Outpatient Utilization UM Clinician (RN/LVN)
Med Point Management
MedPOINT Management is hiring a UM Outpatient Licensed Clinician in Los Angeles, California. In this role, you'll be responsible for reviewing outpatient precertification requests and ensuring high-quality medical outcomes. You'll collaborate closely with the Medical Director and other team members to promote improved quality of care and continuity of services. A current California RN or LVN license and 2+ years of experience in utilization management are required. Proficiency in Microsoft Office is preferred. #J-18808-Ljbffr
Vacancy posted 14 hours ago
Similar jobs that could be interesting for youBased on the Outpatient Utilization UM Clinician (RN/LVN) in Los Angeles, CA vacancy
$37.5 - $40 per hour
...Outpatient Case Manager (RN/LVN) Recruiting on behalf of a leading healthcare organization in Southern California About the Opportunity... ...case management experience is preferred. ~2-3 years of utilization review or HMO experience is preferred. Technical...SuggestedHourly payCasual workWork at officeRelocation packageFlexible hoursVivo HealthStaff
Sherman Oaks, CA2 days ago$45 - $50 per hour
...Case Manager Outpatient RN The Case Manager Outpatient RN is responsible for the assessment, treatment planning, intervention, monitoring... ...~3 years acute care experience preferred. ~2-3 years of utilization or HMO experience preferred. ~ Must have valid CA DL and...SuggestedHourly payFull timeCasual workRelocation packageFlexible hours- ...Role: Join MedPOINT Management as an Outpatient UM Coordinator in Sherman Oaks, CA, where you... ...authorizations and care transitions. Utilize clinical guidelines and criteria to... ...management. Requirements: Active RN license or relevant clinical certification...SuggestedWork at officeWork from homeFlexible hours
MedPOINT Management
Sherman Oaks, CA1 day ago $55 - $87.5 per hour
...Case Manager Registered Nurse (RN) Or Licensed Vocational Nurse (LVN) Full-Time, 8:30 Am - 5:00 Pm The... ...hospitalization. Assists in the appropriate utilization of hospital services, maximizing... ...PIH Health Whittier Hospital, 37 outpatient medical office buildings, a...SuggestedFull timeWork at office$34.5 - $49 per hour
...preferred PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical... ...to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage...SuggestedHourly payWork experience placementFresenius Medical Care
Los Angeles, CA3 days ago$34 - $47 per hour
...UM Review Nurse - LVN Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center... ...Health is looking for a CA-licensed Utilization Review Nurse to assist our Health... ...clinical judgement to approve or deny outpatient medical services for patients based on...Hourly payFull timeLive inWork at officeRemote workMonday to FridayShift workAstrana Health Management
Monterey Park, CA13 hours ago- Overview The RN Case Manager manages a continuum of care from pre-admission through... ...Focus of the position is the appropriate utilization of hospital services, maximizing... ...Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty...Daily paidWork at office
- The RN Case Manager manages a continuum of care from pre-admission through post-discharge... ...of the position is the appropriate utilization of hospital services, maximizing... ...Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty...Daily paidWork at officeShift work
$75k - $80k
...and care contexts. We empower our clinicians and staff with tools that deliver relevant... ...the supervision of the Clinic RN, the Home Care Coordinator (LVN/RN) provides home-based nursing... ...competency activities. Conducts QI and utilization management activities, tracks the...Live inSeen Health
Alhambra, CA1 day ago- .../specialist as appropriate. Secures outpatient follow-up appointments and scheduling tests... ...State License current California RN or LVN licensure required Certified Case Management... ...healthcare you can join our network of clinicians and physicians to improve the...Work experience placementDay shift
$112.9k - $256.9k
...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... ...service‑driven leader with: Current unrestricted RN licensure in CA required Bachelors of Science, Nursing...340B Health
Los Angeles, CA13 hours ago$27.61 - $53.83 per hour
Molina Healthcare in Los Angeles, California is seeking a qualified candidate to provide support for clinical member services assessment processes. The role involves verifying medical necessity and ensuring compliance with clinical guidelines. Ideal candidates will have...Hourly payMolina Healthcare
Los Angeles, CA13 hours ago$27.61 - $53.83 per hour
...referrals to other clinical programs. Collaborates with multidisciplinary teams to promote the Molina care model. Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 years health care experience, including experience in...Hourly payContract workWork experience placementWork at officeMolina Healthcare
Los Angeles, CA4 days ago$116.3k - $264.6k
...Health is seeking a dynamic and experienced Utilization Management Assistant Director to oversee... ...Management (ICM) and Utilization Management (UM) operations focused on high-risk and... ...items are required: Current unrestricted RN licensure in CA required Bachelor of Science...Work at officeCase Management Society of America Inc
Los Angeles, CA4 days ago$34 - $47 per hour
