96 Clinical Review Nurse jobs in California, United States

Riverside, California, US (Hybrid)

Job Description Job Summary Provides support for clinical facility site reviews.

Santa Clara, California, US (Hybrid)

$130.3–195.5K / year

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail.

San Diego, California, US (Hybrid)

$130.3–195.5K / year

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail.

United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating…

United States (Remote)

$36.00 – $38.00 / hour

Vida is looking for a licensed RN or LPN to manage clinical review requests, escalations, and member inquiries in a fully remote, virtual care setting.

United States (Remote)

From $114K / year

Compensation for this role is expected to be approximately $114,000 annually.

United States (Remote)

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance…

United States (Remote)

$82–87K / year

The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations, utilization management activities, and delegated…

United States (Remote)

Dane Street has embarked on a program where we are looking for Registered Nurses to perform reviews and clinical summaries for disability claims.

United States (Remote)

$60.00 – $65.00 / hour

About Us At Prenuvo , we are on a mission to flip the paradigm from reactive “sick-care” to proactive health care.

United States (Remote)

We are seeking experienced US registered nurses to review and assess AI-generated responses from a health coaching agent, with a focus on safety,…

United States (Remote)

$55.00 – $65.00 / hour

About the job Mercor connects elite creative and technical talent with leading AI research labs.

United States (Remote)

$71.1–97.8K / year

Become a part of our caring community Shift/Availability details: This is a full time position scheduled for 40 hours a week over 4 days for 10 hour shifts.

United States (Remote)

$70–75K / year

The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state…

United States (Remote)

$60.00 – $70.00 / hour

Role Title: Registered Nurse Role Type: Contractor Location: United States, Remote We are engaging Registered Nurses to contribute their expertise to…

United States (Remote)

From $90K / year

About RPM Roman Pennsylvania Medical, P.C.

United States (Remote)

$70–75K / year

About Us: Our purpose is to help clients exceed their financial health goals.

United States (Remote)

$70.7–140.2K / year

Summary We are currently hiring for a Stop Loss Registered Nurse to join BlueCross BlueShield of South Carolina.

United States (Remote)

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults—and we're looking for passionate people…

United States (Remote)

$78–88K / year

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges.