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
- ...years of nursing experience. One (1) year of experience in utilization management or case management preferred. Other Information: Certification... ...to delivering quality patient- and family-centered care. This passion for caring extends to our teammates, who support...SuggestedDaily paidWork experience placement
- Working Nurse is looking for an RN Utilization Management to coordinate care and manage clinical denials in Los Angeles. The role requires an Associate’s Degree in Nursing and a California RN License, along with experience in Case Management or Utilization Management....SuggestedDay shift
- 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
- ...of California - Los Angeles Health is looking for a dynamic Utilization Management Assistant Director to supervise Intensive Case Management and... ...healthcare culture and commitment to patient-centered care are vital to this role. #J-18808-Ljbffr University of California...Suggested
$77.69 - $95.08 per hour
...of physicians to manage the patient’s specialized... ...of a specific care management plan to... ...treatment plan by coordinating access to health... ...levels of care and utilization of resources,... ...Care Physicians, Specialists and various disciplines... ...experience as an RN in an acute care or...SuggestedDaily paidContract workWork at officeShift work$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...$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...- ...Nurse in Glendale, California to provide utilization review and care coordination. The ideal candidate will be a nursing school graduate with a California RN license and have a minimum of 3 years in utilization and case management. You will have access to comprehensive...
$52.25 - $80.99 per hour
Job Description The RN Utilization Management (RN UM) functions as a support liaison for a variety of UM functions which may include the e... ...process, denials management, and the UM process. The RN UM coordinates care submission relating to the process of health care...Full timeShift work- ...dedicated Registered Nurse to provide utilization review and care coordination to enhance quality care. The ideal candidate... ...a nursing graduate with a California RN License and at least three years of experience in utilization management. The position offers a robust benefits...
- ...RN Care Coordinator The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified... ...care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers...Full time
$88.85k
...Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location... ...(Max.) Established in 1997, L.A. Care Health Plan is an independent... ...inpatient care team for facilitation/coordination of patient transfers between acute...Full time$116.3k - $264.6k
...in delivering high-quality, patient-centered care. UCLA Health is seeking a dynamic and experienced Utilization Management Assistant Director to oversee Intensive Case... ...healthcare leader passionate about care coordination, utilization management, and value-based care...- ...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
- ...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
$46.07 - $67.73 per hour
Wound Care Coordinator RN (Sub-Acute/FT/Days) Job Category: Registered Nurse Requisition Number... ...families on wound care techniques, self-management strategies, and signs of infection.... ...interactions with patients and family members. Utilizes white boards for patient communication...Hourly payFull timeShift work- ...Health in Santa Monica seeks an experienced nurse to assess and coordinate patient care in a collaborative environment. Responsibilities include developing individualized care plans and performing utilization reviews to ensure high-quality care. The ideal candidate will...Shift work
- 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
- ...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...
- ...in Santa Monica is looking for a skilled nurse to coordinate care for a diverse group of patients. You will utilize advanced nursing skills, collaborate with health care... ...candidate will possess a BSN or MSN, a California RN license, and BLS certification, along with strong...
- ...Utilization Specialist Kheir's mission is to increase and provide access to culturally and linguistically... ...position involves assessing patient care needs, monitoring service utilization,... ...to optimize patient outcomes while managing costs. The Utilization Specialist will...Local area
- ...Healthcare, is hiring a Registered Nurse Case Manager. The role focuses on coordinating care across the continuum, ensuring appropriate utilization and smooth transitions for patients.... ...educating patients and families. Requires active RN license and hospital case management...
- UCLA Health seeks a skilled Case Manager to assess and coordinate care for diverse patients in Los Angeles. Utilizing advanced nursing skills, you will collaborate with a multi... ...performance improvement. A BSN or MSN, CA RN License, and strong leadership abilities are...
$75k - $80k
...Home Care Coordinator (LVN/RN) Alhambra, CA About the Role Under the supervision of the Clinic... ...care services as assessed by Case Management RN and approved by Primary Care Provider... ...activities. Conducts QI and Utilization Management activities, tracking the effectuation...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...
- ...nursing professional for patient care coordination. This role involves... ...individualized care plans and engage in utilization review. The ideal candidate... ...MSN, possess a California RN License and BLS... ...care. #J-18808-Ljbffr Case Management Society of America (CMSA) ®
- ...Combat Effectiveness Consulting Group, LLC in Monterey Park is seeking a Case Manager RN or LVN to join our Utilization Review Department. This per diem position involves coordinating care for patients, conducting admissions, and liaising with health plans to ensure appropriate...Daily paid
$88.85k
...0(Mid.) -$142,166.00(Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by... ...required to achieve that purpose. Job Summary The Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting clinical review of medical...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$104k
...AltaMed Nurse (RN) Case Manager/Care Coordination Team Leader If you are as passionate about helping those in need as you are about growing your... ...is preferred in a managed care setting, preferably in utilization or case management in an ambulatory or inpatient...Flexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Utilization Management Specialist - Care Coordination. Be the first to apply!
- rn relocation bonus Los Angeles, CA
- new grad rn residency Los Angeles, CA
- flex rn Los Angeles, CA
- charge registered nurse Los Angeles, CA
- ccu rn Los Angeles, CA
- international registered travel nurse Los Angeles, CA
- picu rn Los Angeles, CA
- registered nurses covid-19 Los Angeles, CA
- interventional radiology rn Los Angeles, CA
- rn risk management Los Angeles, CA


