RN Utilization Management Specialist
HJSRLLC
HJSRLLC is seeking a Registered Nurse (RN) to join our Utilization Management team in Long Beach, CA. You will conduct concurrent reviews, prior authorizations, and medical necessity assessments to ensure cost-effective, evidence-based care for members. This role requires collaboration with physicians, hospitals, and interdisciplinary teams in a dynamic managed care setting. The ideal candidate has at least 4 years of clinical nursing experience and a background in managed care, with proficiency #J-18808-Ljbffr
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the RN Utilization Management Specialist in Long Beach, CA vacancy
- Torrance Memorial Medical Center is seeking a Utilization Review Case Manager to review patient charts and validate appropriate levels of care using... ...utilization review standards are met. The UR CM engages with RN Case Managers, physicians, patients, and families to...Suggested
- ...Concurrent Review Registered Nurse (RN) Our client is seeking an experienced... ...Review Registered Nurse (RN) to join its Utilization Management team. In this role, you will perform... ...Collaborate with physicians, hospital staff, specialists, and internal care management teams....SuggestedWork at officeImmediate start
- Providence Health & Services is seeking a Senior Utilization Management Assistant for a Per Diem, remote daytime shift role. The position supports the Care Management team at Providence California Regional Services, coordinating patient care and administrative tasks from...SuggestedRemote jobDaily paidDay shift
- Job Overview:We are currently seeking a Senior Utility Estimation Specialist to join our team in Long Beach, CA. The ideal candidate will be responsible... ...of utility usage and costsCollaborate with project managers to develop accurate cost estimatesIdentify opportunities...Suggested
$30 - $45 per hour
...leading healthcare consulting agency is seeking an Operations Specialist III for a contract opportunity in Long Beach, CA. This role... ...and Medi-Cal operations, along with experience in Epic EHR and Utilization Review. The selected candidate will perform chart reviews,...SuggestedHourly payContract workRemote workPyramid Consulting
Long Beach, CA2 days ago- ...Utilization Review SpecialistAbout View Behavioral HealthWe are proud to serve as a trusted resource... ...SummaryOur Utilization Review department manages both outpatient and inpatient patients.... ...degree with a California RN, LVN, or LPT license.Bilingual English/Spanish...Local areaWeekend work
Ocean View Adult Psychiatric Hospital
Long Beach, CA1 day ago - ...Production Specialist The Production Specialist operates high-speed production equipment... ...daily work assignments, individual workflow management, and the execution of ongoing quality... ...skills to effectively multi-task and utilize time management. The company offers competitive...Full timeWork at office
$74k
...SpecialistApplylocations: Long Beach, CA - Management - Regional Officetime type: Full... ...id: R10097166R10097166 Field Sourcing Specialist (Open)Location:Long Beach, CA - Management... ...keep an updated overview of contractors utilized in assigned BU or zone.**Corporate Supply...Full timeTemporary workFor contractorsWork at officeWeekend work- Providence California Regional Services is seeking a Care Manager RN for a remote, full-time role. The position involves day shifts and focuses on coordinating clinically-based appeals and reimbursement processes for patients across PH&S California regions. Candidate must...Remote jobFull timeDay shift
$57.28 - $88.92 per hour
Description Care Manager RN - REMOTE position. This position is Full time and will work 8- hour, Day shifts. The Care Management Recovery... ...time Job Shift: Day Career Track: Nursing Department: 7000 UTILIZATION MGMT CA SOCAL Address: CA Torrance 21311 Madrona Ave Work...Minimum wageFull timeLocal areaRemote workShift workDay shift- Enlyte is seeking a Field Case Manager (RN) in the Torrance, CA area. This full-time, hybrid role requires regular local travel for in-person patient appointments. Spanish is preferred. The position includes a comprehensive benefits package, paid vacation, and equipment...Full timeLocal area
- ...Job Title: A/R Specialist Department: Revenue Cycle Management Reports to: A/R Manager FLSA Status: Non-Exempt Dental Account Receivable Specialists! ProSmile... ...receivable, prioritizing account reviews and utilizing time management skills. Assists team members as needed...Full timeContract workTemporary workPart timeWork at officeRemote workFlexible hours
GrabJobs
Garden Grove, CA3 days ago $38 - $58 per hour
...performance against the plan, and communicate the reasons for the issuance of variance and proposed mitigation plans to Project Management. Manage the change management process. Prepare reports from HCSS for and facilitate weekly cost review meetings with construction...Hourly payContract workFor contractorsJLM Strategic Talent Partners
Long Beach, CA4 days ago- ...Experienced Apartment Leasing Agent Are you an experienced property management professional looking to grow your career? We re currently hiring Experienced Apartment Leasing Agents for multiple opportunities at communities near you. In this role, you ll gain valuable...Currently hiringWeekend work
