RN Utilization Management Specialist
Martin Luther King, Jr. Community Hospital
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 to health plan requirements. Qualified candidates will have an Associates Degree in Nursing, a current RN license in California, and a minimum of 3-5 years in Utilization Management. Bilingual skills and certification in UM are preferred. #J-18808-Ljbffr Martin Luther King, Jr. Community Hospital
Vacancy posted 4 days ago
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$55.56 - $85.96 per hour
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Torrance, CA2 days ago$25.13 - $37.96 per hour
Torrance Memorial is seeking a Utilization Review Assistant to provide support in ensuring compliance with utilization management requirements under the supervision of the Utilization Review Manager. The role includes managing communications with payers, assisting with...Hourly pay- ...An established industry player in healthcare is seeking a dedicated Utilization Management Nurse to enhance patient care efficiency. In this vital role, you will review patient files and treatment methods, ensuring that every patient receives the necessary treatments...Relocation package
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Los Angeles, CA4 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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Los Angeles, CA4 days ago $99.31k - $131.09k
...reviewing authorizations Collaborate with providers (internal and external), clinical staff, and others to timely resolve any utilization management issues Job Requirements Minimum of three (3) years of relevant clinical nursing experience Strong preference for prior PACE...WelbeHealth
Los Angeles, CA4 days ago- ...Direct Jobs is seeking a Utilization Management Nurse in Los Angeles, CA, to support level-of-care determination and optimize patient flow. The... ...years of experience in psychiatric nursing, and a current CA RN license. The role includes participation in quality improvement...
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Los Angeles, CA4 days ago $41.38 - $69.02 per hour
...Anticipated End Date: 2026-07-10 Position Title: RN Utilization Management Nurse (InPatient) - California HMO Job Description: RN Utilization Management Nurse (InPatient) - California HMO Virtual: This role enables associates to work virtually full...Full timeTemporary workWork experience placementWork at officeLocal areaShift work1 day per weekElevance Health
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...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...WelbeHealth
Los Angeles, CA3 days ago$116.3k - $264.6k
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Los Angeles, CA1 day 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
$88.85k
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Los Angeles, CA2 days ago
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