Utilization Management RN - Case Quality & Efficiency
Presidential Staffing Solutions, LLC
An established industry player in healthcare is seeking a dedicated Utilization Management Nurse to enhance patient care efficiency. In this vital role, you will review patient files and treatment methods, ensuring that every patient receives the necessary treatments and procedures. The ideal candidate will possess a strong nursing background, with at least five years of experience in a medical setting, and hold a relevant nursing degree. This position offers a competitive salary and a comprehensive benefits package, including health insurance and a signing bonus. If you're passionate about patient advocacy and quality care, this opportunity is perfect for you. #J-18808-Ljbffr
$47.58 - $76.68 per hour
...requirements and policies. The role demands a current California R.N. license and preferably a BSN, alongside experience in utilization and quality management. Compensation ranges from $47.58 to $76.68 hourly, reflecting the expertise required for this role. #J-18808-Ljbffr...QualityHourly pay- ...Ocean State Job Lot is seeking an RN for Utilization Management in Los Angeles, CA. This role involves... ...admissions, focusing on high-quality care and efficiency. Candidates must hold an Associate... ...in Nursing and have experience in Case Management or Utilization Management...Quality
- ...RN Utilization Management (RN UM) Overview The RN Utilization Management (RN UM) functions as a... ...as needed. The RN UM ensures high quality care and efficiency of utilization available through healthcare... ...3–5 years recent experience in Case Management or Utilization...QualityFull timeLocal area
- ...Hospital is looking for a dedicated RN Utilization Management nurse to manage healthcare... ...the insurance team to ensure high-quality care and efficient utilization of healthcare resources... ...at least 3-5 years of experience in case management, a California RN license...Quality
$65.53 - $84.75 per hour
...implementing individualized care plans utilizing evidence-based tools for... ...delivery of safe, high quality, efficient, and cost-effective care.... ...UCLA Health Nursing staff) CA RN License and BLS certification Recent experience in case management, utilization management and...Quality$65.53 - $84.75 per hour
...implementing individualized care plans utilizing evidence-based tools for... ...delivery of safe, high quality, efficient, and cost-effective care.... ...Health Nursing staff) CA RN License and BLS certification Recent experience in case management, utilization management and...QualityHourly pay- ...RN Case Manager Qualifications for RN Case Manager: The Case Manager... ...with medical staff, utilizes scientific evidence for best... ...reports utilization data and quality information, such as delays... ...continuous improvement of agency efficiency and fiscal success....QualityTemporary workShift work
$93.83 per hour
# RN Case Manager, Per Diem (SMH)Work Location **Santa Monica,CA**Job **#30758**Work Hours... ...implementing individualized care plans utilizing evidence-based tools for risk... ...stratification to ensure delivery of safe, high quality, efficient, and cost-effective care. You will...QualityHourly payDaily paidDay shift$102.18k
...Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization... ...is to provide access to quality health care for Los Angeles... ...to ensure optimal efficiency, productivity, and effectiveness... ...matter expert (SME) in Care/Case/Utilization Management and...QualityFull time$110k - $135k
...RN Case Manager Home Health & Hospice Our client is a nationally recognized... ...for reimbursement, quality reporting, and patient outcomes... ...approve orders, and perform utilization management review Monitor... ...a productive caseload with efficient visit scheduling within the...QualityFull timeMonday to Friday$47.2 - $63.45 per hour
...community who count on the hospital for high quality and compassionate medical care. St.... ...Responsible for the quality and resource management of all patients that are admitted to the... ...Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute...QualityFull timePart timeWork experience placementLocal areaShift work$7,000 per month
...Inpatient Case Manager This position offers a sign on bonus! $10k for RN & $7k for LVN The Inpatient Case... ...severity of illness, utilizing the appropriate tests... ...of care, in the most efficient manner, while utilizing... ...documentation. Maintains quality monitors as assigned...QualityHourly payFull timeCasual workWork at officeImmediate startRelocation packageFlexible hours$31 - $45 per hour
...Case Manager (LVN or RN) - Pediatric/ CCS Astrana is looking for a RN/LVN... ...~95 - 100% compliance with Utilization Management health plan delegation... ...to provide the highest quality of end-to-end care for their... ...US healthcare system more efficient. Our platform currently empowers...QualityHourly payWork at officeWork from homeHome office$65.53 - $84.75 per hour
...implementing individualized care plans utilizing evidence‑based tools for... ...delivery of safe, high quality, efficient, and cost‑effective care.... ...UCLA Health Nursing staff) CA RN License and BLS certification Recent experience in case management, utilization management and...QualityHourly payDay shift$37.5 - $40 per hour
