Utilization Management Nurse
$74.16 - $107.75 per hourUCLA Health
Job Posting
Work Location: Los Angeles, CA, USA
Onsite or Remote Fully On-Site Work Schedule Monday-Friday 8am-4:30pm
Salary Range: $74.16 - 107.75 Hourly Employment Type 4 - Staff: Limited Duration 6 months
Primary Duties and Responsibilities
Press space or enter keys to toggle section visibility
Job Qualifications
- BSN or MSN, required
- 5 years of psychiatric nursing care experience required.
- Current valid CA RN license, required
- BLS from the ARC or AHA, required.
- Prior case management experience, highly desired
- Proficient in Microsoft Office
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Utilization Management Nurse in Los Angeles, CA vacancy
$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 hospitalization, and intensive outpatient programs. The UM Nurse functions in two utilization management...SuggestedWork at officeUCLA Health
Los Angeles, CA2 days ago- ...UCLA Health is seeking a Utilization Management Nurse in Los Angeles, California. This role involves supporting appropriate level-of-care determination, patient flow, and revenue cycle integrity. Responsibilities include performing utilization reviews, tracking authorizations...Suggested
UCLA Health
Los Angeles, CA4 days ago - ...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...SuggestedFor contractorsWork at officeImmediate startRelocation packageMonday to FridayFlexible hours
Presidential Staffing Solutions, LLC
Los Angeles, CA4 days ago - ...& 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
Presidential Staffing Solutions, LLC
Los Angeles, CA4 days ago $41.38 - $69.02 per hour
...Anticipated End Date: 2026-07-10 Position Title: RN Utilization Management Nurse (InPatient) - California HMO Job Description: RN Utilization Management Nurse (InPatient) - California HMO Virtual: This role enables associates to work virtually...SuggestedFull timeTemporary workWork experience placementWork at officeLocal areaShift work1 day per weekElevance Health
Los Angeles, CA2 days ago- ...AltaMed in Montebello, California is seeking an LVN Utilization Management Nurse to provide routine reviews of authorization requests. The ideal candidate will have a current valid license as a Vocational Nurse and must possess a minimum of 2 years of managed care experience...
AltaMed
Montebello, CA1 day ago $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- ...fifth consecutive Magnet designation for nursing excellence. From working with a team of... ...the UR process as defined in the Utilization Review Plan in accordance with the CMS... ...resource outcomes, and appropriate financial management for the patient and the organization...Daily paidSeasonal work
- ...this is more than a job. It’s the calling of our lives and it compels us to keep moving forward. Job Overview The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests from all lines of business using respective national/state...Flexible hours
- ...An established industry player in healthcare is seeking a dedicated Utilization Management Nurse to enhance patient care efficiency. In this vital role, you will review patient files and treatment methods, ensuring that every patient receives the necessary treatments...Relocation package
Presidential Staffing Solutions, LLC
Los Angeles, CA4 days ago $99.31k - $131.09k
...providers (internal and external), clinical staff, and others to timely resolve any utilization management issues Job Requirements Minimum of three (3) years of relevant clinical nursing experience Strong preference for prior PACE experience Two (2) years of supervisory...WelbeHealth
Los Angeles, CA4 days ago- ...The RN Utilization Management (RN UM) functions as a support liaison for a variety of UM functions which may include the e‑TAR process, denials... .... Position Requirements A. Education Associates Degree in Nursing required. BSN preferred. B. Qualifications/Experience...Full timeLocal area
Ocean State Job Lot
Los Angeles, CA4 days ago - ...Direct Jobs is seeking a Utilization Management Nurse in Los Angeles, CA, to support level-of-care determination and optimize patient flow. The Nurse will conduct utilization reviews, ensure timely access to care, and work closely with payors and the treatment team. The...
