RN Utilization Management Lead (Medicare Advantage)
$112.9k - $256.9kNahse
Nahse, located in Los Angeles, California, seeks a Manager for Medicare Advantage Utilization Management. This role involves direct management of UM coordinators and nurses, overseeing functions such as pre-service authorizations and concurrent reviews. Candidates should possess a BSN degree and RN licensure in California, along with managerial experience and a background in utilization management. The position offers a competitive salary range of $112,900 - $256,900 annually, affiliated with a top-rated health organization dedicated to patient care. #J-18808-Ljbffr
$112.9k - $256.9k
...Los Angeles, California is seeking a Manager for Medicare Advantage Utilization Management. In this role, you'll... .... Ideal candidates will have a BSN, RN licensure in CA, and strong leadership... ...,900 annually, offering a chance to lead in a respected health organization with...Suggested$112.9k - $256.9k
...The Case Management Society of America (CMSA) ® is looking for a Manager for Medicare Advantage Utilization Management in Los Angeles, California. This role involves direct management... ...Required qualifications include an unrestricted RN licensure in California, bachelor's degree...Suggested$112.9k - $256.9k
...A leading health organization in Los Angeles is seeking a Manager for Medicare Advantage Utilization Management. In this role, you will manage a team, work with Medicare Advantage leadership, and oversee critical functions related to Utilization Management. The role offers...Suggested$112.9k - $256.9k
...this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you’ll provide direct management... ...leader with: Current unrestricted RN licensure in CA required Bachelors... ...to improve efficiency Ability to lead and facilitate cross‑functional workgroups...Suggested$56.16 - $75.37 per hour
...efficient, high-quality patient care by adeptly managing staff, coordinating resources, and... ...but also comes with a significant advantage: a 10% sign-on bonus. We encourage you to... ...adaptation of interventions. Appropriately utilizes equipment and supplies (including following...SuggestedRelocation packageShift work$56.16 - $75.37 per hour
...RN Team Lead Cath Services The power of humankindness works here... ...quality patient care by adeptly managing staff, coordinating... ...also comes with a significant advantage: a 10% sign-on bonus. We encourage... .... Appropriately utilizes equipment and supplies (including...Full timeRelocation packageMonday to FridayShift work$59.92 - $80.47 per hour
...based on nursing and medical plan of care. Manages patient population, diagnosis and age... ...adaptation of interventions. Appropriately utilizes equipment and supplies (including following... ...Required ~6 months previous acute care RN experience in same unit Required ~...- ...Registered Nurse in Downey, California, to lead a health care team in providing exceptional nursing care. The role involves utilizing the nursing process, developing individualized... ...procedural sedation, and a valid California RN license. Flexible scheduling with rotating...Flexible hours
$59.92 - $80.47 per hour
...RN Surgery Team Lead Partnering for a stronger, healthier world. At CommonSpirit Health, we... ...on nursing and medical plan of care. Manages patient population, diagnosis and age... ...adaptation of interventions. Appropriately utilizes equipment and supplies (including...Full timeShift work$102.18k
Job Information RN Job Shift: Full Time Pay Range... ...7 Job Description The Lead Appeals and Grievances... ...provide feedback to management on performance of staff... ...experience in a managed care, utilization management and/or case... .... At least 2 years in Medicare/ Medicaid in a managed...Full timeShift work$102.18k
Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Location: Los Angeles... ...provide feedback to management on performance of staff... ...experience in a managed care, utilization management and/or case... ...At least 2 years in Medicare/ Medicaid in a managed...Full timeRemote workShift workWeekend work- ...experienced Oracle Customer Cloud Service (CCS) Meter Data Management System (MDMS) Functional Lead to join our enterprise technology team. This role is... ..., configuration, and continuous improvement of Oracle Utilities Meter Data Management (MDM/MDMS) integrated within the...Work experience placementLive inWork at officeLocal areaRemote work
- ...Cordoba Corporation is seeking a Program Manager to lead utility coordination for major projects in California. The ideal candidate will have over 15 years of experience in utility coordination, managing multidisciplinary teams, and a strong knowledge of ASCE 38-22. This...Work at office
$185k - $250k
