Nurse Manager, Care Coordination & Utilization
MDAEdge
MDAEdge in San Diego, California is seeking an experienced Nurse Manager to oversee the day-to-day operations of the Utilization Management Program. This role involves ensuring quality patient care and directing a team to facilitate efficient healthcare delivery. Ideal candidates will have at least three years of experience in utilization management and case management, alongside a BSN or equivalent healthcare degree. Management experience is necessary, and a California RN license is required. #J-18808-Ljbffr MDAEdge
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Nurse Manager, Care Coordination & Utilization in San Diego, CA vacancy
- ...Nurse Manager Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center.... ...effective and quality patient care by appropriate utilization of... ...disciplinary teams to plan and coordinate care across the continuum....SuggestedLocal area
$640 - $655 per day
...Inc. (HCEPInc) is seeking an Interim Assistant Nurse Manager, Utilization Management, for a W2 Contract position based in... ...consistent delivery of safe, high‑quality patient care. Supports daily unit operations by coordinating staffing, guiding workflow, maintaining...SuggestedDaily paidFull timeContract workInterim roleLocal areaMonday to FridayDay shift$19.47 - $38.08 per hour
Optum in San Diego is seeking a Utilization Management Licensed Vocational Nurse to review referrals for medical necessity... ...clinical experience. You will coordinate services, communicate with health... ...with providers to ensure quality care. Offering a competitive hourly wage...SuggestedHourly pay- UC San Diego is seeking a Manager of Utilization Management to oversee the team handling Managed Care Utilization Management duties. This role entails supervising Nurse Case Manager and Referral Coordinator staff, guaranteeing compliance with regulations, and ensuring...Suggested
$2,605 per week
...Registered Nurse (RN) | Case Manager Location: San Diego, CA Agency: Prime Staffing... ...Acute Hospital, Admission Criteria*, Care coordination, CMS: Centers for Medicare and Medicaid... ...clients and candidates. Prime Staffing utilizes a unique matchmaking approach,...SuggestedPermanent employmentFull timeContract workTemporary workLocal areaImmediate startShift workNight shiftWeekend workTravelNurseSource
San Diego, CA1 day ago- Oncology Registered Nurse (RN) - La Jolla, CA A healthcare... ...an experienced Nurse Manager (RN) to lead clinical... ...excellence in patient care. This opportunity is... ...teams to coordinate patient care services... ...improvement Ensure appropriate utilization of resources, equipment...
- ...Job Description The Utilization Management team reviews inpatient stays and prior authorization for... ...for nationally recognized levels of care for both our Medi-Cal and Medicare populations... ...Medicare) ~ Bachelor of Science in Nursing or advanced degree preferred ~...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...Nurse Manager (RN) Chula Vista, CA A healthcare organization is seeking... ...of high-quality patient care. This leadership opportunity... ...and continuous improvement Coordinate patient care activities and... ...and responsible resource utilization Promote employee engagement...
$138.33k - $193.89k
(RN) Oncology Discharge Coordination Nurse - 140492 The Discharge Coordinator RN serves as a critical liaison between inpatient acute care and outpatient oncology services, ensuring seamless... ...(hospitalists, oncology, case management) and outpatient oncology services (...Hourly pay- ...Hospice Nurse Position Hours: Shift Start Time... ...California/Union of Health Care Professionals, NUHHCE,... ...90 days of hire. Utilizes reliable transportation... ...and patient/family to coordinate care. Demonstrates ability to focus on and manage multiple patient needs...Hourly payPart timeShift workNight shiftWeekend work
Sharp HealthCare
La Mesa, CA3 days ago - ...delivering exceptional patient care. In this full-time leadership... ...'re an experienced hospice nurse with proven leadership abilities... ...services Facilitating coordination of care and discussion with interdisciplinary... ...preferred 2+ years management or supervisory experience...Full timeTemporary workFlexible hoursShift workNight shift
Apreva Hospice
San Diego, CA1 day ago $160k - $175k
...Director Of Nursing Define the roles and responsibilities... ...and supervises the care of all the residents.... ...Duties • Overall management of the entire nursing... ...of nursing staff. • Coordinates pharmacy services and... ...• Participate in QA, Utilization Review and Patient Care...Work at officeReo Vista Healthcare Center
San Diego, CA4 days ago$71k - $166k
...this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality... ...Clinical Manager/Charge Nurse regarding the provision... ...‑term objectives through coordination of activities with a... ...procedures to facility staff. Utilizing knowledge of FMCNA and...Temporary workWork experience placementWork at officeFresenius Medical Care
San Diego, CA5 days ago- ...the way people access care and the way clinicians... ...with our best-in-class coordinated care and feedback loops... ...Psychiatric Mental Health Nurse Practitioners (PMHNP)... ...demonstrated experience in utilizing electronic health... ...systems efficiently to manage patient data, document...Part timePrivate practiceWork at officeWork from homeFlexible hours1 day per week
Headlight Health
San Diego, CA2 days ago - Position Registered Nurse (RN) | Case Manager Location Mission Viejo, CA Responsibilities Provide case management services, coordinate patient care, and support clinical teams. Utilize professional nursing skills to ensure quality patient outcomes and facilitate effective...