$20 - $23 per hour
Overview Avanath is proud to be named one of the top property management companies to provide affordable housing for the workforce. Overview... ...a great place to live, work, and be. The Role: The Leasing Specialist is responsible for leasing, marketing, and maintaining...Immediate startFlexible hoursAfternoon shift$21.76 - $45.96 per hour
C.H. Robinson is looking for a Customs Specialist who will play a critical role in protecting... ...will serve as a trusted customs expert, managing complex exceptions, government agency... ...customer service skills and follow up to be utilized with customers and the network Proven...Hourly payContract workTemporary workWork at officeLocal areaRemote workWorldwideMonday to FridayFlexible hours2 days per week3 days per week- ...RN Case ManagerQualifications for RN Case Manager:The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients.Partners with medical staff, utilizes scientific evidence for best practices, relevant data and compliance...Temporary work
Care Navigators On Demand
Long Beach, CA3 days ago $47.2 - $63.45 per hour
...dedicated professionals committed to compassion, quality, and service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care...Full timePart timeWork experience placementLocal areaShift workAfternoon shiftSt. Francis Medical Center
Lynwood, CA4 days ago- ...consistent with the requirements of the job. Responsibilities Management and maintenance of theequipment and supplies used for events... ...accurate and reasonable at the time of posting. The Acosta Group utilizes E-Verify for validating the ability to work in the United...Hourly payPart timeLocal areaImmediate start
- ...the job requirements. Responsibilities Management and maintenance of the equipment and... ...conducted in the store and assist other Event Specialists with event kits, materials and tools as... ...the request. The Acosta Group utilizes E-Verify for validating the ability to...Part timeLocal areaImmediate start
$96.47k - $120.58k
...glass fabrication, maintenance, warehousing, laboratory, and utility areas.Identify unsafe conditions and behaviors; coach employees... ...for polymerization control, thermal processes, flammable vapor management, tank and drum handling, cleanroom/controlled finishing areas,...Hourly payTemporary workFor contractorsWork at officeLocal areaImmediate startShift work$47.2 - $63.45 per hour
...dedicated professionals committed to compassion, quality, and service! Job Description Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care...Full timePart timeWork experience placementLocal areaShift work$72 per hour
...Description Description Position Details • Specialty: Case Manager (Pediatrics) • Schedule: 4x10 Hour Day Shifts (08:00 - 18:30... ...multidisciplinary teams to ensure optimal patient care. • Utilize EPIC documentation system for accurate record-keeping....Weekend workDay shiftHUCKEYE HEALTH SERVICES LLC
Long Beach, CA9 days ago$72 per hour
...• Duration: 13 weeks Responsibilities: • Provide case management for patients in a Level 1 trauma center Emergency Department... ...inpatient cases, ensuring efficient and quality outcomes • Utilize EPIC documentation system for accurate record-keeping • Collaborate...Shift workWeekend workHUCKEYE HEALTH SERVICES LLC
Long Beach, CA9 days ago- ...the Long Beach, CA area for the following position: Nurse Case Manager (RN). 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, night shift, and mid...Daily paidFull timePart timeRelocation packageShift workNight shiftDay shift
Incredible Health
Long Beach, CA5 days ago $1,816 - $1,912 per week
...Position Details Specialty: RN Utilization Review Location: Torrance, California Employment Type: Travel/Contract Pay: $1816 - $1912 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week Position: RN Utilization Review (Travel/Contract) We're hiring experienced...Contract workImmediate startShift workVoyage Health
Torrance, CA5 days ago- ...Registered Nurse Specializing In Utilization Review Join our team as a Registered Nurse... ...ll play a critical role in patient care management. What You'll Be Doing Conduct utilization... ...We Need To See Active California RN license At least 2 years of...Contract workDay shift
Zenex Partners
Torrance, CA4 days ago - ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient... ...). Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital...Remote work
3B Healthcare, Inc.
Torrance, CA4 days ago $24 - $26 per hour
...Order Management SpecialistWe are looking for a detail-oriented Order Management Specialist to join our Supply Chain team. In this role, you will oversee the order lifecycle from customer onboarding through fulfillment and post-sale support, ensuring exceptional customer...Monday to FridayManpower Inc
Compton, CA9 hours ago- Utilization Review RN Job Type: Travel Profession: RN Specialty: Utilization Review Shift Details: 5x8 Days Start Date: 10/05/2026 End Date: 01/04/2027 Duration: 13 Week(s) Float Required: No Client Details: State CAShift work
Providence SoCal Shared Services
Torrance, CA5 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Utilization Management Specialist. Be the first to apply!
Related searches