Registered Nurse - Utilization Review
$71k - $151kColorwave Inc
Registered Nurse - Utilization Review
Hospitals on Incredible Health are actively hiring and accepting applications in the Los Angeles, CA area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review.
Shift(s) available: day shift
Job types available: full time and part time
Employer features: Best Places to Work recognition, Cross training, EAP, FSA, Medical, PTO, Retirement Plan
Qualifications
- RN Diploma degree or higher from an accredited school of nursing
- Active and unencumbered Registered Nurse license in the state of California
Benefits
- Healthcare coverage: Medical, Dental, Vision
- 401K
- Paid Time Off
- Tuition Assistance
Salary: $71,000 to $151,000 /year
- ...Job Description: Manager of Clinical Utilization Management - Denial Compliance Location... ..., managing daily tasks, performance reviews, and any necessary disciplinary... ...Qualifications: 1. Graduate from an accredited Registered Nursing Program; RN preferred. 2. Minimum of...SuggestedPermanent employmentFull timeTemporary workRemote workFlexible hours
$71k - $151k
...Registered Nurse - Utilization Review Hospitals on Incredible Health are hiring and accepting applications in the Los Angeles, CA area. Work Details Shift(s) available: day shift Job types available: full time and part time Qualifications RN Diploma degree or higher from...SuggestedFull timePart timeShift workDay shift$34 - $42 per hour
...Astrana Health, Inc. is searching for an experienced UM Review Nurse. This role involves reviewing outpatient medical services based on... ...requires a CA-licensed LVN with at least one year of outpatient Utilization Management experience. The position is remote for CA nurses,...SuggestedHourly payRemote work$2,065 - $2,160 per week
...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare Pay: $2,065 to $2,160 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource is...SuggestedHourly payWeekly payFull timeContract workImmediate startShift work- ...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: ASAP About...SuggestedHourly payWeekly payFull timeContract workImmediate startShift work
$74.16 - $107.75 per hour
The University of California - Los Angeles Health is seeking a Utilization Review Nurse to support its Utilization Management Department. This role involves clinical reviews with payors for authorization, acting as a liaison with treatment teams, and ensuring documentation...Hourly pay- ...Nurse Manager Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center.... ...to staff regarding utilization review, care coordination, discharge... ...services administration. ~ Registered Nurse License (California)...Local area
- ...Incredible Health is seeking a Registered Nurse - Utilization Review in Los Angeles, CA. This role is ideal for nurses with experience in Clinical pathway, Navigator, or Utilization Review. The position offers full time and part time options, along with comprehensive benefits...Full timePart time
- ...Air Combat Effectiveness Consulting Group, LLC in Monterey Park is seeking a Case Manager RN or LVN to join our Utilization Review Department. This per diem position involves coordinating care for patients, conducting admissions, and liaising with health plans to ensure...Daily paid
$71k - $151k
...Incredible Health is seeking Registered Nurses for Utilization Review roles in Los Angeles, CA. Candidates should possess an RN Diploma or higher and an active license in California. The job offers both full-time and part-time positions. In addition to competitive salaries...Full timePart timeDay shift$1,900 - $2,500 per week
...Job Title: Travel RN Case Management Utilization Review Location: Carmichael, CA Salary Range: From $1,900 to $2,500 per week Shift: 8-hour Day Shift (Monday to Friday) Duration: [Specify Number of Weeks] (Contract) Job Description Elitecare Medical...Weekly payContract workRelocationMonday to FridayShift workDay shift$74.16 - $107.75 per hour
...Utilization Review Nurse Work Location: Los Angeles, CA Job #: 30315 Work Hours: Monday-Friday 8am-4:30pm Employment Type: 4 – Staff- Limited Duration: 6 months Salary Range: $74.16–107.75 hourly Posted Date: May 15, 2026 Bargaining Unit: CNA – NX Job Duties The Utilization...Hourly payMonday to Friday- ...Astrana Health Management is seeking a CA-licensed UM Review Nurse to review outpatient medical services. Candidates should have 1+ years of outpatient Utilization Management experience, work remotely, and maintain availability for shifts 8 AM – 8 PM PST, Monday through...Remote workShift work
- ...L.A. Care Health Plan in Los Angeles is hiring a Utilization Management Claims Review Nurse RN II responsible for conducting clinical reviews of medical claims. The position requires a minimum of 5 years in clinical nursing, with experience in Medi-Cal and Medicare managed...
