Registered Nurse - Utilization Review
$71k - $151kColorwave
Registered Nurse - Utilization Review
Location: Los Angeles, CA
Salary range: $71,000 to $151,000 /year
Hospitals on Incredible Health are actively hiring and accepting applications in the Los Angeles, CA area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review.
- Shift(s) available: day shift
- Job types available: full time and part time
- Employer features: Best Places to Work recognition, Cross training, EAP, FSA, Medical, PTO, Retirement Plan
Qualifications:
- RN Diploma degree or higher from an accredited school of nursing
- Active and unencumbered Registered Nurse license in the state of California
Benefits:
- Healthcare coverage: Medical, Dental, Vision
- 401K
- Paid Time Off
- Tuition Assistance
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Colorwave- ...Nurse Manager Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center.... ...to staff regarding utilization review, care coordination, discharge... ...services administration. ~ Registered Nurse License (California)...SuggestedLocal area
$88.85k
...Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position... ...determinations. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted...SuggestedFull time- ...Job Description: Manager of Clinical Utilization Management - Denial Compliance Location... ..., managing daily tasks, performance reviews, and any necessary disciplinary... ...Qualifications: 1. Graduate from an accredited Registered Nursing Program; RN preferred. 2. Minimum of...SuggestedPermanent employmentFull timeTemporary workRemote workFlexible hours
- ...Management as a Medical Claims Clinical Review Nurse in Sherman Oaks, CA, where you'll play... ...information and resolve discrepancies. Utilize clinical knowledge to assess the... ...policies and procedures. Requirements: Registered Nurse (RN) license in California is...SuggestedRemote work
- ...fifth consecutive Magnet designation for nursing excellence. From working with a team of... ...to complete initial and continued stay reviews in determining appropriate level of patient... ...Follow the UR process as defined in the Utilization Review Plan in accordance with the CMS...SuggestedDaily paidSeasonal work
$31.05 - $38.82 per hour
...goes beyond just a job; it's a calling that drives us forward every day. Job Overview The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests from all lines of business using respective national/state, health plan, and...Hourly payFlexible hours$47.2 - $63.45 per hour
...perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,... ...work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license. 2. Grandfathered prior to April 1, 2015....Full timePart timeWork experience placementLocal areaShift work- ...doing in this role? The Clinical Nurse II, Oncology is a Registered Nurse who delivers direct care to assigned... ...approved policies and procedures. Utilizing appropriate decision making skills... ...oncology patient populations. Reviews lab diagnostic data and incorporates...Work experience placement
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- ...Clinical Nurse Reviewer As one of the fastest growing Independent Physician Associations in Southern California, our organization offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people...Work experience placementFlexible hours
$34 - $47 per hour
...UM Review Nurse Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity...Hourly payLive inWork at officeRemote workMonday to FridayShift work- ...have opportunities to learn and grow your nursing skills within our Level 1 Trauma... ...standards of professional nursing practice utilizing the framework for professional nursing practice... ...cultural and discharge planning needs. Reviews patient history and physical with...Price workFull timeTemporary workInterim roleShift workNight shiftWeekend work
$37.6 - $78.35 per hour
...Four years or more of combined clinical nursing experience, including direct patient care... ...standards. Experience navigating and reviewing electronic medical records. Skilled... ...experience in facilitating virtual meetings utilizing video conferencing platforms (i.e., Zoom...Hourly payRemote workMonday to FridayFlexible hours- ...Registered Nurse Primary City/State: Glendale, Arizona Department Name: Emergency Ctr-Hosp... ...of professional nursing practice utilizing the framework for professional nursing... ...cultural and discharge planning needs. Reviews patient history and physical with patient...Temporary workInterim roleShift workAfternoon shift
- ...Utilization Specialist Kheir's mission is to increase and provide access to culturally and... ...Requires either a Bachelor's degree in Nursing or relevant healthcare related field.... ...all departments meet their targets. Review scheduling reports and data analytics to...Local area
