Utilization Management Nurse: Care Coordination & Access
yourcommission
yourcommission is looking for a Utilization Management Nurse responsible for overseeing patient care determinations across various programs. The role includes conducting utilization reviews, communicating with payors, and monitoring bed utilization. The ideal candidate must have a BSN or MSN, a valid CA RN license, and at least 5 years of experience in psychiatric nursing. This position is vital for ensuring optimized patient flow and collaboration across teams. #J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Utilization Management Nurse: Care Coordination & Access in Los Angeles, CA vacancy
$52.25 - $80.99 per hour
...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....SuggestedHourly payMLK Community Healthcare
Los Angeles, CA1 day ago- ...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... ...must hold an Associate's Degree in Nursing and have experience in Case Management or Utilization...Suggested
Ocean State Job Lot
Los Angeles, CA1 day ago - ...be Doing The Case Manager is responsible for... ...discharge from various care settings. In... ...assessing their needs, coordinating care,... ...guidelines to conduct utilization review as is appropriate... ...to the Skilled Nursing Facilities, refers... ...information into Nautilus (Access Express) no later...SuggestedDaily paidSeasonal workDay shift
yourcommission
Beverly Hills, CA1 day ago - ...Be Doing The Case Manager is responsible for... ...discharge from various care settings. In... ...assessing needs, coordinating care, and communicating... ...to Skilled Nursing Facilities, refer... ...information into Nautilus (Access Express) no later... ...appropriate utilization of medical services...SuggestedDaily paidSeasonal workDay shift
Cedars-Sinai
Beverly Hills, CA1 day ago $74.16 - $107.75 per hour
...Description The Utilization Management (UM) Nurse supports appropriate level‑of‑care determination, patient flow, and revenue cycle integrity across inpatient, partial... ...-ensuring continuity of operations, timely access to care, and optimal bed utilization. Key Responsibilities...SuggestedWork at officeUCLA Health
Los Angeles, CA5 days ago- ...insurance Outpatient Case Management West Los Angeles VAMC 11301... ...We are seeking a Utilization Management Nurse to join our team! As a Utilization... ...that all patients under our care are receiving the necessary... ...and instructions regarding access to computerized files, release...For contractorsWork at officeImmediate startRelocation packageMonday to FridayFlexible hours
Presidential Staffing Solutions, LLC
Los Angeles, CA6 days ago $116.3k - $264.6k
...Yourcommission is seeking a Utilization Management Assistant Director in Los Angeles to lead Intensive Case Management and Utilization Management operations. You will oversee a team while ensuring regulatory compliance, driving operational excellence, and improving patient...yourcommission
Los Angeles, CA5 days ago$116.3k - $264.6k
...Direct Jobs is seeking an experienced Utilization Management Assistant Director to lead Intensive Case Management and Utilization Management operations... ...team, ensuring high-quality patient-centered care while driving operational excellence and compliance with regulations...Direct Jobs
Los Angeles, CA5 days ago$116.3k - $264.6k
...UCLA Health is seeking an experienced Utilization Management Assistant Director to oversee Intensive Case Management and Utilization Management operations. This leadership role involves supervising a multidisciplinary team focused on high-risk patient populations while...Case Management Society of America Inc
Los Angeles, CA5 days ago- ...Trauma Center, LevelIII Geriatric Care ED, STEMI Receiving Center,... ...people in need. The ED Care Coordinator is a non‑clinical team member... ...and services. Help patients access their health insurance, meet... ...programs, community‑based case management, and other support services)....Work at officeNight shift
Cedars-Sinai
Los Angeles, CA1 day ago - ...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... .... Works closely with physicians, nurses, social workers, ancillary staff and...Daily paidNight shiftAfternoon shift
Cedars-Sinai
Los Angeles, CA2 days ago - ...Responsibilities Responsible for independently utilizing the nursing process to safely, therapeutically and efficiently care for a group of patients based on policies and... ...quality patient care through a coordinated team approach with physicians, staff, other departments...
