RN Utilization Management Specialist - Care Coordination
$52.25 - $80.99 per hourMLK Community Healthcare
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 include daily coordination of Medi-Cal patients, communication with the care team, and ensuring documentation for patient records is complete and timely. We offer a competitive hourly pay rate ranging from $52.25 to $80.99 depending on experience. #J-18808-Ljbffr
- ...Ocean State Job Lot is seeking an RN for Utilization Management in Los Angeles, CA. This role involves coordinating care submissions and documentation for patient admissions, focusing on high-quality care and efficiency. Candidates must hold an Associate's Degree in Nursing...Suggested
$116.3k - $264.6k
...Direct Jobs is seeking an experienced Utilization Management Assistant Director to lead Intensive Case... ...ensuring high-quality patient-centered care while driving operational excellence... .... The ideal candidate will have a BSN, RN licensure in California, and significant...Suggested$116.3k - $264.6k
...Yourcommission is seeking a Utilization Management Assistant Director in Los Angeles to lead Intensive Case Management and Utilization Management... ...improving patient outcomes. Ideal candidates possess a BSN, active RN license in CA, and experience in management roles within...Suggested$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 management...Suggested$72.95 - $89.28 per hour
...of physicians to manage the patients' specialized... ...of specific care management plans to... ...treatment plan by coordinating access to health... ...care physicians, specialists, and various disciplines... ...care, including utilization management,... ...experience as an RN in an acute or ambulatory...SuggestedHourly payDaily paidContract workWork at officeShift work- ...RN Utilization Management (RN UM) Overview The RN Utilization Management (RN UM) functions as a support liaison for a variety of UM functions... ...e‑TAR process, denials management, and the UM process. Coordinates care submission relating to the process of health‑care...Full timeLocal area
- ...yourcommission is looking for a Utilization Management Nurse responsible for overseeing patient care determinations across various programs. The role includes conducting... ...candidate must have a BSN or MSN, a valid CA RN license, and at least 5 years of experience in psychiatric...
$57.28 - $88.92 per hour
...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...Hourly pay$112.9k - $256.9k
...Angeles, California, seeks a Manager for Medicare Advantage Utilization Management. This role... ...direct management of UM coordinators and nurses, overseeing functions... ...possess a BSN degree and RN licensure in California,... ...dedicated to patient care. #J-18808-Ljbffr...$112.9k - $256.9k
...continued delivery of exceptional patient care. Take your career to the next level.... ...this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you’ll provide direct management to a team of UM coordinators and nurses. You’ll work closely with...$116.3k - $264.6k
...Clinics is looking for an experienced Utilization Management Assistant Director in Los Angeles. In... ...operations, ensuring high-quality patient care across complex populations. You will... ...outcomes through effective care coordination. The estimated salary range for this position...$116.3k - $264.6k
...in delivering high-quality, patient-centered care. UCLA Health is seeking a dynamic and experienced Utilization Management Assistant Director to oversee Intensive Case... ...healthcare leader passionate about care coordination, utilization management, and value-based care...$23.98 - $25.24 per hour
...A community service organization in Los Angeles is seeking a Case Manager (Specialist) to provide intensive case management services. Responsibilities include conducting assessments, coordinating care, and advocating for clients. Candidates should have an associate's...Hourly pay- ...Los Angeles is seeking a Registered Nurse to deliver coordinated nursing care for patients according to established standards. The RN will supervise nursing staff, coordinate care with other disciplines, and utilize critical thinking and independent judgment. A Bachelor...
- ...Responsibilities Responsible for independently utilizing the nursing process to safely, therapeutically and efficiently care for a group of patients based on policies and... ...quality patient care through a coordinated team approach with physicians, staff, other departments...
$36.38 - $65.5 per hour
...LTSS Service Coordinator-RN Clinician Virtual: This role enables associates... ...is responsible for overall management of member's case within the... ..., and revises the member's care plan to meet the member's... ...cost effective and efficient utilization of health benefits. Obtains...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. This role emphasizes supporting the physician... ...authorization processes, and ensuring efficient resource utilization. Minimum education includes an Associate’s Degree in...Full timeDay shift
$46.07 - $67.73 per hour
...Wound Care Coordinator RN- Subacute/FT/Days Job Category: Registered Nurse Full-Time On... ...families on wound care techniques, self-management strategies, and signs of infection.... ...interactions with patients and family members. Utilizes white boards for patient communication...Hourly payFull timeRelocation packageShift work- ...Pacifica Hospital of the Valley is seeking a Care Coordinator to collaborate with a multidisciplinary team, including Physicians and Nursing... .... Responsibilities include assessing patient needs, developing care plans, and performing utilization reviews. #J-18808-Ljbffr...
$75k - $80k
...revolutionizing the way senior care is delivered through the... ...supervision of the Clinic RN, the Home Care Coordinator (LVN/RN) provides home-... ...services as assessed by Case Management RN and approved by Primary... .... Conducts QI and utilization management activities, tracks...Live in- ...Monica, California. You will assess and coordinate care for various patients while... ...responsibilities will include performing utilization reviews and driving performance improvements... ...patient care. If you have a BSN or MSN, a CA RN license, and passion for nursing, come...
- ...join their team. In this role, you will assess and coordinate care for patients, working in a supportive... ...Qualified candidates will have a BSN or MSN, CA RN License, and experience in case management or utilization management. This position offers the chance to make...
- ...Responsible for the delivery of patient care through the nursing process of... ...Responsible for directing and coordinating all nursing care based on... ...vision and mission. Utilizes knowledge of patient's age, developmental... ...as a Registered Nurse (RN). Proficient in oral and written...Night shift
- ...Utilization Specialist Kheir's mission is to increase and provide access to culturally and linguistically... ...position involves assessing patient care needs, monitoring service utilization,... ...to optimize patient outcomes while managing costs. The Utilization Specialist will...Local area
- ...Project Specialist II Location: Remote/LA, CA Duration: 6+ Months... ...The enterprise Portfolio Management Office (ePMO) is accountable... ...approved and budgeted by L.A. Care (LAC) Leadership and the Board... ...program/project components; coordinates work effort across third...Work at officeRemote work
$88.85k
...Max.) Company Overview: Established in 1997, L.A. Care Health Plan is an independent public agency... ...required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that...- ...Cedars-Sinai in Los Angeles is seeking a utilization review nurse. The role involves... ...an associate degree in nursing, current RN state license, and relevant experience.... ...bachelor's degree in nursing along with case management experience. This position requires strong...Shift work
$65.53 - $84.75 per hour
...responsible for assessing and coordinating care for a diverse group of... ...implementing individualized care plans utilizing evidence-based tools for... ...Health Nursing staff) CA RN License and BLS certification Recent experience in case management, utilization management and...$22 - $25 per hour
...deliver whole‑person care—clinical, behavioral,... ...administrative burden, streamline coordination, and ensure patients... ...largest Enhanced Care Management providers in... ...Community Engagement Specialist with delegated tasks.... ...internal providers. Utilize external and internal...Remote jobFull timeWork experience placementLocal areaWork from homeFlexible 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 senior population, functioning as both a care provider and care plan to those individuals...
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