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 officeNight shift
- L.A. Care Health Plan is hiring a Managed Long Term Services and Supports Nurse Specialist RN II to coordinate interdisciplinary healthcare and social services for members. This full... ...degree, along with at least 3 years of clinical nursing experience. The position...SuggestedFull time
- ...RN - Nurse Lead, ER, Night Shift, Full Time 9 DAYS AGO Full... ...2-bed hospital, wound care medical office and surgical... ...AH policy: Preferred Clinical specialty and/or... ...personnel. Initiates and coordinates individual and team conferences... ...for meals and breaks. Reviews and takes action on...SuggestedFull timeWork experience placementWork at officeNight shift
- ...RN - Nurse Lead, ER, Night Shift, Full Time Centered in the... ...2-bed hospital, wound care medical office and surgical... ...AH policy: Preferred Clinical specialty and/or... ...personnel. Initiates and coordinates individual and team conferences... ...for meals and breaks. Reviews and takes action on...SuggestedFull timeWork experience placementWork at officeNight shift
- ...Clinical Operations Coordinator II, RN Join Cedars-Sinai! Cedars-Sinai is #1 in California... ...to helping primary care and specialist physicians... ...assists in developing and reviewing clinical competencies, policies... ...skills validations, providing nursing education as it relates to...SuggestedWork experience placementWork at officeShift work
- ...of the area's leading healthcare providers... ...cancer care and a vast scope... ...collaboratively with the Nurse Manager,... ...Registered Nurse (RN) licensure in... ...: Preferred Clinical specialty and/... ...Initiates and coordinates individual and... ...meals and breaks. Reviews and takes...Full timeWork experience placementWork at officeLocal areaDay shift
- ...innovation! As a Registered Nurse with us, you'll have the... ...insurance, long‑term care, elder & childcare, auto... ...based on eligibility. Coordinates functions and activities... ...Responsibilities include managing a clinic unit, coordinating scheduling of unit RN's, acting as liaison...Flexible hours
- ...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
- 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...
- ...Community Health is looking for an ECM Registered Nurse (RN) to lead clinical operations and oversee service delivery.... ...staff, clinical oversight of services, and coordination with community partners to support comprehensive care plans. Candidates should have a Bachelor of...
$88.85k
...Angeles, CA, US, 90017 Job Category: Clinical Position Type: Full Time Requisition ID... ...66.00(Max.) Established in 1997, L.A. Care Health Plan is an independent public agency... ...Summary The Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting...Full time- ...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
- ...Health and Services is looking for a dedicated Registered Nurse to provide utilization review and care coordination to enhance quality care. The ideal candidate will be a nursing graduate with a California RN License and at least three years of experience in utilization...
- Providence Health and Services is seeking a qualified Registered Nurse in Glendale, California to provide utilization review and care coordination. The ideal candidate will be a nursing school graduate with a California RN license and have a minimum of 3 years in utilization and...
- ...is seeking a dedicated Registered Nurse to join their healthcare team and... ...impact on patients' lives. This role coordinates nursing functions and activities,... ...have a nursing degree, relevant clinical experience, and hold an active RN license in Arizona. Benefits include...
$2,606 per week
...Registered Nurse (RN) | Case Manager Location: Burbank, CA... ...Hospital, Admission Criteria, Care coordination, CMS: Centers for Medicare... ...your traveler can be reviewed by our clinical team so please submit with... ...start. Can include Charge RNs/Lead Local radius: 50 miles...16 hoursPermanent employmentFull timeContract workTemporary workLocal areaShift workNight shiftWeekend work$74.29k - $111.43k
...entitled to high‑quality, coordinated care. By uniquely aligning the interests... .... NeueHealth delivers clinical care to health consumers... ...The Concurrent Utilization Review (UR) Nurse is responsible for conducting... ...: Registered Nurse (RN) with an active, unrestricted...Work at office$61.34k - $100.36k
...for the following position: Clinical Nurse Coordinator. Nurses with experience in any... ...Current Registered Nurse (RN) license in good standing Bachelor... ...Coordinate patient care services by liaising with physicians... ...and conducting performance reviews as required Benefits...Daily paidFull timePart timeRelocation packageShift workDay shift$88.85k
...Clinical Policy Nurse RN II Job Category: Clinical Department: Utilization Management... ....) Established in 1997, L.A. Care Health Plan is an independent... ..., Utilization Management (UM) department and healthcare services policies. Reviews and analyzes clinical financial...Full timeLocal area$62k - $110k
...Nurse Case Manager (RN) Hospitals on Incredible Health are actively... ...encouraged to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available... ...individualized care plans Monitor and evaluate... ...and care coordination Maintain up-to-date...Daily paidFull timePart timeRelocation packageShift workDay shift$2,514 per week
...Registered Nurse (RN) | Case Manager Location: Santa... ...have 2 years of acute care hospital inpatient case... ...Ability to assess patients, coordinate care, and develop... ...coordination and admission reviews. Must commit to... ...and refusal to float may lead to termination of the assignment...Full timeContract workShift workWeekend work- 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
- ...Clinical Nurse Reviewer As one of the fastest growing Independent Physician Associations in Southern California, our organization offers a fast... ...1. Minimum of 2 years relevant work experience in a managed care setting, health plan or large medical group administration....Work experience placementFlexible hours
- ...innovation! As a Registered Nurse with us, you'll... ..., long term care, elder & childcare,... ...Job Summary The RN Case Manager is responsible... ...effective resource coordination to help patients... ...Physician Advisor review ~ care... ...transition plan ~ leading and facilitating multi...Work at officeFlexible hours
$2,110 per week
...Registered Nurse (RN) | Operating Room Location:... ...and documents nursing care of patients in accordance... ...planning needs of patients. Reviews patient history and... ...patient care and coordination with the health care team... ...activities within clinical practice. Participates...Full timeContract workWork at officeShift work- ...Job Category: Nursing Location: 5555... ...comprehensive care of the perioperative... ...for utilizing clinical expertise in... ...activities that lead to excellent patient... ...needs. Reviews patient history... ...patient care, coordination, delegation and... ...current, valid RN license in state...Temporary workImmediate startShift work
- ...health and integrated care services while... ...Full‑Time Lead Registered Nurse Lead Registered Nurse... ...Site Administrator, Clinical Director, Chief... ...ensure effective coordination and communication... ...participating in performance reviews (Lead Nurse will... .... Qualifications RN Diploma, AA or...Full timeContract workWork experience placement
- ...bring your expert clinical skills to a world-... ...Magnet designation for nursing excellence. From... ...level of care based on nationally... ...and continued stay reviews in determining appropriate... ...with Care Coordinators to identify and follow... ...unrestricted California RN license required...Daily paidSeasonal work
$88.85k
...Established in 1997, L.A. Care Health Plan is an... ...Management Nurse Specialist RN II facilitates, coordinates, and approves medically... ...and concurrent review, and collaborates with... ...plan. Works with the UM Manager and... ...years of varied RN clinical experience in an acute...Full time- 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...
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