Utilization Management RN: Care Resource Optimizer
Case Management Society of America Inc
The Case Management Society of America (CMSA) ® is seeking a Utilization Management (UM) Registered Nurse (RN) in Long Beach, California. This role involves reviewing medical necessity, collaborating with healthcare professionals, and ensuring effective utilization of hospital resources. The ideal candidate should have extensive nursing experience and a valid nursing license. Responsibilities include performing utilization reviews, collaborating closely with physicians, and maintaining patient care standards. The position offers a competitive salary, benefits, and a supportive work environment. #J-18808-Ljbffr
- ...Long Beach, California, seeks a Utilization Management Registered Nurse (RN) to focus on reviewing medical... ...and case managers to ensure optimal patient status and resource utilization. Ideal candidates... ...at least three years of acute care nursing experience. The position...Suggested
- ...Mississippi Mental Health Center is seeking a Utilization Management Registered Nurse (RN) to ensure the effective utilization of hospital resources by reviewing medical necessity and... ...treatment planning and smooth transitions of care. The ideal candidate will have a solid...Suggested
- ...Direct Jobs is seeking a Utilization Management Registered Nurse (RN) in Long Beach, California, responsible for... ...reviewing medical necessity and level of care appropriateness. This role requires... ...effective utilization of hospital resources. Qualified candidates should have a...Suggested
- ...Summary The Utilization Management (UM) Registered Nurse (RN) is responsible for reviewing medical necessity, level of care appropriateness, and compliance with... ...of hospital resources. The UM RN collaborates... ...transitions of care, and optimal resource utilization. Qualifications...SuggestedPermanent employmentTemporary workImmediate startRemote workRelocation packageMonday to Friday
- ...Summary The Utilization Management (UM) Registered Nurse (RN) is responsible for reviewing medical necessity, level of care appropriateness, and compliance with... ...of hospital resources. The UM RN collaborates... ...transitions of care, and optimal resource utilization. Responsibilities...SuggestedPermanent employmentTemporary workSeasonal workImmediate startRemote workRelocation packageMonday to Friday
$66.32 - $99.47 per hour
...Title: RN, Clinical Supervisor Location: Long Beach,... ..., cost-effective patient care. Manages material and labor resources as defined in the departmental... ...staff to optimize workflow and to facilitate... ...in late, leave early, or utilize sick time. Manages the number...Part timeRelocation packageShift workNight shift$2,800 - $3,000 per week
...Registered Nurse (RN) | Case Manager Location: Los Alamitos, CA Agency: Compunnel... ...management activities including utilization review, discharge planning, and... ...focuses on coordinating patient care, optimizing healthcare resources, and supporting safe and timely...Full timeContract workTemporary workPrivate practiceImmediate startShift work$69.64 - $104.46 per hour
...Title: Manager, Assistant Unit (RN) Location: Long Beach, CA... ...Surgical Intensive Care Unit Status: Full... ...material and labor resources as defined in the departmental... ...staff to optimize workflow and to facilitate... ...a Lean mindset and utilizes the plan - do - study...Full timeShift workAfternoon shift- ...POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety... ..., and the UM process. Coordinates care submission relating to the process of... ...utilization available through healthcare resources, facilities, and services...Full time
- ...Job Description Job Description Coordinates management of care and ensures optimum utilization of resources, service delivery and compliance with external review... ...Association) Must have mininum 5 years recent RN Case Management experience, with experience in a LTAC...Local areaMonday to FridayShift work
- ...Your Role The Utilization Management team manages accurate and timely prior authorization and inpatient... ...for nationally recognized levels of care for our Shared Services department... ...Commercial, Medi-Cal or Medicare. Successful RN candidate reviews authorization...Full timeWork at office
$2,542 per week
...Revolution Healthcare Services is seeking a travel nurse RN Case Management for a travel nursing job in Paramount,... ...Highlights: Coordinate comprehensive care management and ensure optimal resource utilization Work collaboratively with interdisciplinary teams...Weekly payPermanent employmentContract workTemporary workZero hours contractReliefLocal areaMonday to FridayShift workWeekday work$2,250 per week
...Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Paramount,... ...POSITION DUTIES – Coordinates management of care and ensures optimum utilization of resources, service delivery and compliance with external...Temporary workFor contractorsShift workWeekend work$26.14 - $56.64 per hour
