Director, UM - RN: Care Leadership & Compliance
Imperial Management Administrators Services Inc
Evolving Solution Services is seeking a Director, UM - RN in Pasadena, CA to lead the UM, Prior Authorization and Inpatient teams. The role ensures compliance with federal, state, health plan and NCQA standards while driving operational excellence in daily activities. The position requires a California RN with 5+ years of management experience in UM/Managed Care and strong leadership, communication, and problem-solving skills to manage staff and coordinate with clinical and non-clinical partners. #J-18808-Ljbffr Imperial Management Administrators Services Inc
$150k - $170k
...alternative application process. Director, UM - RN Full Time Pasadena, CA, US... ...for providing operational leadership to the day-to-day function... ...personnel providing timely care which complies with generally... ...expedited referrals requests in compliance with Federal, State, Health...SuggestedFull timeLocal area- ...California. This position requires California RN Licensure. Candidates must have... ...following functions: utilization management, care management, behavioral health and other programs... ...the continuum. Participates with senior leadership to establish strategic plans and...SuggestedContract workWork at officeLocal areaRemote work
- ...Summary: The Associate Director, Nursing Operations is... ...individualized patient care and support of Cedars Sinai... ...and promote leadership behaviors and cultural... ...monthly as needed. Ensures compliance with all federal, state... ...Certifications: California State RN License - Upon Hire -...SuggestedTemporary workFlexible hours
- ...California, seeks a Sr. Director, Prior Authorization Clinical... ...authorization team and compliance staff, ensuring timely, high-quality care within CMS and state... ...regulations. The role requires RN licensure, 5+ years in... ...operations, strong leadership, and project management...Suggested
$175k - $185k
Job Overview - Director of Pharmacy Compensation: $175,000 - $185,000/year Location... ...preparation, regulatory compliance, and high-quality patient care. Responsibilities as the Director... ...clinical pharmacy services. Team Leadership: Supervise pharmacy staff and oversee...SuggestedWork at officeMonday to Friday$140k - $170k
...closely with Human Resources and business leadership on workforce planning, employer branding... ...company dedicated to improving care for people living with chronic autoimmune... ...Reports To: HR Manager FLSA Status: Exempt In compliance with federal law, all persons hired will...Work at officeRemote work$95.5k - $195k
...impact. We embrace you for who you are, care for your well-being, and nurture your career... ...to opportunities for career growth and leadership. Over our 80-year history, delivering... ...of our industry. Job Description The HR Compliance Manager owns the end‑to‑end contingent...Temporary workFor contractorsFor subcontractorWork at officeLocal areaWorldwide- ...in Sacramento, CA is seeking a Senior HR Manager to lead human resources initiatives. You will partner with local leadership on compensation, compliance, and leave management, and collaborate with Talent Acquisition on workforce plans and hiring events. The role requires...Local area
$130k - $155k
Director - Human Resources Business Partner, West Region job at Hermes... ...by providing the structure, care and development needed for... ...Inclusion & Family, learning and leadership development, internal... ...Talent Development, including compliance, leadership development, and...Work at officeWorldwideFlexible hours- ...Manager to lead employment processes and align HR programs with business goals. The role emphasizes organizational effectiveness, leadership coaching, and development of competency models as part of a broad HR strategy. The position also covers succession planning,...
$77.41 - $104.16 per hour
...team as assigned and promotes compliance and support for policies. The... ...continuous and patient centered care which includes: assessing,... ...staff education. Demonstrates leadership skills. Demonstrates accountability... ...Two (2) years of recent RN experience in a critical care...Hourly payFull timeTemporary workPart timeLocal areaShift workWeekend work$130k - $160k
...Home Health RN Opportunity Looking to make a difference? Join... ...about delivering exceptional care and making a meaningful impact... ...offering support, and ensuring compliance with regulations. They need... ...clinical education and clinical leadership Benefits: We offer...Work at officeLocal areaFlexible hours- Whitney Oaks Care Center in California is seeking a Registered Nurse (RN) to supervise the day-to-day nursing activities during your tour of duty, ensuring compliance with federal, state, and local standards and maintaining the highest quality of care. You will assist in...Local area
- ...lead the way , serve with integrity , take care of each other , fosterinclusion , and... ...influence our macro approach as part of our leadership, whilst also setting the direction for... ...CIPP/E, Microsoft Certified: Security, Compliance, and Identity Fundamentals, etc.)....Contract workWork at officeLocal areaImmediate startRemote work
$85k - $90k
...design, excellent service and exceptional care. The Director of Assisted Living (DoAL) serves as... ...levels of confidentiality, compliance, and understanding of residents’ and employee... ...initiative, judgment, delegation, and leadership skills are also required. Ability to read...Work at officeLocal area$3,112 per week
...Registered Nurse (RN) | Obstetrics/Gynecology Location: Sacramento, CA Agency... ...to provide the highest level of patient care possible. For clinicians, we open... ...success, from payroll to clinical support to compliance. FlexCare pushes beyond...Full timeContract workImmediate startShift workNight shift$30.37 - $59.21 per hour
RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req) CA, United States and 5 more... ...optimum outcomes, cost-effectiveness and compliance with all state/federal regulations... ...Refers appropriate cases to medical directors (MDs) and presents them in a...Remote jobHourly payFull timeWork experience placementWork at office- ...Wellness Center to perform acute and chronic care triage, education, and care coordination... ...mental health services. The position emphasizes leadership of Medical Assistants and adherence to HIPAA, FERPA, and healthcare compliance. #J-18808-Ljbffr California State...