$74.29k - $111.43k
...better care experience for all. Job Summary The Concurrent Utilization Review (UR) Nurse is responsible for conducting real‑time clinical reviews... ...meetings and case conferences. Qualifications Education: Registered Nurse (RN) with an active, unrestricted California...Work at office$88.85k
...Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US,... ...determinations. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California...Full time$30 - $34 per hour
...A health services company is seeking a Utilization Management Review Nurse in Monterey Park, CA. This hybrid role includes conducting reviews for inpatient admissions and outpatient procedures, ensuring compliance with regulations, and working collaboratively with the...Hourly payWeekend work$74.16 - $107.75 per hour
...UCLA Outpatient Clinics is seeking a Utilization Review Nurse for its Utilization Management Department at the Resnick Neuropsychiatric Hospital in Los Angeles, California. This role supports inpatient, partial hospital, and intensive outpatient programs by performing...Hourly pay$74.16 - $107.75 per hour
...Veterans in Healthcare is looking for a Utilization Review Nurse to work in Los Angeles, CA. This role is part of the Utilization Management Department at the Resnick Neuropsychiatric Hospital and supports various treatment programs. The ideal candidate will perform clinical...Hourly payMonday to Friday- ...Neuehealth is seeking a Concurrent Utilization Review Nurse in Los Angeles, CA. This vital role involves conducting real-time clinical reviews... ...adhering to compliance guidelines. Candidates should be Registered Nurses with a robust clinical background and ideally have...
- ...Rheumatology (MD/DO) Utilization Review – Remote Contract (1099) Apply for this independent contractor position with Medical Review Institute of America. Flexible Independent Contractor (1099) Opportunity Fully remote, 1–2 hours per week, no minimum commitment. Covered...Contract workFor contractorsRemote workFlexible hours
$35.87 - $47.36 per hour
...Utilization Management LVN Los Angeles, CA, USA At WelbeHealth, we are transforming the reality of senior care by providing an all... ...participants. The Utilization Management LVN is accountable for the review and audit of authorization requests to ensure services meet...Work at office$49.31 - $76.42 per hour
...Supervises the management of patient care utilizing critical thinking and nursing process, discharge planning,... ...Required: Current unrestricted Registered Nurse (RN) license issued by California... ...Hand-Off format, including a review of the post operative orders, to the...Hourly payFull timeImmediate startShift work- ...Angeles, California. In this role, you'll be responsible for reviewing outpatient precertification requests and ensuring high-quality... ...current California RN or LVN license and 2+ years of experience in utilization management are required. Proficiency in Microsoft Office is...Work at office
- ...fifth consecutive Magnet designation for nursing excellence. From working with a team of... ...to complete initial and continued stay reviews in determining appropriate level of patient... ...Follow the UR process as defined in the Utilization Review Plan in accordance with the CMS...Daily paidSeasonal work
$37.6 - $78.35 per hour
...Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards and... ...Health Education & Disease Management Programs utilizing established interventions, performing necessary...Hourly payWork at officeRemote work$30.37 - $59.21 per hour
Molina Healthcare in Los Angeles seeks a Clinical Review Nurse to support clinical member services. Responsibilities include assessing services for members, analyzing clinical requests, and conducting reviews for prior authorization. The ideal candidate will have at least...Hourly pay- ...AltaMed in Montebello, California is seeking an LVN Utilization Management Nurse to provide routine reviews of authorization requests. The ideal candidate will have a current valid license as a Vocational Nurse and must possess a minimum of 2 years of managed care experience...
$30.37 - $59.21 per hour
...ensure services are medically necessary and compliant with guidelines. Key responsibilities include analyzing requests, conducting reviews, and collaborating with multidisciplinary teams. Applicants must have an active RN license and at least 2 years of relevant experience...Hourly pay$110k
...Overview The Nurse Clinical Supervisor, UM Denial Compliance oversees the denial process within the utilization management (UM) department, ensuring that all denials are handled... ...Collaborate with medical directors, physician reviewers, and other UM/PA teams to coordinate...Casual workRelocation package
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