Utilization Management Nurse Auditor
$98.2k - $214.6kUCLA Health
Job Title
Work Location: Los Angeles, CA, USA
Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 8AM - 5PM
Salary Range: $98200 - 214600 Annually
Employment Type: 2 - Staff: Career Duration Indefinite Job # 32733
Primary Duties And Responsibilities
Press space or enter keys to toggle section visibility
Job Qualifications
Press space or enter keys to toggle section visibility
UCLA HealthVacancy posted 18 hours ago
Similar jobs that could be interesting for youBased on the Utilization Management Nurse Auditor in Los Angeles, CA vacancy
- ...& development Vision insurance Location: Outpatient Case Management West Los Angeles VAMC, 11301 Wilshire Blvd, Los Angeles,... ...Angeles VA Medical Center. Job Summary: We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse, you...SuggestedWork at officeRelocation packageFlexible hours
$102k - $123k
...influence best practices across the industry?As an Aerospace Management Systems Auditor, you will be responsible for delivering BSI’s audit... ...industry and consumer groups, organizations and governments.Utilizing its extensive expertise in key industry sectors - including...SuggestedFull timeContract workTemporary workWork experience placementLive inWork at officeRemote workWork from home- ...Job Description The Utilization Review Case Manager is responsible for assessing the medical necessity, appropriateness, and efficiency of patient... ...escalation policies. Uses clinical knowledge and nursing expertise to conduct initial and concurrent reviews for inpatient...SuggestedRemote workShift workNight shift
- ...& development ~ Vision insurance Outpatient Case Management West Los Angeles VAMC 11301 Wilshire Blvd Los Angeles... ...Opportunities Job Summary We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the...SuggestedFor contractorsWork at officeImmediate startRelocation packageMonday to FridayFlexible hours
- ...Job Description Job Description About the Role Join myPlace Health as a Registered Nurse - Utilization Management in Los Angeles, CA. myPlace Health specializes in providing value-based, comprehensive care and coverage for older adults with significant needs, enabling...SuggestedFull time
- Job Description The Utilization Review Case Manager is responsible for assessing the medical necessity, appropriateness, and efficiency of patient... ...Assoc. Degree/College Diploma Graduate of an accredited nursing program - minimum Bachelor's Degree Nursing - preferred...Night shift
- Job TitleWork Location: Los Angeles, CA, USAOnsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 8AM - 5PMSalary Range: $98200 - 214600 AnnuallyEmployment Type: 2 - Staff: Career Duration Indefinite Job # 32733Primary Duties And ResponsibilitiesPress space or...Remote workMonday to FridayFlexible hours
$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$88.85k
...income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting clinical review of medical claims to ensure services were medically...Full time- NeueHealth seeks a full-time Utilization Management (UM) Prior Authorization (PA) Nurse in California. You will review and authorize prior authorizations for treatments, medications, and tests, ensuring alignment with contract requirements, coverage policies, and medical...Remote jobFull timeContract work
- L.A. Care Health Plan in Los Angeles, CA is seeking a Utilization Management (UM) Claims Review Nurse RN II to evaluate medical claims for medical necessity, documentation, and proper coding. This role supports payment integrity through pre-payment and retrospective reviews...
$31.05 - $38.82 per hour
...despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests from all lines of business using respective national/...Hourly payFlexible hours$26.35 - $39.53 per hour
...better care experience for all. SCOPE OF ROLE The role of the UM Nurse is to promote quality, cost-effective outcomes for a population... ...to the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned. EDUCATION...Hourly payContract workFor contractorsFor subcontractorWork at office$88.85k
...Summary The Delegation Oversight Clinical Auditor RN II is responsible for ensuring that delegates contracted to perform Utilization Management (UM) functions on behalf of L.A. Care (... ...Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in...- ...Parental leave Savings bank Training & development Vision insurance Wellness resources About the Role: MedPOINT Management is looking for a detail-oriented Claims Auditor to join our team in Sherman Oaks, CA. In this critical role, you'll help ensure the accuracy and...Work at officeRemote work
- TikTok is seeking a Senior Internal Auditor (General Audit) in Los Angeles. You will drive end-to-end audit projects, assess risks,... ...controls, and process improvements, and report findings to senior management. This role emphasizes data analytics, cross-functional...