$19.47 - $38.08 per hour
...invent the future of health care, here's your opportunity. We... ...the general direction of the Utilization Management Manager, you will be... ...discussing with Medical Directors Coordinate health care services with appropriate... ...Licensed Vocational Nurse program Active, unrestricted...Hourly payMinimum wageWork experience placementWork at officeLocal areaWork from homeOptum
San Diego, CA5 days ago- ...Oncology Nurse Manager (RN) La Jolla, CA A healthcare organization is seeking an experienced... ...patients throughout their cancer care journey. This leadership opportunity is... ...support nursing staff responsible for coordinating patient care and treatment services...
$120k
...bringing innovative type 1 diabetes management solutions to the many, not... ...team to support the overall coordination and execution of multiple... ...deadlines Ability to interpret and utilize scientific/technical... ...Degree Certified in diabetes care and education (CDCES or BC-ADM...Work at officeLocal area2 days per week3 days per weekBeta Bionics
San Diego, CA2 days ago$85k - $95k
...Registered Nurse – Clinical Case Consultant The Registered... ...Health Group's CalAIM Enhanced Care Management (ECM) program. This position... ...to ensure members receive coordinated, high-quality, person-centered... ...outcomes, reduce avoidable utilization, and support compliance with...Temporary workWork at officeLocal areaRemote workFlexible hoursAfternoon shiftPacific Health Group
San Diego, CA2 days ago$145 per hour
...the way people access care and the way clinicians... ...with our best-in-class coordinated care and feedback... ...setting Master's degree in Nursing, with a specialty in... ...demonstrated experience in utilizing electronic health... ...systems efficiently to manage patient data, document...Part timePrivate practiceWork at officeWork from homeFlexible hours1 day per weekHeadlight
Chula Vista, CA5 days ago- A healthcare staffing firm is seeking an Interim Assistant Nurse Manager for a contract position in San Diego, CA. The role requires strong leadership and clinical skills with a focus on operational excellence. Candidates must possess a BSN/BA in a healthcare-related field...Contract workInterim role
- ...models; implementing patient care delivery systems and practice... ...ensure appropriate assignment and utilization; monitoring the use and... ...required. Collaborates with Nursing Clinical Practice to ensure assistants... ...execution of performance management guidelines and expectations....Temporary workWork at officeLocal area
$75 - $125 per hour
...Nurse Practitioner (NP) Adobe Population Health... ...Child and Adolescent Well-Care Visits (WCV). In-... ...and families. Coordinate and communicate care plans... ...Support appropriate utilization of healthcare resources... ...diagnoses to be used in care management and active medical...Part timeWork at officeMonday to FridayWeekend workWeekday work- ...Nurse Practitioner Shift Start Time: 6:30 AM... ...Degree Related to Health Care or equivalent experience... ...as negotiated with manager or director; and* Collaborates... ....Plans, provides, and coordinates patient/family... ...ideas;* Contributes to utilization of supplies in a cost-...Hourly payDaily paidLocal areaFlexible hoursShift workWeekend work
$120.55k - $186.85k
...compassionate and comprehensive care to underserved... ...on population health management, including preventive... ...disease management, care coordination, and addressing social... ...and optimize resource utilization. They lead quality... ...Bachelors degree in nursing (BSN) from an accredited...Local areaTrueCare Inc
La Jolla, CA1 day ago$40 - $48 per hour
...will also provide high-quality case management and psychotherapeutic services to adult... ...to total interdisciplinary team. Coordinates with case managers to impart... ...incoming assessment and referral calls. Utilizes trauma informed care approach to assist with pt. de-...Full timeTemporary workInternshipTrial periodMonday to FridayAurora San Diego
San Diego, CA1 day ago$140k - $190k
...Nurse Practitioner | Nurse Practitioner Location: Imperial... ...Practitioner provides patient care within family medicine protocols... ...quality review and audits, coordinates with specialists, and ensures... ...community health and chronic disease management - Interest in street medicine...Weekly payFull timeImmediate startRelocation packageFlexible hoursThe Inline Group
Imperial Beach, CA1 day ago$132.6k - $259.8k
Description The Manager of Utilization Management supervises Nurse Case Manager and Referral Coordinator staff responsible for Managed Care Utilization Management (UM), following regulatory and compliance as it relates to delegation for commercial and senior attributed...Hourly payWork at officeWeekend work2 days per week1 day per week- Kaiser Permanente is seeking a Nursing Leader in the San Diego area to oversee care delivery operations in a 24/7 environment... ...-quality nursing practices, and coordinate with physicians and staff to... ...accountability, performance management, and regulatory compliance within...
- ...,590 What You Will Do Coordinates, assesses, and communicates... ...of quality patient care in a defined clinical... ...Bachelor's Degree in Nursing or Education deemed necessary... ...ideas. Contributes to utilization of supplies in a cost-... .... Human resource management Assures employee files...Hourly payFull timeShift workWeekend workAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Nurse Manager, Care Coordination & Utilization. Be the first to apply!
Related searches
- nurse practitioner director San Diego, CA
- nurse manager rn - operating room San Diego, CA
- oncology nurse practitioner San Diego, CA
- nurse practitioner - hourly San Diego, CA
- nurse practitioner - telehealth San Diego, CA
- rn nurse manager San Diego, CA
- primary care nurse practitioner San Diego, CA
- new graduate nurse practitioner San Diego, CA
- bilingual nurse practitioner San Diego, CA
- assistant director of nursing San Diego, CA