RN Utilization Review Case Manager | Payer Collaboration
Case Management Society of America (CMSA) ®
Case Management Society of America (CMSA) ® seeks a dedicated Utilization Review Case Manager in Los Angeles, California. In this role, you will validate patient placements to ensure they receive the most appropriate level of care, using established medical necessity criteria. You must hold a Bachelor’s in Nursing and have at least 5 years of acute care nursing experience, alongside a current California RN License. This position is pivotal to enhancing patient care and requires collaborative communication skills with payers. #J-18808-Ljbffr Case Management Society of America (CMSA) ®
Vacancy posted 19 hours ago
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Los Angeles, CA4 days ago $47.2 - $63.45 per hour
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In collaboration with the interdisciplinary team... ...care team in the management of specific patient... ...populations. The RN case manager role... ...the functions of utilization management, quality... ...Completes clinical reviews timely and... ...communicates to appropriate payer. • Able to...Hourly payFull timeContract workWork experience placementLocal area- ...Hospice Registered Nurse Case Manager – Leadership Role... ...experienced Hospice RN who thrives in leadership... ...– Monitor and review patient care, ensuring... ...living conditions. Utilize a tablet or laptop for... ...and sound judgment. Collaborate effectively with interdisciplinary...Local area
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Culver City, CA13 days ago - ...Utilization Review Case Manager Align yourself with an organization that has a reputation... ...clinical services through timely collaboration and communication with payers as required. The UR Case Manager... ...Nurse preferred. California RN License required. Experience...Daily paidSeasonal work
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Los Angeles, CA2 hours ago $1,900 - $2,500 per week
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El Segundo, CA1 day ago$93.83 per hour
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Los Angeles, CA3 days ago$37.5 - $40 per hour
...Outpatient Case Manager (RN/LVN) Recruiting on behalf of a leading healthcare organization... ...individualized care plans, and work collaboratively with physicians, family members, and... ...is preferred. ~2-3 years of utilization review or HMO experience is preferred....Hourly payCasual workWork at officeRelocation packageFlexible hoursVivo HealthStaff
Sherman Oaks, CA1 day ago$45 - $50 per hour
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$65.53 - $84.75 per hour
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MLK Community Healthcare
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