- ...The Empanelment Clerk is responsible for assisting with chart reviews to update the Primary Care Providers to ensure that the proper... ...status for all Medi-Cal/ Manage Care patients and other programs by utilizing the appropriate web portals. Eligibility must be verified...Temporary workWork at officeFlexible hours
$82.16k - $143.34k
...Job Title: Correctional Nurse Employer: City of Los Angeles... ...performed include the following: utilizing protocols in the provision of... ...Qualifications A valid Registered Nurse license issued by the California... ...Weight: Application Review 100%. The examination will consist...Full timeFlexible hoursShift workNight shift$90 - $117 per hour
...Psychiatric Nurse Practitioner Gardena, CA 90249 Overview Salary Range $90.00 - $117.00 Hourly Level Experienced... ...management issues. Participates in medical and services utilization audits, peer review and quality assurance activities. Prerequisite Qualifications...Hourly payFull timeShift work$200k - $250k
...We are actively seeking a full-time Psych Nurse Practitioner (PMHNP) to join our group in... ...use or Additionally, our recruiters utilize email addresses with the @lifestance.com... ...to this email address as they will not be reviewed or responded to. To apply for a position,...Full timeWork at officeRelocation packageMonday to FridayFlexible hoursWeekend work2 days per week$200k - $250k
...We are actively seeking a full-time Psych Nurse Practitioner (PMHNP) to join our group in... ...use or Additionally, our recruiters utilize email addresses with the @lifestance.com... ...to this email address as they will not be reviewed or responded to. To apply for a position,...Full timeWork at officeRelocation packageMonday to FridayFlexible hoursWeekend work2 days per week$78.39k - $97.99k
...drives us forward every day. Job Overview The Supervisor, Utilization Management - Clinical position is responsible for overseeing... ...current LVN license issued by the State of California, Vocational Nursing. RN, preferred AA degree or equivalent work experience...Work experience placementFlexible hours$200k - $250k
...We are actively seeking a full-time Psych Nurse Practitioner (PMHNP) to join our group in... ...use or Additionally, our recruiters utilize email addresses with the @lifestance.com... ...to this email address as they will not be reviewed or responded to. To apply for a position,...Full timeWork at officeRelocation packageMonday to FridayFlexible hoursWeekend work2 days per week$200k - $250k
...full-time (30+ hours/week) Psychiatric Nurse Practitioner (PMHNP) to join our growing... ...only use or Additionally, our recruiters utilize email addresses with the @lifestance.com... ...to this email address as they will not be reviewed or responded to. To apply for a position,...Full timeWork at officeWork from homeRelocation packageMonday to FridayFlexible hoursWeekend work- ...with other staff members and leading mid-level providers and nursing staff. Required Qualifications UT medical license as... ...to ensure quality medical care Participate in utilization and peer review programs which evaluates the quality of the medical staff...Permanent employmentFull timeLocum
- ...with other staff members and leading mid-level providers and nursing staff. Medical Spanish is a plus. Required... ...procedures to ensure quality medical care Participate in utilization and peer review programs which evaluates the quality of the medical staff...Permanent employmentFull timeLocum
- ...Job Description Job Description Nurse Practitioner/Physician Assistant Providing... ...of care including participation in peer review, setting clinical standards for medical... ...clinic and the specific site by consistently utilizing and facilitating effective strategies to...Work at officeLocal area
$99.31k - $131.09k
...in our participant’s journey, and our Utilization Management team ensures we can provide timely... ...UM team * Assist the team in reviewing prior-authorization requests for medical... ...of three (3) years of relevant clinical nursing experience * Strong preference for prior...Full time$47.88 - $74.2 per hour
...Registered Nurse 12HR_Psychiatric - ICU Responsible for coordination of care to meet identified needs of the patient/family. Supervises the management of patient care utilizing critical thinking and nursing process, discharge planning, resource identification, linking...Hourly payFull timeShift workNight shift- ...Responsibilities: Greets patients, take appropriate vital signs, review current medications and record in medical record.... ...activities including facilities management, patient billing, utilization management, quality management, risk management, human resources...Work at officeLocal area
- ...Oncology Nurse Job Requirements: Experience: 2 years in Oncology (Outpatient exp preferred) CA RN License Certs: BLS (AHA or ARC),... ...along with some of the nation's largest life sciences, biotech, utility, and retail companies across the US and Canada. We look forward...Weekend work
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