UM Nurse (RN): Care Coordination & Clinical Review Lead
Career Advocates
A healthcare organization in Los Angeles is looking for a candidate to support clinical operations by conducting complex clinical reviews. The selected individual will use clinical judgment and collaborate with stakeholders to ensure efficient care delivery. Key responsibilities include mentoring LVN staff and ensuring compliance with Medicare and Medi-Cal benchmarks. Applicants should have an accredited nursing degree and experience in healthcare or managed care settings. #J-18808-Ljbffr Career Advocates
- ...bed hospital, wound care medical office and... ...with the Nurse Manager, Director,... ...Registered Nurse (RN) licensure in the... ...policy: Preferred Clinical specialty and/or nursing... .... Initiates and coordinates individual and... ...meals and breaks. Reviews and takes action on...SuggestedFull timeWork experience placementWork at officeDay shift
$3,499 per week
...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare... ...join our team, focusing on patient care coordination and management. This role requires... ...valued and make a real impact. We are a leading healthcare staffing provider,...SuggestedFull timeContract workLocal areaImmediate startShift workDay shift- ...collaboratively with the Nurse Manager, Director,... ..., professional care that results in... ...Registered Nurse (RN) licensure in the... ...policy: Preferred Clinical specialty and/or... .... Initiates and coordinates individual and team... ...meals and breaks. Reviews and takes action on...SuggestedFull timeWork experience placementDay shift
- L.A. Care Health Plan in Los Angeles, CA is seeking a Managed Long... ...Services and Supports (MLTSS) Nurse Specialist RN II. You will apply advanced clinical judgment to coordinate care, assess needs, and... ...3 years of direct nursing or UM/CM experience, strong communication...Suggested
- Heritage Manor Care in Del Monte, California, is seeking full-time Registered Nurses (RNs) to join our team. The role involves direct supervision of staff, coordination of care services, and ensuring high-quality... ...experience and a current RN license in California. Join...SuggestedFull time
$59 - $81 per hour
...collaboratively with the Nurse Manager,... ..., professional care that results in... ...Registered Nurse (RN) ED - Emergency Department Lead for a nursing... ...and provision of clinical services. Supervises... .... Initiates and coordinates individual and... ...and breaks. Reviews and takes action...Hourly payFull timeWork at officeImmediate startNight shift- A healthcare provider in Montebello, CA is looking for a Registered Nurse Supervisor (RN Supervisor) to join their team. The role involves providing high-quality care to residents, performing assessments, and administering medications. Ideal candidates are registered nurses...
- ...hiring a full-time Registered Nurse (RN) to join our high-end... ...You will act as the central clinical lead for a small panel of patients... ...health quarterback” by managing care plans, triaging acute issues, and ensuring seamless coordination across providers. Our physician...Full timePrivate practiceWork at officeShift workWeekend workAfternoon shift
- ...Health in Glendale, Arizona is seeking a Registered Nurse to coordinate patient care and activities within a clinical unit. The role involves scheduling RNs, training... ...Degree, relevant experience, and a valid Arizona RN license. Abrazo Health offers a comprehensive benefits...Relocation package
- LA Care Health Plan is seeking an RN II for Managed Long-Term Services and Supports in Los Angeles. The nurse specialist applies advanced clinical judgment to coordinate physical and behavioral healthcare for LA Care... ...years of direct nursing or UM/CM experience. #J-18808-...
$2,606 per week
...Registered Nurse (RN) | Case Manager Location: Burbank... ...2-year acute medical Care Manager experience performing Care Coordination/Discharge Planning... ...your traveler can be reviewed by our clinical team so please submit... ...Can include Charge RNs/Lead Local radius: 50 miles...16 hoursPermanent employmentFull timeContract workTemporary workLocal areaImmediate startShift workNight shiftWeekend work$2,657 per week
...Registered Nurse (RN) | Case Manager Location: West Hollywood, CA Agency: Prime Staffing... ...assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care...Full timeContract workShift work$88.85k
...Utilization Management Nurse Specialist RN II Job Category: Clinical Department:... ...Established in 1997, L.A. Care Health Plan is an... ...RN II facilitates, coordinates, and approves... ...admission and concurrent review, and collaborates... ...plan. Works with the UM Manager and...Full time- ...Health White Memorial Nursing Leadership... ...one of the area's leading healthcare providers... ...comprehensive cancer care and a vast scope... ...Registered Nurse (RN) licensure in the... ...policy: Preferred. Clinical specialty and/or nursing... .... Initiates and coordinates individual and...Work experience placementWork at officeLocal area
$88.85k
RN Job Utilization Management Nurse Specialist RN II Shift: Full Time... ...II facilitates, coordinates, and approves... ...and concurrent review, and collaborates... ...Works with the UM Manager and Physician... ...of varied RN clinical experience in an... ...Preferred Managed Care experience...Full timeShift work- ...Emergency Department Registered Nurse ready to take the next... ...Health and become an RN Nurse Lead where your clinical expertise, leadership skills... ...passion for patient-centered care will make a lasting impact... ...professional development Coordinate patient care with...Full timeNight shift
- Berkley Post-Acute in Van Nuys, CA is seeking an Registered Nurse (RN) to lead nursing staff and oversee patient care at a premier nursing facility serving Los Angeles County. The role requires coordination with physicians and nursing teams to implement care plans in alignment...Full time
- ...Monterey Park, CA is seeking an RN ICU Lead to provide unit-based... ...for the ICU, working with the Nurse Manager, Director, physicians... ...ensure safe, high-quality patient care. The role focuses on... ...nursing and ancillary personnel, coordinating care plans, and driving patient...
