Utilization Review RN: Shape Patient Care Pathways
Cedars-Sinai Medical Center
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 requires use of screening tools and timely collaboration with payers for authorization of services. Candidates must have an Associate Degree from an accredited nursing program and a California RN License. Prior experience in Case Management and Acute Care is preferred. Cedars-Sinai is known for its commitment to employee engagement and patient care excellence. #J-18808-Ljbffr Cedars-Sinai
$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... ...Carmichael, CA. This role is crucial for ensuring that patients receive appropriate care while managing healthcare resources effectively....SuggestedWeekly payContract workRelocationMonday to FridayShift workDay shift- Cedars-Sinai in Los Angeles is seeking a utilization review nurse. The role involves validating patient placements, utilizing medical necessity tools, and securing service... ...include an associate degree in nursing, current RN state license, and relevant experience. Preferred...SuggestedShift work
- Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective... ...diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and...SuggestedMinimum wageWork at officeLocal areaShift 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... ...thrive in environments where your contributions enhance patient outcomes and team dynamics. Take the next step in your career...SuggestedHourly payWeekly payFull timeContract workImmediate startShift work$74.29k - $111.43k
...to high‑quality, coordinated care. By uniquely aligning the interests... ...Job Summary The Concurrent Utilization Review (UR) Nurse is responsible for... .... Assist in transitioning patients from inpatient to outpatient... ...Education: Registered Nurse (RN) with an active, unrestricted...SuggestedWork at office$57.28 - $88.92 per hour
...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...Hourly pay- ...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...
$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- ...providing the highest-quality medical care in Los Angeles. We were also... ...What You Will Do in This Role: The Utilization Review Case Manager validates the patient's placement to be at the most appropriate... ...in Nurse preferred. California RN License required. Experience...Daily paidSeasonal work
$2,065.88 - $2,160.88 per month
...Healthcare is seeking a travel nurse RN Acute Care Case Management for a travel nursing job... ...Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Los... ...goals of improved quality of care and patient outcomes are wholly reliant upon the...Hourly payWeekly payContract workShift 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$74.16 - $107.75 per hour
Description The Utilization Management (UM) Nurse supports appropriate level‑of‑care determination, patient flow, and revenue cycle integrity across... ...coverage purposes utilization review/payor authorization and... ...required. Current valid CA RN license, required BLS from...Work at office- 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...
$47.2 - $63.45 per hour
...quality and compassionate medical care. St. Francis is recognized for... ...resource management of all patients that are admitted to the... ...comprehensive admission and concurrent review of the medical record for the... ...Social Worker. However, RN Case Manager preferred.3. Five...Full timePart timeWork experience placementLocal areaShift work- ...POSITION SUMMARY The RN Utilization Management (RN UM) functions as... ...the UM process. Coordinates care submission relating to the process... ...from the point of patient admission to discharge. Assignments... ...hospital stays, and discharge review that determine medical necessity...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- ...based in Los Angeles, California. The Nurse Navigator will guide patients through complex healthcare processes, optimizing their care and outcomes. This role demands two years of nursing experience and RN licensure. Responsibilities include coordinating patient communications...
$116.3k - $264.6k
...continued delivery of exceptional patient care. Take your career to the next... ...for Medicare Advantage Utilization Management, you'll provide direct... ...Denial Letters Concurrent Review Continuity of Care... ...: Current unrestricted RN licensure in CA required Bachelors...- ...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
$88.85k
...Overview: Established in 1997, L.A. Care Health Plan is an independent... ...achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves... ...or onsite admission and concurrent review, and collaborates with onsite staff...- ...Patient Safety Officer, Patient Safety RN Onsite in Downey, CA. Travel: Yes, 10% of the... ...Safety Officer RN in acute care hospital setting. You will... ...safety, conduct chart reviews and need to be good at root... ...by integrating multiple utilization data reporting systems to...Local area
$116.3k - $264.6k
...Case Management (ICM) and Utilization Management (UM)... ...Nurses, Social Workers, and care coordination staff Oversee... ..., and specialty patient populations Lead transitions... ...Support utilization review activities for hospital... ...: Current unrestricted RN licensure in CA required...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$130k - $140k
...The Team Manager is the leader of the Patient Care Team that ensures that patients and families... ...overall productivity expectations. Reviews and approves payroll, assuring that... ...and supplies. Monitors resources and utilization of clinical operations including but not...Contract workFlexible hoursNight shiftWeekend workDay shiftWeekday work- ...a treatment plan to meet each patient's specific needs. The center's... ...Responsible for thecoordinationof care for patients throughout the... ...toward self-directed care. Review, evaluate and revise the plan... ...development of guidelines, protocols, pathways, and other performance...
$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- Pacifica Hospital of the Valley is seeking a Care Coordinator to collaborate with a multidisciplinary... ...Healthcare. Responsibilities include assessing patient needs, developing care plans, and performing utilization reviews. #J-18808-Ljbffr Pacifica Hospital of the Valley
- .... 90073 There are five new RN vacancies at the West Los Angeles... ...Summary We are seeking a Utilization Management Nurse to join our... ...you will be responsible for reviewing patient files and treatment methods... ...that all patients under our care are receiving the necessary treatments...For contractorsWork at officeImmediate startRelocation packageMonday to FridayFlexible hours
$99.31k - $131.09k
...Utilization Management RN Los Angeles, CA, USA At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable... ...designated UM team Assist the team in reviewing prior-authorization requests for...
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