PIH Health
Los Angeles, CA1 day ago $36.38 - $65.5 per hour
...LTSS Service Coordinator-RN Clinician Virtual... ...responsible for overall management of member's case... ...the member's care plan to meet the... ...effective and efficient utilization of health... ...ensures the member's access to those services... ...MA/MS in Health/Nursing preferred. May...Full timeContract workTemporary workWork experience placementWork at officeLocal areaElevance Health
Los Angeles, CA1 day ago$35 - $40 per hour
...of Hospice and Palliative Care, celebrating 25 years of service... ...Care Clinical Care Coordinator Licensed Vocational Nurse (LVN) This is a Field Position... ...assist them efficiently accessing hospice and/or palliative... ...careservices. Must be able to utilize computers and...Full timeRemote workRoze Room Hospice of the Valley
Los Angeles, CA1 day ago- ...12065 Program: Nursing Department: Health... ...: Assistant Nurse Manager Shift... ...specialize in primary care for LGBTQ people and... ...(RN) the LVN Care Coordinator will collaborate with... ...patient access to healthcare. •... ...Increase the access and utilization of medical services...Hourly payFull timeWork at officeLocal areaTrial periodShift work
Los Angeles LGBT Center
Los Angeles, CA2 days ago $88.85k
...Overview: Established in 1997, L.A. Care Health Plan is an independent... .... Care’s mission is to provide access to quality health care for Los... ...that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically...L.A. Care Health Plan
Los Angeles, CA1 day ago- ...RN Utilization Management (RN UM) Overview The RN Utilization Management (RN UM) functions as a... ...denials management, and the UM process. Coordinates care submission relating to the process of... ...A. Education Associates Degree in Nursing required. BSN preferred. B. Qualifications...Full timeLocal area
Ocean State Job Lot
Los Angeles, CA1 day ago $74.16 - $107.75 per hour
...Direct Jobs is seeking a Lead Charge Nurse in Santa Monica, California. The role involves clinical management and administrative duties, coordinating admissions, and collaborating with healthcare professionals to enhance patient experience. Ideal candidates will possess...Hourly payDirect Jobs
Santa Monica, CA2 days ago- ...The treatment nurse oversees and provides care for residents with wounds... ...in wound care management work with residents... ...Care and services: Coordinates, implements and monitors... .... Consults with, utilizes and initiates referrals... ...no longer needing access to software...
Alderson Convalescent Hospital
Los Angeles, CA1 day ago $57.28 - $88.92 per hour
...Avon in Los Angeles seeks a qualified Registered Nurse to perform utilization review and coordinate care. The candidate must have a nursing school degree and... ...license. The role requires 3 years of utilization management experience and clinical expertise in healthcare...Hourly payRose Senior Living
Los Angeles, CA1 day ago$88.85k
...00(Max.) Established in 1997, L.A. Care Health Plan is an independent public... ...L.A. Care’s mission is to provide access to quality health care for Los Angeles... ...that purpose. Job Summary The Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting...Full timeL.A. Care Health Plan
Los Angeles, CA1 day ago$112.9k - $256.9k
...continued delivery of exceptional patient care. Take your career to the next... ...and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you’ll provide direct management to a team of UM coordinators and nurses. You’ll work closely with Medicare...340B Health
Los Angeles, CA1 day ago$112.9k - $256.9k
...in Los Angeles, California, seeks a Manager for Medicare Advantage Utilization Management. This role involves direct management of UM coordinators and nurses, overseeing functions such as pre-... ...top-rated health organization dedicated to patient care. #J-18808-Ljbffr...Nahse
Los Angeles, CA1 day ago$51.09 - $70.07 per hour
...A leading healthcare provider in Los Angeles is seeking a Registered Nurse to deliver coordinated nursing care and supervise nursing staff. The ideal candidate must have a Bachelor's in Nursing and RN licensure. Responsibilities include collaborating with healthcare teams...Full timeNwregionalheart
Los Angeles, CA1 day ago$60.79 - $74.4 per hour
...quality of emergency care received by Health... ...Prospective utilization review activities... ...Outside Utilization Coordinators (Southern California... ...California Division) /Case Managers (Northern... ...Two (2) years of nursing experience in Emergency... ...or possible access to: (1) patients,...Full timeContract workTemporary workWork experience placementWork at officeLocal areaShift workAfternoon shiftKaiser Permanente
Downey, CA5 days ago$80k - $85k
...: Licensed Vocational Nursing (LVN) Manager REPORTS TO: Director of Recuperative Care LOCATION: Los Angeles... ...the LVN Manager will: Utilize your work experience and... ...manage LVN/Medical Coordinator staff to ensure compliance... ...We are targeting Food Access, with an emphasis on...Work experience placementImmediate startFlexible hoursShift workNational Health Foundation
Los Angeles, CA4 days ago$80k - $85k
...Licensed Vocational Nursing (LVN) Manager Location: Los Angeles... ...Director of Recuperative Care Classification:... ...and manage LVN/Medical Coordinator staff to ensure compliance... ...to 50 pounds. Must utilize conversational speech... ...focused on Food Access, Housing, Built Environment...Shift workAdvisaCare
Los Angeles, CA1 day ago- The Case Manager Care Coordinator coordinates the care and service of patient populations from admission through discharge. The Care Coordinator... ...management plan through effective care coordination and utilization of healthcare resources in order to achieve desired...Full time
$104k
...*We value your privacy**Registered Nurse, Case Manager & Care Coordinator Team Lead page is loaded## Registered... ...care setting, preferably in utilization or case management in an ambulatory... ...training, advancement opportunities, and access to resources and support. We focus...Local areaFlexible hoursAltaMed Health Services
Los Angeles, CA1 day ago$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...UCLA Outpatient Clinics
Los Angeles, CA5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Management Nurse: Care Coordination & Access. Be the first to apply!
Related searches
- analyst asset management Los Angeles, CA
- asset management intern Los Angeles, CA
- utilization management nurse Los Angeles, CA
- aviation management Los Angeles, CA
- data management associate Los Angeles, CA
- material management specialist Los Angeles, CA
- management team Los Angeles, CA
- utilization management coordinator Los Angeles, CA
- management development program Los Angeles, CA
- property management specialist Los Angeles, CA