...one or more of the following functions: care management, utilization management, care transitions, long-... ...utilization management Registered Nurse (RN) ONLY if required by state contract,... ...Demonstrated knowledge of community resources. Proactive and detail-oriented....Hourly payContract workWork experience placementWork at officeLocal area- ...HealthTrust Workforce Solutions is seeking an experienced RN Case Manager in Paramount, California. This role involves coordinating care management to ensure optimal resource utilization and addressing patient needs through comprehensive assessment and planning. Ideal...Full timeMonday to Friday
$62.35 - $83.19 per hour
...Quality-Caring Model Nurse The key components of... ...nurses are expected to utilize the model and a... ...practice to deliver safe and optimal care Assesses... ...patient needs Utilizes resources in an economical manner... ...Participates with unit manager and other unit members...Full timeWork at officeShift workNight shift- ...The purpose of the Case Manager position supports the... ...in facilitating patient care, with the underlying objective... ...the functions of utilization management, care... ...efficient utilization of resources. Specific functions within... ...appropriate knowledge of RN scope of practice,...Night shift
- ...Center, a 459-bed, acute care hospital in Orange,... ...Incumbent is responsible for management functions related to... ...include managing human resources, directing patient care... ...Current California RN license Ability to maintain... ...and perks. Please utilize the links listed here to...Monday to FridayShift workNight shiftAfternoon shift
$2,350 - $2,550 per week
...Registered Nurse (RN) | Administration / Management Location: Paramount, CA Agency: Titan Medical... ...About Titan Medical Group We Take Care of You. While the availability of... ...professional recruiters and healthcare human resource professionals, Titan Medical was...Weekly payFull timeContract workShift work- ...POSITION SUMMARY – RN Case Manager Coordinates management of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation...Shift workWeekend work
$111.2k - $185.2k
...provision of quality patient care to all hospitalized... ...monthly treatments. Utilizes the FMC mission, core values... ...level of efficiency management. PRINCIPAL DUTIES... ...partnering with Human Resources on employee matters.... ...accredited School of Nursing (RN); Advanced degree...Temporary workWork experience placementRelocation packageNight shiftWeekend work- ...healthcare organization in Downey is seeking an RN Case Manager responsible for managing care from pre-admission through post-discharge.... ...nursing experience is preferred. This role plays a crucial part in optimizing patient care and resource utilization. #J-18808-Ljbffr...
- ...Date: February 10, 2025 Responsibilities Provide inpatient case management for pediatric patients in an acute care setting. Collaborate with multidisciplinary teams to ensure optimal patient care. Utilize EPIC documentation system for accurate record-keeping. Qualifications...Weekend work
$112.28k - $165.07k
...Case Management Supervisor - FT/Days Job Category... ...coordination of care with other... ...providers and community resources. The Supervisor of... ...action. Ensuring optimal provision of services... ...their customer; utilizes scripting and... ...Certifications Required RN Registered Nurse...Full time$76.43k - $149.03k
...some or all of the following functions: care management, utilization management, behavioral health, care... ...apprised of operational issues, staffing, resources, system and program needs. • Assists... ...and experience. • Registered Nurse (RN), Licensed Vocational Nurse (LVN),...Contract workWork experience placementWork at officeLocal areaRemote work$47.2 - $63.45 per hour
...high quality and compassionate medical care. St. Francis is recognized for its full... ...Responsibilities Responsible for the quality and resource management of all patients that are admitted to the... ...Clinical Social Worker. However, RN Case Manager preferred.3. Five years...Full timePart timeWork experience placementLocal areaShift work$61.98 - $86.73 per hour
...Title RN Case Manager III Location Long Beach Department Pediatric... ...for our employees. Memorial Care stands for excellence in... ...for education, monitoring, utilization and evaluation of medical outcomes... ...as identified by the Resource Management Department and CareLines...Full timeContract workRelocation packageShift work- ...RN - Case Manager VIBRA TRAVELS is seeking a Case Manager to join our... ...clinically complex patient's care across a continuum; ensuring... ...coordinating appropriate services and resources needed by the patients, and... .... Knowledgeable in utilization review, medical terminology,...Hourly payContract workLocal area
$2,789 per month
...Nursing Profession RN Specialty Case Manager Job ID 1840333... ...complex patient's care across a continuum; ensuring... ...appropriate services and resources needed by the patients,... ...records. Knowledgeable in utilization review, medical...Hourly payWeekly payContract workLocal areaImmediate startShift work$55.56 - $85.96 per hour
...Rose Senior Living - Avon is seeking a Utilization Review Case Manager to conduct patient chart reviews and ensure proper admission status and level of care. The role involves collaborating with payers for clinical service authorization and adherence to quality standards...Hourly pay
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