...Outpatient Case Manager (RN/LVN) Recruiting on behalf of a leading... ...healthcare providers to facilitate efficient care coordination.... ...preferred. ~2-3 years of utilization review or HMO experience is... ...passionate about delivering quality outpatient care, enjoy working...QualityHourly payCasual workWork at officeRelocation packageFlexible hours- ...Nurse Manager Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources... ...Manager that supports Case Management. This is the...QualityLocal area
$47.31 - $100 per hour
...RN Case Manager In collaboration with the interdisciplinary team, provides... ...to promote cost-effective, quality outcomes. Serves as a... ...integrates the functions of utilization management, quality management... ...ensure a cost effective and efficient plan of care. Identifies and...QualityHourly payFull timeContract workWork experience placementLocal area- ...Veterans in Healthcare is seeking a Utilization Management Assistant Director – RN in Los Angeles, CA. This role entails overseeing Intensive Case Management and Utilization Management... ...populations. This position supports quality patient care and focuses on effective...Quality
$29 per hour
...Case Manager - Registered Nurse (RN) or License Vocational Nurse (LVN), Full-Time, 8:... ...patients and families proceed efficiently throughout the course of... ...in the appropriate utilization of hospital services, maximizing... ...-edge advancements, quality of care and healthcare technology...QualityFull timeWork at office- ...Case Manager In collaboration with the interdisciplinary... ...cost-effective, quality outcomes. Serves as a... ...complex case management, utilization management, quality management... ...a cost effective and efficient plan of care.... ...Req Registered Nurse - RN (CA DCA) Req Basic Life...QualityHourly payFull timeContract workWork experience placementWork at office
- ...Location: Outpatient Case Management West Los Angeles VAMC,... ...73 There are five new RN vacancies at the West... ...Summary: We are seeking a Utilization Management Nurse to... ...methods with an eye for efficiency and effectiveness.... ...treatment. Advocate for quality patient care to prevent...QualityWork at officeRelocation packageFlexible hours
- ...L.A. Care Health Plan is seeking a Supervisor of Utilization Management RN to lead the daily operations of the UM department in Los Angeles... ...experience and supervisory skills to ensure department efficiency and quality care delivery. Ideal candidates will have at least 7...QualityFull time
$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 Shift:... ...work. If you are passionate about providing high-quality care and looking for an opportunity to grow in a supportive...QualityWeekly payContract workRelocationMonday to FridayShift workDay shift- ...Position Summary: The LVN Case Manager is responsible for the... ...services. Promotes quality care using a... ...or Registered Nurse (RN) license in good standing... ...Prior case management, utilization review, and discharge... ...organizational skills and efficient in prioritizing and managing...QualityFull timeShift work
- The RN Case Manager manages a continuum of care from pre-admission through... ...and families proceed efficiently throughout the course of hospitalization... ...is the appropriate utilization of hospital services,... ...cutting-edge advancements, quality of care and healthcare technology...QualityDaily paidWork at officeShift work
- ...insurance Outpatient Case Management West Los Angeles VAMC... ...There are five new RN vacancies at the West... ...Summary We are seeking a Utilization Management Nurse to... ...methods with an eye for efficiency and effectiveness.... ...treatment Advocate for quality patient care to...QualityFor contractorsWork at officeImmediate startRelocation packageMonday to FridayFlexible hours
$116.3k - $264.6k
...Jobs is seeking an experienced Utilization Management Assistant Director to lead Intensive Case Management and Utilization Management... ...team, ensuring high-quality patient-centered care while driving... ...ideal candidate will have a BSN, RN licensure in California, and significant...Quality- ...California seeks an LVN Care Manager to oversee patient care from... ...discharge. You will facilitate efficient navigation for patients and... ...appropriate hospital service utilization. This role offers an opportunity... ...committed to high-quality patient care and excellent patient...Quality
- ...care for patients, working in a supportive environment dedicated to high-quality care. 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 a significant impact...Quality
$41.38 - $69.02 per hour
...2026-07-10 Position Title: RN Utilization Management Nurse (InPatient) - California HMO... ...review of the most complex or challenging cases that require nursing judgment, critical... ...with healthcare providers to promote quality member outcomes, optimize member benefits...QualityFull timeTemporary workWork experience placementWork at officeLocal areaShift work1 day per week
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