$88.85k
...Max.) Established in 1997, L.A. Care Health Plan is an independent... ...that purpose. Job Summary The Clinical Policy Nurse RN II is responsible for... ...claims, Utilization Management (UM) department and healthcare services policies. Reviews and analyzes clinical financial...Local area$167.96k - $274.73k
...Pre-Op Nurse Practitioner (NP) The... ...supervision of clinical practice, education... ..., and patient care management. The... ...for follow up, coordination of care,... ...Acts as the lead in the clinics... ...the resource for RN, LVN, and support... ...Investigational Review Board approval...Full timeWork experience placementWork at officeLocal area- ...Pre-Op Nurse Practitioner (NP) The... ...supervision of clinical practice, education... ..., and patient care management. The... ...for follow up, coordination of care,... ...Acts as the lead in the clinics... ...the resource for RN, LVN, and support... ...Investigational Review Board approval...Full timeWork at office
- A skilled nursing facility in California is seeking an RN Supervisor for the NOC Shift, both for full-time and part-time positions. The successful candidate will oversee nursing staff, coordinate care plans with residents and their families, and ensure quality care is...Full timePart timeNight shift
- ...The Regulatory Coordinator II prepares and... ...for the study/clinical trial. Other duties... ...Institutional Review Board (IRB).... ...communicate a plan of care. Triages... ...review and leading staff. Provides... ...'s Degree Nursing or Health Science... ...Certifications RN State License -...Full timeLocal area
$3,115 per week
...Registered Nurse (RN) | Cardiovascular Operating Room Location:... ...provides specialized nursing care to patients undergoing cardiovascular... ...patients prior to surgery by reviewing medical histories, allergies,... ...technologists, to ensure coordinated care. Collaborate with the...Full timeContract workImmediate startShift work$3,115 per week
...Registered Nurse (RN) | Cardiovascular Operating Room Location:... ...provides specialized nursing care to patients undergoing cardiovascular... ...patients prior to surgery by reviewing medical histories, allergies,... ...technologists, to ensure coordinated care. Collaborate with the...Full timeContract workImmediate startFlexible hoursShift work- BHC Alhambra Hospital in Rosemead, CA seeks a qualified Charge Nurse (RN) to lead patient care on the unit. The role prescribes, delegates, coordinates, and evaluates care in partnership with the health team, following the nursing process and standards of practice. Supervisory...
- ...The Supervisor, Clinical Operations Oncology RN is responsible for supervising... ...not a staff nurse, will be expected to... ...into direct patient care if urgent need arises... ...in the development, review, and revision of standard... .... Ensures proper coordination of the assigned...Work at office
$88.85k
RN Job Managed Long Term Services and Supports Nurse Specialist RN II Shift Full Time... ...advanced clinical judgment and critical... ...for L.A. Care members. Utilizes... ...direct provider coordination/collaboration and... ...Management (UM) and Care Management... ...in Utilization Review or Care...Full timeShift work- A health care organization in Los Angeles is seeking a Registered Nurse/Clinical Supervisor to provide health care interventions, supervise back office staff, and implement... ...for bilingual individuals. This role involves coordinating patient care and ensuring high standards of...
- ...Medicine ambulatory practice seeks an RN Supervisor (Ambulatory Care Patient Supervisor II) to blend... ...leadership. You will supervise nursing staff, coordinate operations, and support safe, efficient... ...setting. The role requires clinical leadership as a liaison among providers...
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