Utilization Management Clinical Lead
$54.32 - $89.63 per hourPIH Health Hospital
PIH Health Hospital is seeking a UM Manager in Downey, California, responsible for overseeing operations of the Utilization Management department. This role requires a focus on effective utilization reviews and ensuring appropriate reimbursements for hospital services. Ideal candidates will hold an active California RN License and a bachelor's degree in nursing, along with a minimum of two years' experience in case management and departmental leadership. The position offers a competitive salary ranging from $54.32 to $89.63 per hour. #J-18808-Ljbffr
Vacancy posted 10 hours ago
Similar jobs that could be interesting for youBased on the Utilization Management Clinical Lead in Downey, CA vacancy
$110k
...Overview The Nurse Clinical Supervisor, UM Denial Compliance oversees the denial process within the utilization management (UM) department, ensuring that all denials are handled efficiently... ...necessary process adjustments. Lead process improvement and compliance initiatives...SuggestedCasual workRelocation packageRegal Medical Group
Los Angeles, CA10 hours ago$88.85k
...safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and... ...Degree in Nursing Experience At least 5 years of varied RN clinical experience in an acute hospital setting. At least 2 years of...SuggestedL.A. Care Health Plan
Los Angeles, CA11 hours ago- ...Summary The Utilization Management (UM) Registered Nurse (RN) is responsible for reviewing medical necessity, level of care appropriateness,... ...Knowledge of Medicare, Medicaid, and third‑party insurance. Strong clinical judgment and critical thinking skills. Excellent...SuggestedPermanent employmentTemporary workImmediate startRemote workRelocation packageMonday to Friday
Direct Jobs
Long Beach, CA10 hours ago $88.85k
...Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA... ...a Subject Matter Expert during external audits as well as leads pre- and post-audit preparation/follow-up. This position actively...SuggestedFull timeLOS ANGELES CARE HEALTH PLAN
Los Angeles, CA3 days ago- ...Summary The Utilization Management (UM) Registered Nurse (RN) is responsible for reviewing medical necessity, level of care appropriateness,... ...Knowledge of Medicare, Medical, and 3rd party insurance; Strong clinical judgment and critical thinking skills; and Excellent...SuggestedPermanent employmentTemporary workSeasonal workImmediate startRemote workRelocation packageMonday to Friday
Veterans Affairs, Veterans Health Administration
Long Beach, CA5 days ago $71k - $166k
...CHE Fresenius Medical Care (Schweiz) AG is seeking a Dialysis Clinical Manager Registered Nurse - RN in Bellflower, California. You will oversee clinic operations, manage patient care coordination, and lead a collaborative team in delivering quality dialysis care. The...CH01 CHE Fresenius Medical Care (Schweiz) AG
Bellflower, CA10 hours ago$2,250 per week
...Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Paramount, California.... ...About AMN Healthcare Revenue Cycle AMN Healthcare is a leading force in the healthcare industry, committed to being the most...Temporary workFor contractorsShift workWeekend workAMN Healthcare Revenue Cycle
Paramount, CA3 days ago$76.2k - $157.8k
...Description The Clinical Operations Lead/Nurse Case Manager for the IMPACT Program provides clinical and administrative leadership for a statewide prostate... ...managing clinical protocols, monitoring treatment utilization, coordinating care with more than 700 providers, and...Contract workFlexible hoursCase Management Society of America Inc
Los Angeles, CA1 day ago- ...A leading in-home care provider in Norwalk, CA is seeking a compassionate Supervisor to provide Applied Behavior Analysis (ABA) services... ...conduct assessments, design treatment strategies, and mentor clinical staff. The ideal candidate holds a BCBA certification and excels...Full time
Hidden Treasures
Norwalk, CA10 hours ago - ...Join a forward-thinking company dedicated to providing evidence-based behavioral therapies for children. As a BCBA Clinical Supervisor, you will lead a team, ensuring high-quality clinical practices and impactful progress for clients facing challenges related to autism...Flexible hours
Intercare Therapy
South Gate, CA10 hours ago $80k - $90k
...Intercare Therapy in Downey, California, is seeking a Clinical Supervisor (BCBA). The role requires a Master’s degree and BCBA certification, focusing on delivering high-quality behavioral therapies to children with autism. The ideal candidate should possess strong clinical...Relocation packageIntercare Therapy
Downey, CA1 day ago$130k - $160k
...Angitia Incorporated Limited is seeking a Senior Clinical Trial Manager to oversee the management of clinical trials. This role involves leading cross-functional teams and managing vendors to ensure clinical trials are executed efficiently and in compliance with regulations...Remote workAngitia Incorporated Limited
Los Angeles, CA10 hours ago$56 - $70 per hour
...A leading healthcare organization is seeking a Utilization Review/Management Nurse in California. This role involves planning and overseeing daily utilization review operations and coordinating discharge planning for complex patients. Candidates must have a current Registered...Hourly payNOR Healthcare Systems
Norwalk, CA9 hours ago$2,423 per week
...Registered Nurse (RN) | Case Manager Location: Paramount, CA Agency: Cynet Health Pay: $2,423 per week Shift Information... ...: Coordinates management of care and ensures optimum utilization of resources, service delivery, and compliance with external review...Full timeContract workTemporary workMonday to FridayShift workCynet Health
Paramount, CA7 days ago- ...Dental Clinical Associate Reports to: Clinical Director Status: At Will Increase average daily... ...in assigned markets with clinical work. Manage all treatment plans in your target... ...and diagnostic scans) – 80%+ compliance. Utilize Halcyon effectively for charting, scheduling...Work at office
Clove Dental
Los Angeles, CA11 hours ago - ...skills, collaboration, and evidence-based practice/research utilization. Charge nurse duties include assessment of patient and staff... ...patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation...Work at office
PIH Health
Whittier, CA10 hours ago - A prestigious health program seeks qualified physicians for a two-year postdoctoral fellowship in HIV care. The program offers advanced training in HIV primary and sub-specialty care, targeting leaders in healthcare committed to serving vulnerable communities. Applicants...