...Astrana Health Management is seeking a Utilization Review Nurse (LVN) to work remotely in California. You... ...clinical judgment to approve or deny outpatient medical services. Candidates must... ...and at least one year of outpatient UM experience. This full-time role requires...Hourly payFull timeRemote workShift workAstrana Health Management
Monterey Park, CA14 hours ago$34 - $47 per hour
...Astrana Health is seeking a CA-licensed Utilization Review Nurse for remote work. This role... ...using clinical judgment to approve or deny outpatient medical services based on Medical... ...must have at least one year of outpatient UM experience, strong interpersonal skills,...Hourly payRemote workShift workAstrana Health
Monterey Park, CA14 hours ago$45 - $67 per hour
...Surgery Medical Center), located in Los Angeles, CA, is a premier outpatient facility specializing in advanced ophthalmic surgical procedures... ...school of professional nursing. Current unencumbered California RN License 3+ years experience in perioperative setting or...Monday to FridayFlexible hoursUnited Surgical Partners
Los Angeles, CA14 hours ago$116.3k - $264.6k
...UCLA Outpatient Clinics is looking for an experienced Utilization Management Assistant Director in Los Angeles. In this key leadership role, you will oversee Intensive Case Management and Utilization Management operations, ensuring high-quality patient care across complex...UCLA Outpatient Clinics
Los Angeles, CA4 days ago$2,065.88 - $2,160.88 per month
GQR Healthcare is seeking a travel nurse RN Acute Care Case Management for a travel... ...Type: Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job... ...meal and lodging per diems for eligible clinicians based on nationally published GSA rates....Hourly payWeekly payContract workShift work$88.85k
...safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically... ...and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-...L.A. Care Health Plan
Los Angeles, CA14 hours ago$72 - $77 per hour
...conflicts of interests. Right now we're looking for an experienced RN to join our team in Los Angeles. You will be practicing adult... ...Minimum of three (3) years as an RN in a hospital or outpatient clinic Bachelor's degree required, BSN preferred Excellent...Permanent employmentTemporary workWork at officeLocal areaWorldwidePrivate Medical
Santa Monica, CA4 days ago$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... ...hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay...Hourly payWeekly payFull timeContract workImmediate startShift workGQR Healthcare
Los Angeles, CA13 days ago$88.85k
...Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US,... ...II, under the purview of the Utilization Management (UM) Department Leadership Team, is responsible for conducting...Full timeL.A. Care Health Plan
Los Angeles, CA3 days ago$36.38 - $65.5 per hour
...LTSS Service Coordinator-RN Clinician Virtual: This role enables associates to work virtually... ...to insure cost effective and efficient utilization of health benefits. Obtains a thorough and... ...Provide direction and oversight to LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals...Full timeContract workTemporary workWork experience placementWork at officeLocal areaElevance Health
Los Angeles, CA13 hours ago$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... ...hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay...Hourly payWeekly payFull timeContract workImmediate startShift workTravelNurseSource
Los Angeles, CA13 days ago- ...Job Description Job Description We are seeking an Outpatient Nurse to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned surgical patients, overseeing per diem staff, Responsibilities: Administer nursing care both...Daily paid
Radiance Surgery Center
Los Angeles, CA20 days ago $116.3k - $264.6k
...Yourcommission is seeking a Utilization Management Assistant Director in Los Angeles to lead Intensive Case Management and Utilization Management... ...patient outcomes. Ideal candidates possess a BSN, active RN license in CA, and experience in management roles within...yourcommission
Los Angeles, CA4 days ago$116.3k - $264.6k
...Direct Jobs is seeking an experienced Utilization Management Assistant Director to lead Intensive Case Management and Utilization Management... ...with regulations. The ideal candidate will have a BSN, RN licensure in California, and significant experience in management...Direct Jobs
Los Angeles, CA4 days ago$72 - $77 per hour
...privately held and free from any conflicts of interests. About You: Active California RN license & BLS certification Minimum of three (3) years as an RN in a hospital or outpatient clinic Bachelor's degree required, BSN preferred Excellent communication and...Permanent employmentTemporary workWork at officeLocal areaWorldwide$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...Case Management Society of America Inc
Los Angeles, CA4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Outpatient Utilization UM Clinician (RN/LVN). Be the first to apply!
Related searches
- clinician Los Angeles, CA
- bilingual clinician Los Angeles, CA
- mental health clinician Los Angeles, CA
- school based clinician Los Angeles, CA
- crisis clinician Los Angeles, CA
- licensed mental health clinician Los Angeles, CA
- intake clinician Los Angeles, CA
- per diem rn Los Angeles, CA
- rn coordinator Los Angeles, CA
- fema rn Los Angeles, CA