Direct Jobs
Los Angeles, CA4 days ago - ...Astrana Health Management is seeking a CA-licensed UM Review Nurse to review outpatient medical services. Candidates should have 1+ years of outpatient Utilization Management experience, work remotely, and maintain availability for shifts 8 AM – 8 PM PST, Monday through...Remote workShift work
Astrana Health Management
Monterey Park, CA4 days ago $74.16 - $107.75 per hour
...Description The Utilization Review Nurse is part of the Utilization Management Department at the Resnick Neuropsychiatric Hospital, supporting inpatient, partial hospital, and intensive outpatient programs. Performs clinical reviews with third party payors in order to...UCLA Outpatient Clinics
Los Angeles, CA4 days ago$112.9k - $256.9k
...career to the next level. You can do all this 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 Advantage leadership to plan,...Direct Jobs
Los Angeles, CA1 day ago- ...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
Los Angeles, CA1 day ago - ...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...
L.A. Care Health Plan
Los Angeles, CA5 days ago $88.85k
...Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13077 Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $14...Full timeL.A. Care Health Plan
Los Angeles, CA3 days ago$35.87 - $47.36 per hour
...Utilization Management LVN Los Angeles, CA, USA At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while functioning as both a care provider and care plan to we...Work at officeWelbeHealth
Los Angeles, CA2 days ago- ...MedPOINT Management is hiring a UM Outpatient Licensed Clinician in Los Angeles, California. In this role, you'll be responsible for... ...current California RN or LVN license and 2+ years of experience in utilization management are required. Proficiency in Microsoft Office is...Work at office
MedPOINT Management
Los Angeles, CA5 days ago $30 - $34 per hour
...A health services company is seeking a Utilization Management Review Nurse in Monterey Park, CA. This hybrid role includes conducting reviews for inpatient admissions and outpatient procedures, ensuring compliance with regulations, and working collaboratively with the...Hourly payWeekend workAstrana Health
Monterey Park, CA5 days ago$74.16 - $107.75 per hour
...section visibility ~ BSN or MSN, required ~5 years of psychiatric nursing care experience required. ~ Current valid CA RN license, required ~ BLS from the ARC or AHA, required. ~ Prior case management experience, highly desired ~ Proficient in Microsoft Office...Hourly payWork at officeRemote workMonday to Friday- ...Ocean State Job Lot is seeking an RN for Utilization Management in Los Angeles, CA. This role involves coordinating care submissions and documentation... ...efficiency. Candidates must hold an Associate's Degree in Nursing and have experience in Case Management or Utilization...
Ocean State Job Lot
Los Angeles, CA5 days ago $116.3k - $264.6k
...UCLA Health is seeking a leader for Intensive Case Management and Utilization Management programs in Los Angeles. This role involves supervising... .... The ideal candidate will have a Bachelor's in Nursing, RN licensure in California, and several years of experience...UCLA Health
Los Angeles, CA4 days ago$102.18k
...Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 9... ...as assigned. Education Required Associate's Degree in Nursing Education Preferred Bachelor's Degree in Nursing Experience...Full timeL.A. Care Health Plan
Los Angeles, CA4 days ago$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....Hourly payMLK Community Healthcare
Los Angeles, CA5 days ago- ...Martin Luther King, Jr. Community Hospital is looking for an RN Utilization Management professional to function as a support liaison for various utilization management tasks, focusing on care coordination from patient admission to discharge. The ideal candidate will possess...
Martin Luther King Jr. Community Hospital
Pasadena, CA2 days ago - ...Martin Luther King, Jr. Community Hospital in Burbank, California, is seeking a Registered Nurse for the RN Utilization Management position. The RN will act as a support liaison for various UM functions including case management and denials management, coordinating care...
Martin Luther King Jr. Community Hospital
Burbank, CA14 hours ago $116.3k - $264.6k
...UCLA Outpatient Clinics is looking for an experienced Utilization Management Assistant Director in Los Angeles. In this key leadership role, you will oversee Intensive Case Management and Utilization Management operations, ensuring high-quality patient care across complex...UCLA Outpatient Clinics
Los Angeles, CA2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Management Nurse. Be the first to apply!
Related searches
- emergency management coordinator Los Angeles, CA
- talent management specialist Los Angeles, CA
- data management associate Los Angeles, CA
- health information management work from home Los Angeles, CA
- vice president talent management Los Angeles, CA
- interventional pain management Los Angeles, CA
- internship event management company Los Angeles, CA
- management supervisor Los Angeles, CA
- aligned traffic management Los Angeles, CA
- construction management full time Los Angeles, CA