- Molina Healthcare seeks a Remote RN Care Review Clinician for UM/Discharge Planning in California. You will verify medical necessity, review services against guidelines, and coordinate care across the delivery continuum to achieve quality outcomes. The role requires an...Remote jobWork at office
$220.06k - $352.1k
...monitoring policies and procedures that ensure high-quality, efficient and compassionate patient care. Incumbent will work collaboratively with the geographic leadership team, service line leaders to promote planning, innovation, and problem solving to align back with...Full timeShift work$192.4k - $302.39k
...DescriptionAbout the role:Join Takeda as a Director, Field Medical -... ...Director will provide leadership, guidance, and oversight to an... ...and training to MSL team on compliance and ethical considerations and... ...we are transforming patient care through the development of novel...Minimum wageLocal areaNight shift$147k - $270k
...join our team.KPMG is currently seeking a Director, ECC Contracts to join our Enterprise... ...deliver actionable insights to enable leadership decisions on key contract termsProvide... ...further information regarding the firm's compliance with federal, state, and local...Contract workTemporary workH1bWork at officeLocal areaImmediate start$209k - $296k
...patient lives and advance the quality of care. Your scientific curiosity and passion... ...part of our inspiring journey.The Senior Director Medical Affairs will be a strong leader... ...present recommendations to advise and guide leadership; develop and deliver senior leadership/...Full time$3,112 per week
...Registered Nurse (RN) | Labor & Delivery Location: Carmichael, CA Agency: FlexCare... ...to provide the highest level of patient care possible. For clinicians, we open... ..., from payroll to clinical support to compliance. FlexCare pushes beyond...Full timeContract workImmediate startShift workNight shift- ...Registered Nurse (RN) | Labor & Delivery Location: Sacramento, CA Agency: Concentric... ...) Location Sacramento, CA | Acute Care – Labor and Delivery / LDRP Schedule /... .... JCAHO certification acknowledges compliance with the Joint Commission’s national set...Weekly payFull timeContract workTemporary workPart timeReliefImmediate startShift workNight shiftWeekend work
- ...Registered Nurse (RN) | Labor & Delivery Location: Carmichael, CA Agency: Concentric... ...Provide comprehensive nursing care across all aspects of a Family Birthing Center... .... JCAHO certification acknowledges compliance with the Joint Commission’s national set...Weekly payFull timeContract workTemporary workImmediate startRemote workShift workNight shift
$3,120 per week
...Registered Nurse (RN) | Labor & Delivery Location: Sacramento, CA Agency: FlexCare... ...to provide the highest level of patient care possible. For clinicians, we open... ..., from payroll to clinical support to compliance. FlexCare pushes beyond...Full timeContract workImmediate startShift workNight shift- ...Registered Nurse (RN) | Labor & Delivery Location: Sacramento, CA Agency: Concentric... ...Provide comprehensive nursing care across all aspects of an LDRP unit, including... .... JCAHO certification acknowledges compliance with the Joint Commission’s national set...Weekly payFull timeContract workTemporary workImmediate startShift workNight shiftWeekend work
- ...Registered Nurse (RN) | Neuro ICU Location: Carmichael, CA Agency: Concentric... ...) Location Carmichael, CA | Acute Care Schedule / Job Type Contract | Nights... .... JCAHO certification acknowledges compliance with the Joint Commission’s national set...Weekly payFull timeContract workTemporary workPart timeReliefImmediate startRemote workShift workNight shift
- ...Registered Nurse (RN) | Labor & Delivery Location: Sacramento, CA Agency: Concentric... ...Provide comprehensive nursing care across all aspects of an LDRP unit, including... .... JCAHO certification acknowledges compliance with the Joint Commission’s national set...Weekly payFull timeContract workTemporary workPart timeReliefImmediate startShift workNight shift
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