Los Angeles County HIV Clinical Fellowship
Los Angeles, CA10 hours ago - ...Kids for the Future is hiring a Clinical Team Supervisor in Los Angeles, California. The Supervisor coordinates and supervises clinical staff to provide essential mental health services to the community. Responsibilities include staff oversight, ensuring service quality...
Kids For The Future
Los Angeles, CA10 hours ago - ...organization in Los Angeles is looking for a candidate to support clinical operations by conducting complex clinical reviews. The selected... .... Applicants should have an accredited nursing degree and experience in healthcare or managed care settings. #J-18808-Ljbffr...
Career Advocates
Los Angeles, CA9 hours ago $42.37 - $54.6 per hour
...St. Francis Medical Center in Lynwood is seeking a Clinical Supervisor to support department functions and collaborate with management. This full-time role demands a California Registered Nurse license and involves administrative responsibilities, personnel training, and...Hourly payFull timeDay shiftSt. Francis Medical Center
Lynwood, CA1 day ago- ...The University of California - Irvine Health is seeking a Charge Nurse responsible for delivering patient care while utilizing the nursing process. Candidates must possess a valid California RN License, BLS, and ACLS certifications along with a minimum of one year of nursing...
University of California
Lakewood, CA2 days ago $114.4k
...a dedicated RN Nursing Supervisor in South Gate, California, responsible for overseeing nursing care operations and implementing clinical standards. The ideal candidate will have a Bachelor's degree in nursing, leadership experience, and a passion for quality patient...AltaMed Health Services
South Gate, CA9 hours ago- ...Key Responsibilities: Leads best practice implementation and patient care delivery systems across multiple locations... ...for optimal continuum of care. Monitors clinical resource needs and manages equipment, supplies, and medications. Maintains clinical...
Macpower Digital Assets Edge
Los Angeles, CA2 days ago $35 - $62.5 per hour
...Clinical Team Lead Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives... ...The Clinical Team Lead will provide operational support to managers and supervisors for the assigned program. The Team lead is an...Hourly payMinimum wageFull timeWork experience placementLocal areaRemote workShift workUnitedHealthcare
Los Angeles, CA4 days ago- Wellnest Emotional Health & Wellness is seeking a Clinical Supervisor in Los Angeles, CA. As a key member of the leadership team, you will provide clinical oversight, ensuring high-quality care for clients, and supervising unlicensed clinical providers. The ideal candidate...
$74k - $83k
Easter Seals Southern California, Inc. is seeking a Behavior Analyst to provide specialized behavior intervention services to individuals with autism and severe challenging behaviors. This role involves supervising a team, ensuring high-quality service delivery, and developing...Easterseals Southern California
Whittier, CA11 hours ago$93.45k - $113.35k
...Penny Lane Centers is hiring a Clinical Operations Manager (COM) to oversee the Client Experience Environments and Medication Support Services... ...consistency while supporting treatment staff. This role involves leading office managers and medication support teams, integrating...Work at officeFlexible hoursPenny Lane
Los Angeles, CA10 hours ago- ...Direct Jobs in Los Angeles is looking for a Clinical Laboratory Scientist to oversee and coordinate laboratory activities. You will ensure the quality of pre-analytical, analytical, and post-analytical processes while maintaining compliance with medical standards. Applicants...
Direct Jobs
Los Angeles, CA10 hours ago $50.5 - $84.25 per hour
A nonprofit healthcare network is seeking a registered nurse to provide direct nursing care and coordinate patient care in Downey, California. This role requires a California RN license and experience in acute care settings. The ideal candidate will demonstrate leadership...Hourly payShift workNight shiftPIH Health
Downey, CA11 hours ago- ...Specialty Care ICC Lead The Specialty Care ICC Lead is responsible for oversight... ...Occupational Health, Oncology and Hematology, Pain Management, Pulmonology, Radiation Oncology,... ...minimum of 0.2 FTE direct patient care clinical practice. VA offers a comprehensive...Full timeContract workFreelanceMonday to Friday
US Department of Veterans Affairs
Long Beach, CA5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Management Clinical Lead. Be the first to apply!
Related searches
- asset management intern Downey, CA
- utilization management nurse Downey, CA
- management team Downey, CA
- management development program Downey, CA
- property management specialist Downey, CA
- test data management Downey, CA
- head of program management Downey, CA
- managed care specialist Downey, CA
- care management associate Downey, CA
- events management graduate Downey, CA