Exponent Inc. is seeking a Senior Manager for its Construction Consulting Practice in Los Angeles, CA. This role involves advising utility clients on complex projects and expanding Exponent's service offerings in California and beyond. The ideal candidate should have at...$28 - $40 per hour
Pearce Services, LLC is seeking a Lead Solar Field Service Technician to work on utility-scale solar farms across California. This hands-on role involves troubleshooting, repair, and maintenance of solar systems and leading a team of technicians. Candidates must have at...Hourly pay$100k - $130k
Cordoba Corporation is seeking a Senior Field Utility Coordinator in Los Angeles, California, focused on utility coordination for major infrastructure projects. The ideal candidate will have strong utility coordination and conflict resolution skills along with 5+ years...Relocation$116.3k - $264.6k
...Utilization Management Assistant Director – RN Location: Los Angeles, CA Salary Range: $116,300 – $264,600 annually Work Hours:... ...for high-risk, high-utilizer, oncology, Medicare Advantage, and specialty patient populations Lead transitions of care, discharge planning,...Monday to Friday$50 - $54 per hour
...Terrace Post Acute in Van Nuys, CA is seeking a Registered Nurse Supervisor (RN Supervisor) to contribute to exceptional healthcare services. The ideal candidate will have an active RN license and a strong commitment to providing high-quality care in a compassionate environment...Hourly pay$175k - $250k
...in Sylmar, CA is looking for a Senior Estimator - Underground Utilities. In this role, you will prepare cost estimates for underground... ...skills. The ideal candidate will possess a BS in Construction Management or related fields, with over 10 years in preconstruction and at...- ...include a valid CA Registered Nurse license and at least one year of clinical experience. The role offers night shifts, working from 7:00pm to 7:30am, with a focus on patient assessment, collaboration with healthcare teams, and management of care plans. #J-18808-Ljbffr...Full timeShift workNight shift
- ...A healthcare provider in Los Angeles seeks a compassionate Registered Nurse to join the Geriatric Psychiatry Unit. The RN will be responsible for patient assessments, documentation, and overseeing nursing staff. Ideal candidates must hold a current California RN license...Night shift
$60k - $118k
...Incredible Health is hiring a Registered Nurse - Float Pool Manager in Los Angeles, California. This role involves overseeing nursing staff... ...Candidates must hold an ADN/ASN degree and an active California RN license. The position comes with competitive benefits, including...Shift work- Adventist Health in Los Angeles seeks a Registered Nurse to deliver coordinated nursing care for patients, supervising nursing staff and collaborating with healthcare providers. Responsibilities include developing care plans and providing education to patients and families...
- ...A prominent healthcare organization in Los Angeles seeks a Registered Nurse to lead a health care team, providing outstanding nursing care. Responsibilities include patient monitoring, delegating tasks, and ensuring high standards of care. Candidates should have recent...
- ...practices and ensure high-quality care at Martin Luther King, Jr. Community Hospital in Los Angeles. The role involves patient care management, interdisciplinary teamwork, and leadership in the nursing unit. The ideal candidate is a Registered Nurse with at least three...
$46 - $50 per hour
...leadership to nursing staff, conducting assessments, and ensuring quality care for residents. Qualified candidates must have a valid RN license in California and current CPR certification. The pay scale ranges from $46 to $50 per hour, depending on various factors. Benefits...Hourly payAfternoon shift- ...for their Medicine Unit. This full-time night position requires a Bachelor’s degree (BSN) and an active RN license in California. Key responsibilities include managing patient flow operations and providing support to the Department Manager. Candidates should demonstrate...Full timeNight shift
- Atlas MedStaff is seeking Float Pool nurses in Glendale, California. This vital role involves supervising nursing staff and delivering coordinated care to a diverse patient population. Ideal candidates will enjoy a combination of leadership and hands-on nursing activities...Day shift
$128.32k - $195.7k
A recognized healthcare provider in Pasadena seeks a Supervisor for Donor Center Collections. This role involves coordinating staff and supervising blood collection processes to ensure efficiency and safety. The ideal candidate will have a Nursing degree, relevant experience...Full timeNight shift- ...interventions, assessing patient needs, and collaborating with an interdisciplinary team to implement care plans. A current California RN license and a BSN/MSN are required, along with at least one year of acute nursing experience. Candidates must be skilled in patient...Night shift
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