- MedPOINT Management is seeking a detail-oriented Claims Auditor to join our team in Sherman Oaks, CA. In this critical role, you'll help ensure the accuracy and integrity of claims processing within a dynamic healthcare management environment. If you have a sharp eye for...Remote job
- SpaceX is seeking an IT Internal Audit Manager in Hawthorne, CA to lead SOX ITGC and IT-focused audits across software development lifecycle changes. This hands-on role partners with IT, Engineering, and Finance teams to design and test controls in both packaged and in-...
- ...indirect caregiver, patient advocate and manages patients in the most cost effective way... ...providing continuity of care, including Utilization management, Transfer coordination, Discharge... ..., Registration Registered Nurse License (California) Basic Life Support...Daily paidLocal areaShift workWeekend work
$80k - $125k
...Range $80,000 - $125,000 Remote Work Available Client Approval Required Education Bachelor's degree Financial Analysis, Financial Management, or related field Degree Required Security Clearance Secret Or ability to obtain Thorben Consulting is seeking experienced and...Full timeRemote work- Kaiser Permanente is seeking a Registered Nurse specialized in utilization management to coordinate admissions and discharge planning in Los Angeles. This role emphasizes patient advocacy in a fast-paced setting and requires strong collaboration with physicians and the...Full time
- ...Registered Nurse - ICUDuration: 26 Weeks Start: 12/27/2024 Job Type: Travel Minimum Guaranteed... ...care with other disciplines while utilizing critical thinking, professional and supervisory... ..., Equity, and Inclusion (DEI). We have managed and Implemented Talent Acquisition and...Contract workWork experience placement
$60k - $65k
...Description Description: NKSFB, LLC is the largest business management firm in the country, with more than 650 employees working from... ...connections with people in Entertainment. We are seeking a Staff Auditor to be a key contributor in our Audit Department. In addition...Temporary workWork experience placementSummer workWork at officeFlexible hours$97.32k - $142.28k
IMDiversity seeks a Senior Auditor for the City of Los Angeles, CA. The person will assign, review, and evaluate the work of auditors, and verify revenue payments and compliance with state and federal laws. The position is full-time with a salary range of $97,321 - $142...Full time- ...Hospice Nurse Schedule After your orientation period - your typical schedule will be... ...1 hour, but if there is active symptom management, visits may take longer to ensure comfort... ...Must be able to assess patients and to utilize sight to implement and evaluate Plan of...Temporary workMonday to FridayFlexible hoursRotating shift
$88.85k
...Utilization Management Nurse Specialist RN II (Outpatient) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health...Full time- ...Job Description Job Description Job Description: Manager of Clinical Utilization Management - Denial ComplianceLocation: Burbank, CAPosition... ...Qualifications:1. Graduate from an accredited Registered Nursing Program; RN preferred.2. Minimum of five years in prior-...Permanent employmentFull timeTemporary workRemote workFlexible hours
$111.2k - $151.5k
...reviewed and compiled financial statements, and internal control and management letters; to minimize risks and surprises, optimize engagement... ...by attending continuing professional education courses or utilizing other training resourcesConduct or review research of complex...Full timeContract workWork at officeLocal areaFlexible hours- ...Registered Nurse - ICU Duration:26 Weeks Start:12/27/2024 Job Type: Travel... ...coordinates care with other disciplines while utilizing critical thinking, professional and... ...Diversity, Equity, and Inclusion (DEI). We have managed and Implemented Talent Acquisition and...Contract workWork experience placement
$138k - $172.5k
The Royalty Audit Manager (Contract Compliance) is responsible for leading and managing royalty, licensing, participation, and contract... ...(particularly Microsoft Excel) and preferably experience utilizing advanced data analysis tools (for example Alteryx, Python, SQL...Contract workWork experience placementInternshipSeasonal workWork at officeLocal areaFlexible hours3 days per week
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Management Nurse Auditor. Be the first to apply!
Related searches
- coding auditor Los Angeles, CA
- security auditor Los Angeles, CA
- energy auditor Los Angeles, CA
- medical records auditor Los Angeles, CA
- inventory auditor Los Angeles, CA
- remote auditor Los Angeles, CA
- data auditor Los Angeles, CA
- sales auditor Los Angeles, CA
- auditor Los Angeles, CA
- lease auditor Los Angeles, CA


