85,000 Work from Home (Must reside in California) Full-time #communityhealth #healthequity #latinohealth #healthcare About Us Zócalo Health is the first tech-driven provider built specifically for Latinos...

Job Description POSITION SUMMARY Reports to Clinical Operations Manager. The Utilization Management Coordinator is responsible for processing and assisting with 80-100 authorizations per day, reviewing authorizations for accuracy such as completeness which includes correct address, correct provi...

Job Description $25K SIGN ON BONUS The WelbeHealth PACE program helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. The WelbeHealth Clinical Nurse Manager is accountable for the delivery of high-quality ambulatory clinic car...

Job DescriptionDescriptionAstrana Health is looking for a Utilization Review Nurse to assist our Health Services Department in reviewing referral/authorization requests and ensuring patients meet medical necessity criteria. This position will work M-F from 8:30 a.m. to 5 p.m, as well as rotating ...

Job Description PURPOSE: The Inpatient Case Manager is primarily responsible for managing patients in the hospital and identifying high risk and high cost cases to be placed in Case Management. ESSENTIAL DUTIES: • Daily concurrent Review of medical records received justifying admission and co...

Job Description TELACU Residential Management, Inc. (TRM) has developed thousands of apartment homes, creating beautiful residential communities throughout California. These communities are operated by TELACU Residential Management, Inc. (TRM), which provides the highest levels of in-house oversi...

Job DescriptionDescription: THE COMPANY Cogir Senior Living, based in Scottsdale, Arizona, proudly oversees a network of senior living communities spanning 11 states nationwide. As a trusted leader in senior housing, we are dedicated to growth while maintaining our commitment to exceptional care...

Job DescriptionDescriptionJob Title: Case Manager (LVN or RN)Department: Health Services - ICM About the Role: Astrana Health is looking for a RN/LVN Case Manager and we are willing to train a RN or LVN with no case management experience! You will have the ability to work with pediatrics and/or...

Job DescriptionJOBID: PHS-3815 Position: Registered Nurse Case Manager Shift Notes 07:00 - 19:30 Location: Anaheim, CA, 92804 Start date: 08/11/2025 - 02/08/2026 Pay: $35-$40 per hour Per Diem RN CM day Shift RN times of shift (12hr shift) - NO GUARANTEED HOURS Job description Responsibl...

Job DescriptionRegistered Nurse (Per Diem / Home Visits) The Registered Nurse (RN) is responsible for coordinating and providing care to patients within the scope of practice and will strive to provide these services in a compassionate and knowledgeable fashion. The RN’s role responsibilities inc...

Job Description Job Description: We are a high-end plastic surgery practice in Beverly Hills seeking a Registered Nurse (RN) for a hybrid role that includes operating room circulator duties, recovery care, and front/back office support. This is an exciting opportunity to work closely with a t...

Job DescriptionJob Title: Registered Nurse Hourly Rate: DOE, $45.00-$62.00, in addition to bonus eligibility and comprehensive benefits package Location: Los Angeles, CA Our Mission Formerly known as the Ellison Institute of Technology Los Angeles, the Ellison Medical Institute strives to spark ...

Job DescriptionSalary: $30-35$ itle: NURSE Reports To: Program Director Job Description • Assist the Physician to monitor and document the health status of residents receiving IMS services to include: physical exams, vital signs, rating scales, medication inventory and storage, activitie...

Job Description Join Our Team as an Experienced Workers Compensation Case Manager Advance Your Career with Rising Medical Solutions Are you an experienced workers’ compensation nurse case manager eager to bring your expertise to a team that’s passionate about making a genuine impact on the live...

Job Description Utilization Management Nurse Reviewer About the Position HealthSmart Management Services Organization, Inc. is looking for a full-time qualified UM Nurse Reviewer who will be responsible for reviewing and processing Authorization requests of medical services from health professi...

Job Description CHA Hollywood Presbyterian Medical Center CHA Hollywood Presbyterian Medical Center (HPMC) is an acute care facility that has been caring for the Hollywood community and surrounding areas since 1924. The hospital is committed to serving local multicultural communities with qual...

Job Description Travel Registered Nurse – Case Manager (Day Shift) Location: Providence Little Company of Mary Medical Center – San Pedro, CA Address: 1300 W 7th St, San Pedro, CA 90732 Start Date: 09/08/2025 Duration: 13 weeks Shift: Day Shift | 5x8-Hour | 08:00 AM – 4:30 PM Guaranteed Hours: 4...

