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- ...the services with the appropriate clinical management team. Supervises and directs the... ...Licenses/Certifications: Registered Nurse (RN) licensure in the state of practice: Required... ...standards. Works closely with medical directors and appropriate medical staff to establish...SuggestedFull timeWork experience placementDay shift
$250k - $410k
...Job Description Overview: The Associate Medical Director, Physician Advisor supports Utilization Management by providing clinical oversight, education, and guidance on medical necessity, Centers for Medicare and Medicaid Services (CMS) compliance, documentation,...SuggestedFull timeContract workPart timeRelocation package- ...RN Utilization Mgmt, Full-Time Day POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include... ...support progress and delays to Manager or Director of care management. # Participates in...SuggestedFull time
$99.31k - $131.09k
...Utilization Management RN Los Angeles, CA, USA At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, functioning as both a care provider and care plan to those individuals...Suggested$125k - $160k
...livestream shopping. Role Overview The Director, TikTok Shop (Omnichannel) leads the... ...below items Set revenue targets and manage delivery against them (retainers, commission... ..., including headcount planning and utilization, contractor/freelancer spend, tools/software...For contractorsFreelanceWork at officeRemote workFlexible hoursShift work$88.85k
...Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13077 Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142...Full time$116.3k - $264.6k
...level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team... ..., service-driven leader with: Current unrestricted RN licensure in CA required Bachelors of Science, Nursing...Remote workMonday to FridayFlexible hours$116.3k - $264.6k
...Utilization Management Assistant Director – RN Location: Los Angeles, CA Salary Range: $116,300 – $264,600 annually Work Hours: Monday – Friday, 8:00am – 5:00pm PST; schedule may vary including weekends and holidays Employment Type: 2 – Staff-Career Duration: Indefinite...Monday to Friday$116.3k - $264.6k
...Yourcommission is seeking a Utilization Management Assistant Director in Los Angeles to lead Intensive Case Management and Utilization Management operations... ...outcomes. Ideal candidates possess a BSN, active RN license in CA, and experience in management roles within...- 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
$116.3k - $264.6k
...Direct Jobs is seeking an experienced Utilization Management Assistant Director to lead Intensive Case Management and Utilization Management operations.... ...with regulations. The ideal candidate will have a BSN, RN licensure in California, and significant experience in management...- L.A. Care Health Plan in Los Angeles is hiring a Utilization Management Claims Review Nurse RN II responsible for conducting clinical reviews of medical claims. The position requires a minimum of 5 years in clinical nursing, with experience in Medi-Cal and Medicare managed...
$50 per hour
Roze Room Hospice of the Valley is seeking a Full-Time Hospice RN Case Manager to provide compassionate and skilled nursing care in the Greater Los Angeles area. As a Hospice RN, you will coordinate individualized care plans and oversee a supportive team of health professionals...Full time$116.3k - $264.6k
...UCLA Health is seeking an experienced Utilization Management Assistant Director to oversee Intensive Case Management and Utilization Management operations... ...operational excellence. The ideal candidate will have a BSN, RN licensure in California, and significant experience in...$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- ...Overview JOB SUMMARY: Nurse Director ensures the delivery of safe,... ...for the staffing and management of patient care, for providing... ...acquisition, development and utilization of resources including human,... ...experiencerequired. Three years recent RN acute care experience.High...Trial period
$175k - $185k
...Who you are Metropolis is seeking a Director of Workplace Experience to join our... ...provide and coordinate general office management support, project manage expansion efforts... ...drivers Track and analyze office utilization in order to anticipate the company's needs...Hourly payContract workTemporary workWork at officeLocal area$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$120k - $125k
...DIRECTOR PLAYFLY GLOBAL PARTNERSHIPS Los Angeles, CA (Hybrid) THE RUNDOWN... ...platforms, and promotional opportunities Utilize all available systems/reporting tools to... ...Experience using Customer Relationship Management (CRM)/KORE/Revenue Generation systems is...Local areaWork visa$195.42k - $370.53k
...Advisory. KPMG is currently seeking a Director, Private Equity IT M&A -Due Diligence and... ...practice. Responsibilities: Manage a high-volume pipeline of rapid IT due diligenceprojects... ...platform and add-onacquisitions; utilize AI-powered tools to accelerate analysis,...H1bLocal area$165k - $200k
...Description Director, Corporate Transaction Tax & Advisory About Alvarez... ...throughout the transaction life cycle. By utilizing an integrated approach with A&M... ...Strong communication, presentation, project management, and business development skills Strong...Part timeLocal areaFlexible hours$121.32k - $185.92k
...Director, OOH Ignite your career as Director, OOH in the Publicis Media Exchange! As an experienced Media Investment Professional... ..., marketplace trends and Agency Deals. Advocate and manage the utilization and reporting for any Investments inclusive of VBS (Apex)....Temporary workFreelanceFlexible hours- ...Director, Labor and Delivery/Post Partum Manages the delivery of nursing services and safe patient care within assigned... ...cost, quality, and clinical and utilization standards and performance... ...Certification, Registration: Current RN license required; California RN license...Local area
$8,874.67 per month
...Divisional Director Gardena, CA 90249 Overview Salary Range $8,874.67 - $14,499... ...The Divisional Director supervises and manages administrative, operational and clinical... ...appropriate, economical, and effective utilization of resources. Carries out Agency Human Resource...Full timeContract workShift work- ...Director Of Sustainability Award-winning architecture firm that is reputably one of the... ...teams. Enhancing Energy Efficiency: Utilize cutting-edge tools and resources to maximize... .... Strong organizational and time management skills. Excellent written, graphic, and...Work at office
$150k - $185k
...with the General Counsel & VP, People, the Director, People leads and executes the People... ...organizational development, performance management, and employee experience. The Director partners... ...operations and strategy, effectively utilizing talent management processes and tools to...Full timeTemporary workWork at officeLocal areaFlexible hours$165k - $180k
...Title: Director, People Base Salary: $165k-$180k What You'll Be Responsible For:... ...Maintain a "pulse" on organizational health by utilizing data-driven insights to refine HR... ...Act as a trusted resource and coach for managers and employees alike, resolving conflicts...Temporary workLocal areaRemote workFlexible hoursShift work$135.14k
...Director, Claims Administration Job Category: Management/Executive Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type... ...enterprise goals. Develops, and manages budgets, utilizing resources effectively. Conducts strategic planning...Permanent employmentFull timeContract workWork at office- ...SUMMARY: Under the supervision of the Director of Advancement, implement the annual gala... ...event planner with extensive experience managing large non-profit fundraisers, hosting over... ...a communication tool and the ability to utilize and manage multiple software platforms....Work at officeFlexible hours
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