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
- 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...Suggested
$116.3k - $264.6k
Yourcommission is seeking a Utilization Management Assistant Director in Los Angeles to lead Intensive Case Management and Utilization Management... ...improving patient outcomes. Ideal candidates possess a BSN, active RN license in CA, and experience in management roles within...Suggested$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 case...Suggested$116.3k - $264.6k
Direct Jobs is seeking an experienced Utilization Management Assistant Director to lead Intensive Case... ...ensuring high-quality patient-centered care while driving operational excellence... .... The ideal candidate will have a BSN, RN licensure in California, and significant...Suggested$52.25 - $80.99 per hour
...RN Utilization Management Full-Time Day 5/21/2026 RNUM MLK Community Hospital & Foundation 1680 E. 120th St. Los Angeles CA United States... ...e-TAR process, denials management, and the UM process. Coordinates care submission relating to the process of health care utilization...SuggestedHourly payFull time$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...Remote workMonday to FridayFlexible hours$116.3k - $264.6k
...Clinics is looking for an experienced Utilization Management Assistant Director in Los Angeles. In... ...operations, ensuring high-quality patient care across complex populations. You will... ...outcomes through effective care coordination. The estimated salary range for this position...$116.3k - $264.6k
...leadership and oversight of Intensive Case Management (ICM) and Utilization Management (UM) programs Supervise... ...Nurses, Social Workers, and care coordination staff Oversee care coordination activities... ...are required: Current unrestricted RN licensure in CA required Bachelors...Work at office- ...Registered Nurse provides direct care in the Surgery Department... ...Responsible for directing and coordinating all nursing care based on established... ...vision and mission. Utilizes knowledge of patient's age, developmental... ...as a Registered Nurse (RN). Proficient in oral and written...Afternoon shift
- 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
$75k - $80k
...revolutionizing the way senior care is delivered through the... ...supervision of the Clinic RN, the Home Care Coordinator (LVN/RN) provides home-... ...services as assessed by Case Management RN and approved by Primary... .... Conducts QI and utilization management activities, tracks...Live in- ...join their team. In this role, you will assess and coordinate care for patients, working in a supportive... ...Qualified candidates will have a BSN or MSN, CA RN License, and experience in case management or utilization management. This position offers the chance to make...
$41.38 - $69.02 per hour
...Anticipated End Date: 2026-07-10 Position Title: RN Utilization Management Nurse (InPatient) - California HMO Job Description:... ...may not be receiving appropriate type, level, or quality of care, e.g., if services are not in line with diagnosis. Provide...Full timeTemporary workWork experience placementWork at officeLocal areaShift work1 day per week- ...Monica, California. You will assess and coordinate care for various patients while... ...responsibilities will include performing utilization reviews and driving performance improvements... ...patient care. If you have a BSN or MSN, a CA RN license, and passion for nursing, come...
$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$102.18k
...Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 9001... ...00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the...Full time$23.98 - $25.24 per hour
...service organization in Los Angeles is seeking a Case Manager (Specialist) to provide intensive case management services to clients... ...role involves conducting comprehensive assessments, coordinating individualized care, and advocating for clients in various settings....Hourly pay- L.A. Care Health Plan is seeking a Supervisor of Utilization Management RN to lead the daily operations of the UM department in Los Angeles. This role requires extensive clinical experience and supervisory skills to ensure department efficiency and quality care delivery...Full time
- 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...
- 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...
- MedPOINT Management is hiring a UM Outpatient Licensed Clinician in Los Angeles, California... ...to promote improved quality of care and continuity of services. A current California RN or LVN license and 2+ years of experience in utilization management are required. Proficiency...Work at office
$116.3k - $264.6k
...Health is seeking a leader for Intensive Case Management and Utilization Management programs in Los Angeles. This... ...guidelines, and improving patient care transitions. The ideal candidate will have a Bachelor's in Nursing, RN licensure in California, and several years...- Adventist Health in Los Angeles seeks a Registered Nurse to deliver coordinated nursing care for patients, supervising nursing staff and collaborating with healthcare providers. Responsibilities include developing care plans and providing education to patients and families...
$110k - $120k
...being organization based in Los Angeles is searching for an RN Care Manager. The role involves leading clinical care management for members... .... You will work collaboratively with health coaches and coordinate care plans that improve health outcomes. Ideal candidates possess...- ...Be Doing The Case Manager is responsible for... ...discharge from various care settings. In... ...assessing needs, coordinating care, and communicating... ..., hospitalist, or specialist as appropriate.... ...Ensure appropriate utilization of medical... ...Certifications Valid CA RN license. Certified...Daily paidSeasonal workDay 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,...
$65.53 - $84.75 per hour
UCLA Outpatient Clinics in Santa Monica is seeking an RN Case Manager to coordinate care for diverse patients. As part of the multi-disciplinary healthcare team, you will use your advanced nursing skills to develop care plans and ensure high-quality patient outcomes. The...Hourly payDay shift- ...healthcare facility in Los Angeles seeks a dedicated Case Manager. The role involves coordinating patient care, ensuring efficient service delivery and supporting... ...healthcare journey. Candidates must have a graduate RN background with experience in acute care settings and...Full timeShift work
- Direct Jobs is seeking a dedicated Case Manager to join Cedars‑Sinai Medical Network in Beverly Hills, California. This role focuses... ...cases during hospitalization and post-discharge, ensuring coordinated patient care while assessing needs and communicating with health plans....
$104k
...organization in Los Angeles is seeking a Registered Nurse, Case Manager & Care Coordinator Team Lead. This role involves managing PACE participants... ...within an ambulatory setting. Candidates should possess a valid RN license, have at least one year of experience in geriatrics,...
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