RN Utilization Management Director
$116.3k - $264.6kUCLA Health
UCLA Health is seeking a leader for Intensive Case Management and Utilization Management programs in Los Angeles. This role involves supervising a multidisciplinary team, ensuring compliance with healthcare guidelines, and improving patient care transitions. The ideal candidate will have a Bachelor's in Nursing, RN licensure in California, and several years of experience in clinical and leadership roles. The position offers a competitive salary range of $116,300 to $264,600 annually. #J-18808-Ljbffr UCLA Health
$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...Suggested- Associate Director RN Neuro Progressive Care page is loaded## Associate Director RN Neuro... ...staff. Uses depth and breadth of clinical management knowledge to ensure the provision of... ...efficient patient care management and resource utilization.2. Leads change by developing,...SuggestedShift workNight shift
- ...excellence in every interaction. Requirements: ~ You care. Director of MDS Summary: The Director of MDS conducts and coordinates... ...accredited college or graduation from approved LVN program, RN preferred ~ Must possess current, unencumbered license to practice...Suggested
$195.42k - $370.53k
...Advisory. KPMG is currently seeking a Director, Private Equity IT M&A –Due Diligence and... ...Strategy practice. Responsibilities: Manage a high-volume pipeline of rapid IT due... ...platform and add-onacquisitions; utilize AI-powered tools to accelerate analysis,...SuggestedFull timeH1bLocal area- ## Registered Nurse RN Associate Director Labor and DeliveryApplylocations: Banner Thunderbird Med... ...role supports strategic initiatives, manages staffing and resource allocation, promotes... ...patient care management and resource utilization. 2. Leads change by developing,...SuggestedFull timeMonday to FridayShift workNight shift
- ...care to vulnerable seniors. The responsibilities of the Director of Utilization Management include, but are not limited to: Responsibilities:... ...Education & Experience: ~ Degree and diplomas : Active RN license required; advanced degree (MSN, MHA, MPH) preferred...Contract workImmediate start
$88.85k
...communities and residents and to support the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting clinical review of medical claims to ensure services were medically...$2,349 per week
Pulse Healthcare Services is seeking an experienced Nurse Supervisor Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. Shift: 3x12 hr nights Start Date: 08/03/2026 Duration: 13 weeks Pay: $2349 / Week About Pulse Healthcare Services: Today...Shift workNight shift- ...RN Utilization Mgmt Full-Time Day RN Utilization Management (RN UM) functions as a support liaison for a variety of UM functions which may include: the e-TAR... ...e-TAR support progress and delays to Manager or Director of care management. # Participates in interdisciplinary...Full time
- ...are searching for an exceptional Operating Director to lead this branch’s growth. Supported... ...starting salary & profit sharing On the ground, utilize a company-provided car, paid gas, and... ...As the director, you will independently manage and lead this branch, along with...Work at officeAll shifts
- Working Nurse is looking for an RN Utilization Management to coordinate care and manage clinical denials in Los Angeles. The role requires an Associate’s Degree in Nursing and a California RN License, along with experience in Case Management or Utilization Management. This...Day shift
$51 per hour
...week with day shifts and a pay rate of $51 per hour, focused on Utilization Management. Candidates with 2+ years of Utilization Management or Case... ...experience are preferred. Applicants must hold an active RN license and BLS, with any required certificates and health clearances...Hourly payFull timeDay shift- 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...Relocation package
$125k
...Director of Revenue Management Requisition ID 2026-79607 Category Revenue Management Job Location US-CA-Santa Monica... ...contemporary programming and digital acumen. The company utilizes industry-leading revenue management tools that efficiently...Contract workTemporary workLocal areaWorldwideFlexible hours$145k - $160k
...success in the hospitality industry? Join our team as a Director of Revenue Management and take charge of our revenue optimization efforts. With... ...identify opportunities and make informed pricing decisions Utilize revenue management systems and tools to forecast demand...Local area$175k - $195k
...WHO YOU ARE Metropolis is seeking a Director, Benefits to set strategy and own accountability... ...,000+ employees. In this role, you will manage plan funding, claims experience, and... ...more. #LI-AW1 #LI-Onsite Metropolis may utilize an automated employment decision tool (...Temporary workWork at officeLocal areaShift work$120k - $125k
...Director Playfly Global Partnerships Los Angeles, CA (Hybrid) The Director, Playfly Global... ..., and promotional opportunities Utilize all available systems/reporting tools to... ...Experience using Customer Relationship Management (CRM)/KORE/Revenue Generation systems is...$230k - $250k
...quarterly close processes (discount forecasting, GTN analytics, utilization by contract segment) Drive continuous improvement/innovation... ...distribution channels Expertise in pharmacy benefits (Medicare FFS/Managed Care, Medicaid) and federal purchasing programs (e.g., VA/DoD,...Contract work$230k - $250k
...current and future product launches. The Director, Contracts & Pricing is a critical... ...discount forecasting, GTN analytics, and utilization by contract segment Drive continuous improvement... ...of pharmacy benefits; Medicare FFS and Managed Care; Medicaid; and federal purchasing...Contract workWork at office$195.42k - $370.53k
...consider a career in Advisory. KPMG is currently seeking a Director Insurance IT M&A - Due Diligence, Integration and Separation to... ...digital enablement, and data-driven transformation Establish and manage program governance frameworks,ensuring disciplined execution...Full timeH1bLocal area$300k - $350k
...programmatic priorities and patient impact. Leadership & Team Management Lead and inspire a high-performing advancement and... ...lifecycle management, stewardship, and retention strategies. Utilize data analytics and CRM systems to optimize performance and donor...Local areaFlexible hours$115k
...part of the solution. You are ready to utilize your talent, experience, and creativity... ...relationship-driven, and results-oriented Director of Major Gifts to lead and grow a high-impact... ...will serve as a lead relationship manager and strategist, with focus on deepening...Work at officeLocal areaFlexible hoursWeekend workAfternoon shift$120k - $125k
DIRECTOR PLAYFLY GLOBAL PARTNERSHIPS Los Angeles, CA (Hybrid) THE RUNDOWN Playfly Sports... ..., and promotional opportunities Utilize all available systems/reporting tools to... ...Experience using Customer Relationship Management (CRM)/KORE/Revenue Generation systems is...Local areaWork visa- MedPOINT Management is hiring a UM Outpatient Licensed Clinician in Los Angeles... ...closely with the Medical Director and other team members to promote... ...services. A current California RN or LVN license and 2+ years of experience in utilization management are required....Work at office
- MDAEdge in Los Angeles is seeking a Utilization Management Policy Initiatives Nurse RN II, responsible for managing and creating clinical policies in compliance with state and federal regulations. The ideal candidate will have a strong background in clinical nursing and...
- 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...
$52.25 - $80.99 per hour
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...Hourly pay$100k - $115k
...institutionalization. We develop, own, and manage multi‑family supportive housing and... ...managers. Position Summary The Associate Director position will be a part of the Housing Services... ...and BC’s Data/Tech departments to utilize data‑driven analysis and forecasting to measure...Temporary workFor subcontractorFlexible hours- ...Senior Director, M&A About the Company Leading energy transition company shaping growth through utility-scale solar, storage, and infrastructure investments. Industry Renewables... ..., leading strategic partnerships, and managing the acquisition and optimization of...
$48 - $50 per hour
Topanga Terrace is HIRING NOW - RN Supervisor (Day Shift) Ready to lead with purpose and grow your nursing career? Join us at Topanga Terrace Rehabilitation & Subacute in West Hills, CA! As our Day Shift RN Supervisor , you’ll be at the heart of the action—guiding care...Shift workDay shift
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