RN: Utilization Review & Care Coordination
$57.28 - $88.92 per hourRose Senior Living - Avon
Rose Senior Living - Avon in Los Angeles seeks a qualified Registered Nurse to perform utilization review and coordinate care. The candidate must have a nursing school degree and a California RN license. The role requires 3 years of utilization management experience and clinical expertise in healthcare settings. A comprehensive benefits package and competitive hourly wage of $57.28 - $88.92 will be offered. #J-18808-Ljbffr Rose Senior Living - Avon
- Cedars-Sinai in Los Angeles is seeking a utilization review nurse. The role involves validating patient placements, utilizing medical necessity... ...Qualifications include an associate degree in nursing, current RN state license, and relevant experience. Preferred candidates...SuggestedShift work
- ...organization in Los Angeles is seeking a qualified Registered Nurse to provide utilization review and coordinate care across the healthcare continuum. Candidates should possess a California RN license and have at least three years of experience in utilization management...Suggested
- Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Required Qualifications Nursing school graduate. California Registered Nurse License upon hire...SuggestedMinimum wageWork at officeLocal areaShift work
$74.29k - $111.43k
...consumers are entitled to high‑quality, coordinated care. By uniquely aligning the interests of... ...for all. Job Summary The Concurrent Utilization Review (UR) Nurse is responsible for... ...Qualifications Education: Registered Nurse (RN) with an active, unrestricted California...SuggestedWork at office- Cedars-Sinai in Los Angeles is seeking a Utilization Review Case Manager to validate and secure patient care placements based on national admission criteria. The role... ...from an accredited nursing program and a California RN License. Prior experience in Case Management and...Suggested
$1,900 - $2,500 per week
...Job Title: Travel RN Case Management Utilization Review Location: Carmichael, CA Salary Range: From $1,900 to $2,500 per week Shift: 8-hour... ...crucial for ensuring that patients receive appropriate care while managing healthcare resources effectively. Key...Weekly payContract workRelocationMonday to FridayShift workDay shift$88.85k
...Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 900... ...Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by...Full time$88.85k
...Overview: Established in 1997, L.A. Care Health Plan is an independent... ...that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically... ...onsite admission and concurrent review, and collaborates with onsite staff...$2,065 - $2,160 per week
...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare Pay: $2,065 to $2,160 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource is...Hourly payWeekly payFull timeContract workImmediate startShift work$2,065 - $2,160 per week
...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare Pay: $2,065 to $2,160 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Contract - W2 Case Management...Hourly payWeekly payFull timeContract workImmediate startShift work- L.A. Care Health Plan in Los Angeles is hiring a Utilization Management Claims Review Nurse RN II responsible for conducting clinical reviews of medical claims. The position requires a minimum of 5 years in clinical nursing, with experience in Medi-Cal and Medicare managed...
$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...Hourly pay- ...POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons... ...denials management, and the UM process. Coordinates care submission relating to the process of... ...hospital stays, and discharge review that determine medical necessity. The...Full time
- Neuehealth is seeking a Concurrent Utilization Review Nurse in Los Angeles, CA. This vital role involves conducting real-time clinical reviews... ...the medical necessity of healthcare services under managed care health plans. Responsibility includes collaborating with healthcare...
$88.85k
...Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017... ...Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created...Full time- ...Providence Health Plan Group is seeking an RN Utilization Review for a remote, per diem position in Los Angeles. You will be responsible for... ...Additionally, benefits include a comprehensive package with health care options, retirement plans, and paid time off. #J-18808-...Daily paidRemote work
$116.3k - $264.6k
...of exceptional patient care. Take your career to the... ...for Medicare Advantage Utilization Management, you'll... ...management to a team of UM coordinators and nurses. You'll work... ...Letters Concurrent Review Continuity of Care... ...Current unrestricted RN licensure in CA required...- ...for providing the highest-quality medical care in Los Angeles. We were also awarded the... ...! What You Will Do in This Role: The Utilization Review Case Manager validates the patient's placement... ...Degree in Nurse preferred. California RN License required. Experience Minimum...Daily paidSeasonal work
- yourcommission is looking for a Utilization Management Nurse responsible for overseeing patient care determinations across various... ...includes conducting utilization reviews, communicating with payors, and... ...have a BSN or MSN, a valid CA RN license, and at least 5 years of...
$116.3k - $264.6k
...high-quality, patient-centered care. UCLA Health is seeking a dynamic and experienced Utilization Management Assistant Director... ...leader passionate about care coordination, utilization management, and value... ...Support utilization review activities for hospital, rehabilitation...$116.3k - $264.6k
...Direct Jobs is seeking an experienced Utilization Management Assistant Director to lead Intensive... ..., ensuring high-quality patient-centered care while driving operational excellence and... .... The ideal candidate will have a BSN, RN licensure in California, and significant...$116.3k - $264.6k
...Yourcommission is seeking a Utilization Management Assistant Director in Los Angeles to lead Intensive Case Management and Utilization Management... ...patient outcomes. Ideal candidates possess a BSN, active RN license in CA, and experience in management roles within...$74.16 - $107.75 per hour
Description The Utilization Management (UM) Nurse supports appropriate level‑of‑care determination, patient flow, and revenue cycle... ...coverage purposes utilization review/payor authorization and patient... ...experience required. Current valid CA RN license, required BLS from the...Work at office$74.16 - $107.75 per hour
Description The Utilization Review Nurse is part of the Utilization Management Department at the Resnick Neuropsychiatric... ...BSN or MSN, required 5 years of psychiatric nursing care experience required. Current valid CA RN license, required BLS from the ARC or AHA,...Work at office$116.3k - $264.6k
...UCLA Health is seeking an experienced Utilization Management Assistant Director to oversee Intensive Case Management and Utilization Management... ...operational excellence. The ideal candidate will have a BSN, RN licensure in California, and significant experience in case...$47.2 - $63.45 per hour
...for high quality and compassionate medical care. St. Francis is recognized for its full... ...and comprehensive admission and concurrent review of the medical record for the medical necessity... ...Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute...Full timePart timeWork experience placementLocal areaShift work$46.07 - $67.73 per hour
...Wound Care Coordinator RN- Subacute/FT/Days Job Category: Registered Nurse Full-Time On-... ...interactions with patients and family members. Utilizes white boards for patient communication.... ...laws. For further information, please review the Know Your Rights notice from the...Hourly payFull timeRelocation packageShift work$36.38 - $65.5 per hour
LTSS Service Coordinator-RN Clinician Virtual: This role enables associates... ..., and revises the member's care plan to meet the member's... ...cost effective and efficient utilization of health benefits. Obtains... ...the member's needs, and reviewing and providing input on the non...Full timeContract workTemporary workWork experience placementWork at officeLocal area- Working Nurse is seeking a Case Manager - Care Coordinator for a full-time position in Los Angeles... ..., and ensuring efficient resource utilization. Minimum education includes an Associate... ...with a strong background in Utilization Review and Discharge Planning, focusing on improving...Full timeDay shift
$74.16 - $107.75 per hour
The University of California - Los Angeles Health is seeking a Utilization Review Nurse to support its Utilization Management Department. This... ...compliance. Candidates must have a BSN or MSN, a valid California RN license, and five years of psychiatric nursing experience. The...Hourly pay
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