RN Utilization Management Specialist
Martin Luther King, Jr. Community Hospital
Martin Luther King, Jr. Community Hospital is seeking an RN Utilization Management to act as a support liaison across various UM functions. This role ensures patient care efficiency from admission to discharge, including management of the clinical denials process. The ideal candidate will have at least 3–5 years of experience in Case Management or Utilization Management and a current California RN License. Bilingual skills preferred, and the position requires strong organizational abilities and effective communication with interdisciplinary teams to optimize patient outcomes. #J-18808-Ljbffr Martin Luther King, Jr. Community Hospital
Vacancy posted 2 days ago
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Gardena, CA2 days ago - ...Martin Luther King, Jr. Community Hospital is seeking a Registered Nurse for the Utilization Management team. The RN UM coordinates care submissions and manages clinical denials while ensuring high-quality patient care. Ideal candidates will have 3-5 years of Case Management...Suggested
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Carson, CA3 days ago - ...Martin Luther King, Jr. Community Hospital is seeking a skilled RN Utilization Management professional to function as a support liaison for various UM functions. The role involves coordinating care from admission to discharge, managing clinical denials, and ensuring adherence...Suggested
Martin Luther King Jr. Community Hospital
Huntington Park, CA3 days ago - ...Martin Luther King, Jr. Community Hospital is seeking a dedicated RN for the Utilization Management team. The RN UM will act as a liaison for various utilization management functions, coordinating care submissions throughout the healthcare process. The ideal candidate...Suggested
Martin Luther King Jr. Community Hospital
Lakewood, CA3 days ago $52.25 - $80.99 per hour
MLK Community Healthcare is looking for an RN Utilization Management to oversee the coordination of care submissions and manage clinical denials. The role requires an Associate's Degree in Nursing, with preference for a BSN, and a California Registered Nurse License. Responsibilities...SuggestedHourly pay$55.56 - $85.96 per hour
...A healthcare facility in California is seeking a Utilization Review Case Manager to validate patient admissions and levels of care. The role involves performing patient chart reviews, securing authorizations for clinical services, and collaborating with healthcare teams...Hourly payTorrance Memorial Medical Center
Torrance, CA4 days ago- Providence Health & Services is seeking a Clinical Program Manager RN for full-time evening shifts at Providence Little Company of Mary... ...hold a nursing degree and possess relevant experience in Utilization Management. Join us to be part of a supportive environment that...Remote jobFull timeAfternoon shift
$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 timeL.A. Care Health Plan
Los Angeles, CA4 days ago- ...assigned panel of physicians to manage the patients specialized... ...alternative levels of care and utilization of resources, promotes self-care... ...Primary Care Physicians, Specialists and various disciplines on the... ...years clinical experience as an RN in an acute care or...Daily paidContract workWork at officeLocal area
$64.74 - $79.23 per hour
...assigned panel of physicians to manage the patients specialized... ...alternative levels of care and utilization of resources, promotes self-care... ...Primary Care Physicians, Specialists and various disciplines on the... ...of clinical experience as an RN in an acute care or ambulatory...Full timeContract workWork at officeShift workWeekend work$116.3k - $264.6k
...UCLA Outpatient Clinics is looking for an experienced Utilization Management Assistant Director in Los Angeles. In this key leadership role, you will oversee Intensive Case Management and Utilization Management operations, ensuring high-quality patient care across complex...UCLA Outpatient Clinics
Los Angeles, CA3 days ago- The RN Utilization Management (RN UM) functions as a support liaison for a variety of UM functions which may include the e‑TAR process, denials management, and the UM process. Coordinates care submission relating to the process of health care utilization from the point...Full timeLocal area
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Working Nurse is looking for a Full-Time RN Utilization Management based in Los Angeles to support healthcare utilization and coordinate care submissions. The candidate will need an Associate's Degree in Nursing and a California RN License, alongside experience in Case...Full timeDay shift$99.31k - $131.09k
...Utilization Management RN At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, functioning as both a care provider and care plan to those individuals we serve. Our...- ...Utilization Specialist Kheir's mission is to increase and provide access to culturally and linguistically-sensitive quality primary healthcare... ...healthcare providers to optimize patient outcomes while managing costs. The Utilization Specialist will work closely with...Local area
$102.18k
...Requisition ID: 13160 Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management (CM)...Full time- L.A. Care Health Plan is seeking a Supervisor of Utilization Management RN to lead the daily operations of the UM department in Los Angeles. This role requires extensive clinical experience and supervisory skills to ensure department efficiency and quality care delivery...Full time
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...level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you’ll provide direct management to a team... ...oriented, service‑driven leader with: Current unrestricted RN licensure in CA required Bachelors of Science, Nursing...$116.3k - $264.6k
UCLA Health is seeking a leader for Intensive Case Management and Utilization Management programs in Los Angeles. This role involves supervising a... ...transitions. The ideal candidate will have a Bachelor's in Nursing, RN licensure in California, and several years of experience in...- MedPOINT Management is hiring a UM Outpatient Licensed Clinician in Los Angeles, California. In this role, you... ...and continuity of services. A current California RN or LVN license and 2+ years of experience in utilization management are required. Proficiency in Microsoft...Work at office
- Ocean State Job Lot is seeking an RN for Utilization Management in Los Angeles, CA. This role involves coordinating care submissions and documentation for patient admissions, focusing on high-quality care and efficiency. Candidates must hold an Associate's Degree in Nursing...
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Los Angeles, CA7 days ago $116.3k - $264.6k
...a key leadership role in delivering high-quality, patient-centered care. UCLA Health is seeking a dynamic and experienced Utilization Management Assistant Director to oversee Intensive Case Management (ICM) and Utilization Management (UM) operations focused on high-risk...$134.71k - $268.99k
...career in Advisory. KPMG is currently seeking a Lead Specialist, ServiceNow, E&T to join our Managed Services practice. Responsibilities: Lead the... ...and support to enhance ServiceNow adoption and utilization Act with integrity, professionalism, and personal...Full timeH1bLocal areaKPMG
Los Angeles, CA2 days ago- The University of California - Los Angeles Health is looking for a dynamic Utilization Management Assistant Director to supervise Intensive Case Management and Utilization Management operations. This role involves leading a multidisciplinary team to improve patient outcomes...
$116.3k - $264.6k
UCLA Health is seeking an experienced Utilization Management Assistant Director to oversee Intensive Case Management and Utilization Management operations... ...operational excellence. The ideal candidate will have a BSN, RN licensure in California, and significant experience in case...$116.3k - $264.6k
Yourcommission is seeking a Utilization Management Assistant Director in Los Angeles to lead Intensive Case Management and Utilization Management... ...improving patient outcomes. Ideal candidates possess a BSN, active RN license in CA, and experience in management roles within...
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