Nurse Utilization Management Leader
Blue Shield of California
Blue Shield of California is seeking a Manager for the Utilization Management Nurse Management team in Los Angeles. This role involves oversight of the Facility Compliance Review team and ensuring compliance with industry standards. The ideal candidate has over 7 years of relevant experience including management. The manager will communicate and negotiate effectively while enhancing the department's operations for quality care delivery. A current CA RN License is required, and a Bachelor's in Nursing is preferred. #J-18808-Ljbffr Blue Shield of California
- Blue Shield of California's Utilization Management team seeks a leader to oversee complex utilization and retrospective reviews across multiple lines of... ...holds an RN license (active), an Associate Degree in Nursing, and preferably a BSN or higher, with 5+ years in managed...Suggested
- Blue Shield of CA is seeking a Utilization Management Manager based in Los Angeles, California. In this role, you will lead a team of clinicians to ensure safe and appropriate care for members while driving high-quality utilization management outcomes. Ideal candidates...SuggestedWork at office
$118k - $136k
A leading logistics firm is seeking a Corporate Communications Manager to enhance external communications for its Energy business. This... ...years of public relations experience, particularly in the U.S. utility sector. Strong writing skills, media relations expertise, and...Suggested- Join Southern California Edison (SCE) as a Utility Regulatory Affairs Senior Advisor among the ranks of the Clean Energy Revolution.... ...demands strong expertise in regulatory compliance, proven project management abilities, and effective communication skills to engage with...Suggested
- ...& development Vision insurance Location: Outpatient Case Management West Los Angeles VAMC, 11301 Wilshire Blvd, Los Angeles,... ...Angeles VA Medical Center. Job Summary: We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse, you...SuggestedWork at officeRelocation packageFlexible hours
- ...Overview Your Role The Utilization Management team independently manages complex utilization and retrospective... ...model is about developing great leaders at all levels and creating... ...Knowledge and Experience Associate Degree in Nursing required Bachelor of Science in Nursing...Full timeWork at office
- ...for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Management Nurse, Senior will report to the Senior Manager, Facility Compliance Review. In this role you will be reviewing medical...Contract work
- ...Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301 Wilshire Blvd Los Angeles, CA... ...Opportunities Job Summary We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the...For contractorsWork at officeImmediate startRelocation packageMonday to FridayFlexible hours
$60 - $75 per hour
...Utilization Management Nurse We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your...Hourly pay- Cedars-Sinai Medical Center in Los Angeles is seeking a Registered Nurse IV for its operating rooms. The role demands expertise in... ...License, and relevant certifications. The position is crucial for managing complex patient care and advancing nursing practices within a...
$59.92 - $80.47 per hour
Dignity Health is seeking a Charge Nurse to oversee a team of nurses at Glendale Memorial Hospital. The role includes advocating for staff, managing operations, and ensuring high-quality patient care. Candidates should have a minimum of 6 months of acute care RN experience...Hourly pay- Kaiser Permanente is seeking a dedicated Registered Nurse in Downey, California, to lead the health care team by providing professional nursing care. The ideal candidate will manage and monitor patient care processes, documenting outcomes and ensuring safety and comfort...Temporary workWeekend work
$65.76 - $97.76 per hour
Direct Jobs is seeking a skilled nursing professional for UCLA Health in Los Angeles. This role involves providing exceptional nursing care to perinatal patients and supervising nursing interventions across multiple units. You will work closely with an interdisciplinary...Hourly pay- Blue Shield of California is seeking a Senior Utilization Management Nurse in Los Angeles. This role involves reviewing medical documents for compliance with clinical criteria and performing retrospective utilization reviews for inpatient psych cases. Ideal candidates...
- ...savings opportunities, conduct thorough energy analyses, and ensure successful project implementation. Your expertise will guide utilities through complex challenges in energy efficiency, while you enjoy a supportive work environment that values integrity and innovation...
$50 - $65 per hour
A leading electrical contractor is seeking a Quality Manager to implement and manage the Project Quality Plan at a job site. The role requires 3-5 years of experience in quality management for utility-scale solar and BESS projects. Strong skills in team leadership, adherence...Hourly payFor contractors- Stantec is seeking an experienced environmental program manager in Los Angeles, California. The role involves leading teams that provide environmental clearance support for utilities, focusing on project management and financial oversight. Qualified candidates will have...
$26.35 - $39.53 per hour
...better care experience for all. Job Summary The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews... ...appropriateness of healthcare services provided to members under a managed care health plan. This role involves assessing inpatient...Hourly payWork at officeRemote work- Centuri Construction Group, Inc. is looking for a Natural Gas Underground Utility Foreman in Glendale, AZ. This role involves coordinating equipment and crews while ensuring the job is completed safely and efficiently. A high school diploma and 2+ years in the gas utility...
$140k - $170k
A leading construction firm in Los Angeles is looking for a Utility Superintendent to oversee heavy civil construction projects. The ideal candidate will have over 10 years of experience in the self-perform construction industry, specifically in supervising underground...Full timeNight shift- ...California. This full-time position offers opportunities to lead compliance efforts for major utility projects, alongside supporting all phases of cultural resource management. The ideal candidate should hold a Master’s degree in Anthropology or Archaeology with 3-5 years...Full time
- ...in a stressful environment and take appropriate action. Required Work Experience: Two (2) years of nursing experience. One (1) year of experience in utilization management or case management preferred. Other Information: Certification in utilization management and/or...Daily paidWork experience placement
$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‑TAR... ...: Los Angeles, 90059 Qualifications Associate’s Degree in Nursing required. BSN preferred. Minimum 3–5 years recent experience...Full timeShift work- Henkels & McCoy is seeking experienced Estimators in Los Angeles, CA, to support utility construction projects. Ideal candidates will possess strong cost analysis and bid preparation skills. This position allows you to make a significant impact on project delivery while...
- ...Summary The Leader in Training (LIT) and Floor Leader position's primary responsibility... ...and operational tasks assigned by store management (e.g. cashiering, merchandise display... ...experience Demonstrate product utilizing product knowledge and sales education, consistently...Hourly payFull timeWork at officeLocal areaAll shiftsFlexible hoursShift workDay shiftAfternoon shift
- The California Public Utilities Commission seeks a Senior Planning Analyst in Los Angeles County for a permanent, full-time role focused... ...permitting, coordinate with ALJs, Commissioners, and staff, and manage consultants while ensuring compliance with state energy...Permanent employmentFull time
- Morgner Construction Management Corp. is seeking an experienced Utility Investigation Coordinator / Utility Field Inspector in Los Angeles. The role involves coordinating utility investigations, overseeing field operations, and ensuring compliance with public agency requirements...
- Stacy and Witbeck, Inc. is seeking a Utility Superintendent in South Gate, California. This full-time position requires overseeing field operations on heavy civil construction projects, with a strong emphasis on safety and quality standards. Ideal candidates will have over...Full time
- ...Overview The Team Leader is responsible for assisting the Store Manager and Assistant Store Manager with the execution of operational, sales, and merchandising... ...to complete all documentation. Ability to utilize strong written and verbal communication skills to communicate...Full timePart timeSeasonal workFlexible hoursShift workNight shiftWeekend work
- ...and respect. Is a good team player and leader. Has a positive can‑do attitude. Is dependable... ...while maintaining a calm environment. "Manages the floor"; coordinates team (resources)... .../or high volume times. Takes pride in utilizing systems in the restaurant to produce...Immediate startFlexible hoursShift work
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