RN Utilization Management Specialist - Care Coordination
$52.25 - $80.99 per hourMLK Community Healthcare
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 include daily coordination of Medi-Cal patients, communication with the care team, and ensuring documentation for patient records is complete and timely. We offer a competitive hourly pay rate ranging from $52.25 to $80.99 depending on experience. #J-18808-Ljbffr MLK Community Healthcare
$116.3k - $264.6k
...delivery of exceptional patient care. Take your career to the... ...at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll... ...management to a team of UM coordinators and nurses. You'll work closely... ...Current unrestricted RN licensure in CA required...Suggested$23.98 - $25.24 per hour
A community service organization in Los Angeles is seeking a Case Manager (Specialist) to provide intensive case management services. Responsibilities include conducting assessments, coordinating care, and advocating for clients. Candidates should have an associate's degree...SuggestedHourly pay$46.07 - $67.73 per hour
...Wound Care Coordinator RN- Subacute/FT/Days Job Category: Registered Nurse Full-Time On... ...families on wound care techniques, self-management strategies, and signs of infection.... ...interactions with patients and family members. Utilizes white boards for patient communication...SuggestedHourly payFull timeRelocation packageShift work$88.85k
...Utilization Management Nurse Specialist RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166... ...Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals... ...requests for higher level of care or skilled nursing/discharge...Suggested$36.38 - $65.5 per hour
LTSS Service Coordinator-RN Clinician Virtual: This role enables associates... ...is responsible for overall management of member's case within the... ..., and revises the member's care plan to meet the member's... ...cost effective and efficient utilization of health benefits. Obtains...SuggestedFull timeContract workTemporary workWork experience placementWork at officeLocal area$104k
...demonstrate our belief that quality care is for everyone. Our commitment to providing... ...day. Job Overview The nurse (RN) case manager/care coordination team leader has the responsibility... ...managed care setting, preferably in utilization or case management in an ambulatory...Flexible hours- Working Nurse is seeking a Case Manager - Care Coordinator for a full-time position in Los Angeles. This role emphasizes supporting the physician... ...authorization processes, and ensuring efficient resource utilization. Minimum education includes an Associate’s Degree in...Full timeDay shift
$88.85k
...Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 900... ...Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by...Full time- ...A healthcare organization in California is seeking a Registered Nurse (RN) Disease Manager to coordinate care for patients with chronic health conditions. The role involves patient assessment, education, care coordination, and advocacy to improve health outcomes. Ideal...
- ...international logistics company in Los Angeles is looking for an Ocean Export Coordinator. This role involves managing the export process, ensuring compliance with regulations, and utilizing CargoWise software. The ideal candidate will have a minimum of 3 years of logistics...
- ...A healthcare provider is seeking a RN Clinical Care Coordinator responsible for coordinating clinical care for clients within California's waiver programs. This position entails conducting assessments, developing service plans, and maintaining clinical documentation....Remote workFlexible hours
- 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...
- ...Case Manager Care Coordinator The Case Manager Care Coordinator coordinates the care and service... ...through effective care coordination and utilization of healthcare resources in order to achieve... ...Licenses and Certifications RN State License - Upon Hire minimum...Daily paidNight shiftAfternoon shift
- ...highest-quality medical care in Los Angeles. We... ...Doing The Case Manager is responsible for... ...their needs, coordinating care,... ...guidelines to conduct utilization review as is appropriate... ...with PCP/hospitalist/specialist as appropriate.... ...Certifications: Valid CA RN license required...Daily paidSeasonal workDay shift
- ...and compassionate Employment Specialist to join our mental health services... ...with clients and the broader care team Assist clients with... ...Collaborate with case managers, mental health clinicians, and... ...support specialists to ensure coordinated, wraparound care Maintain...Part timeWork at officeLocal areaMonday to FridayAfternoon shift
- ...Processing Support EWORD Solutions, a Rapid Care Group company, is seeking a detail-... ...Key Responsibilities Monitor and manage the dedicated email inbox for incoming... ...completing assigned tasks Ability to work independently while coordinating with a broader team...Work at office
- ...compassionate Registered Nurse to enhance care management and support patients with complex medical needs. This full-time role involves coordinating multidisciplinary care, conducting... ...engagement. Candidates should possess an active RN license in California, with experience...Full time
- ...Responsible for the delivery of patient care through the nursing process of... ...Responsible for directing and coordinating all nursing care based on... ...vision and mission. Utilizes knowledge of patient's age, developmental... ...as a Registered Nurse (RN). Proficient in oral and written...Night shift
- ...looking for a skilled Registered Nurse, In-Patient Case Manager. This hybrid role involves coordinating care for patients in hospital settings and managing... ...with chronic conditions. Applicants should hold a valid RN license, have at least 3 years of nursing experience,...
- A major university healthcare provider in California is seeking an experienced RN Case Manager. The successful candidate will coordinate patient care, manage an assigned caseload, and collaborate with the healthcare team to improve quality outcomes. Essential qualifications...Hourly pay
- ...Reporting To : Lead RN Clinical Care Coordinator Work Type : Remote/In the Field POSITION SUMMARY The RN Clinical Care Coordinator is responsible... ...facility. One (1) year experience in healthcare quality management, preferred. Current and satisfactory report on pre-...Work at officeLocal areaRemote work
$100k - $113k
One-Stop-Recruiting is looking for a Registered Nurse (RN) in Montebello, CA. This role oversees client medical care, ensuring high-quality outcomes and regulatory compliance. Responsibilities include coordinating care, monitoring health statuses, and mentoring staff....Relocation package$150 per hour
Accesstlcfoundation in Santa Monica is seeking a HCBA Registered Nurse (RN) for a full-time position. The RN will assess and coordinate care for community-based participants and will perform in-person visits primarily in the Los Angeles areas. Applicants must have a valid...Full time$150 per hour
Accesstlcfoundation is seeking a dedicated HCBA Registered Nurse (RN) to join its HCBA department in Beverly Hills, California. The role includes assessing and coordinating care for individuals at risk of institutional placement. This full-time position offers compensation...Full time$125k
...Position: Robotic Integration Specialist - Clinical Account Manager Location: Los Angeles, CA... ...help advance patient care and improve quality of... ...Robotic Guidance System. Utilize Train the Trainer methodologies... .... Education & Events Coordination: Plan and execute in-office...Full timePrivate practiceWork at officeLocal areaImmediate startFlexible hoursNight shiftWeekend work$88.85k
...Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017... ...Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created...Full time$65.53 - $84.75 per hour
...California. The role focuses on assessing and coordinating patient care within a supportive environment.... ...hold a BSN or MSN degree, a California RN License, and BLS certification, along with relevant experience in case management and acute hospital settings. The position...Hourly pay- A leading university healthcare provider in Los Angeles is seeking a skilled RN Case Manager responsible for coordinating patient care and managing caseloads effectively. This role requires strong clinical knowledge, experience in healthcare management, and excellent problem...
- ...insurance Outpatient Case Management West Los Angeles VAMC 11301 Wilshire... .... 90073 There are five new RN vacancies at the West Los... ...Summary We are seeking a Utilization Management Nurse to join our... ...that all patients under our care are receiving the necessary treatments...For contractorsWork at officeImmediate startRelocation packageMonday to FridayFlexible hours
$75k - $80k
A healthcare organization is seeking a Home Care Coordinator in Alhambra, CA. This role involves providing home-based nursing services and coordinating care for elderly participants. Candidates should hold an Associate's degree in nursing or equivalent, with at least two...
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