Job DescriptionRegistered Nurse The Registered Nurse is responsible for coordinating and providing care to patients within the scope of practice and will strive to provide these services in a compassionate and knowledgeable fashion. The RN’s role responsibilities include the assessment, planning...

Job Description SUMMARY: The medical assistant will work within their scope as defined by state and federal guidelines. The MA oversees the operations of rooming and checking in patients and the general flow of back office. The MA communicates effectively with all members of the team including...

Job Description The Medical Assistant will work within their scope as defined by state and federal guidelines. The MA will work in the street medicine setting to provide quality and compassionate care to people experiencing homelessness. The MA communicates effectively with all members of the tea...

Job Description Join Cedars-Sinai! Cedars-Sinai Medical Center has been ranked the #1 hospital in California and #2 hospital in the nation by U.S. News & World Report, 2022‑23 Cedars-Sinai was awarded the Advisory Board Company’s Workplace of the Year which is an award that recognizes hospita...

Adventist Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Huntington Park, California. Job Description & Requirements • Specialty: Care Manager, • Discipline: RN, • Start Date: ASAP, • Duration: Ongoing Centered in the heart of Boyle H...

Job Description Join Cedars-Sinai! Cedars-Sinai Medical Center has been ranked the #1 hospital in California and #2 hospital in the nation by U.S. News & World Report, 2022‑23 Cedars-Sinai was awarded the Advisory Board Company’s Workplace of the Year which is an award that recognizes hospitals...

Job Description Join Cedars-Sinai! Cedars-Sinai Medical Center has been ranked the #1 hospital in California and #2 hospital in the nation by U.S. News & World Report, 2022‑23 Cedars-Sinai was awarded the Advisory Board Company’s Workplace of the Year which is an award that recognizes hospitals...

Job Description Join Cedars-Sinai! Cedars-Sinai Medical Center has been ranked the #1 hospital in California and #2 hospital in the nation by U.S. News & World Report, 2022‑23 Cedars-Sinai was awarded the Advisory Board Company’s Workplace of the Year which is an award that recognizes hospitals...

Nationwide Therapy Group is seeking a travel nurse RN Case Management for a travel nursing job in San Pedro, California. Job Description & Requirements • Specialty: Case Management, • Discipline: RN, • Start Date: 09/07/2025, • Duration: 13 weeks, • 40 hours per week, • Shift: 8 hours, days, • ...

Job Description Join Cedars-Sinai! Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report’s “Best Hospitals 2024-25” rankings, as well as placed among the very best in 11 specialties nationwide. Alig...

LanceSoft is seeking a travel nurse RN Home Health for a travel nursing job in Torrance, California. Job Description & Requirements • Specialty: Home Health, • Discipline: RN, • Start Date: 08/25/2025, • Duration: 13 weeks, • 40 hours per week, • Shift: 8 hours, days

Enterprise Solutions, Inc (NimbusNest, Inc) is seeking a travel nurse RN Care Manager for a travel nursing job in San Pedro, California. Job Description & Requirements • Specialty: Care Manager, • Discipline: RN, • Start Date: 09/08/2025, • Duration: 9 weeks, • 40 hours per week, • Shift: 8 hou...

Job Description Join Cedars-Sinai! Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News & World Report’s “Best Hospitals 2024-25” rankings, as well as placed among the very best in 11 specialties nationwide. Alig...

Job Description Join Cedars-Sinai! Cedars-Sinai Medical Center has been ranked the #1 hospital in California and #2 hospital in the nation by U.S. News & World Report, 2022‑23 Cedars-Sinai was awarded the Advisory Board Company’s Workplace of the Year which is an award that recognizes hospitals...

Job Description Are you passionate about patient care and interested in leadership opportunities? Cedars-Sinai Fertility and Reproductive Medicine Center, one of the nations premiere academic leaders in the field is looking for a nurse leader to join our expert team. Interested in using your expe...

HonorVet Technologies is seeking a travel nurse RN Case Management for a travel nursing job in Mission Hills, California. Job Description & Requirements • Specialty: Case Management, • Discipline: RN, • Duration: 13 weeks, • 40 hours per week, • Shift: 8 hours, days, • Employment Type: Travel ...

Job Description Join Cedars-Sinai! Cedars-Sinai Medical Center has been ranked the #1 hospital in California and #2 hospital in the nation by U.S. News & World Report, 2022‑23 Cedars-Sinai was awarded the Advisory Board Company’s Workplace of the Year which is an award that recognizes hospita...