Registered Nurse - Utilization Review
Carenest Health
Job Title
Weekend Requirement - Varies
Carenest HealthVacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Registered Nurse - Utilization Review in Torrance, CA vacancy
$1,854 per month
...Job Overview TLC Nursing Associates, Inc. is seeking an experienced Registered Nurse (RN) – Utilization Review to assess the medical necessity, efficiency, and appropriateness of healthcare services. This role involves reviewing patient care plans, ensuring compliance...SuggestedWeekly payShift work$56 per hour
...Description Job Description Position Summary The Utilization Review/Management Nurse is accountable for planning, directing, and overseeing... .... Required Qualifications Current Licensure as a Registered Nurse in the State of California Four (4) years of...SuggestedFull timeLocal areaImmediate start$30 - $45 per hour
...opportunity in Long Beach, CA. This role requires expertise in Medicaid and Medi-Cal operations, along with experience in Epic EHR and Utilization Review. The selected candidate will perform chart reviews, ensure documentation accuracy, and support Medicaid program metrics. This...SuggestedHourly payContract workRemote work$45 - $57 per hour
...you'll receive a text message to schedule your interview. Registered Nurse (RN) at The Oncology Institute of Hope and Innovation... ...records your responses and may use automated tools to support the review of job-related skills. These tools do not make final hiring decisions...SuggestedHourly payFull timeTemporary workMonday to FridayShift work- ...SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence... ...as a problem solving model; utilizing their knowledge and experience... ...specific patient population. # Reviews all orders on patients and communicates...SuggestedHourly payShift work
$43 - $47 per hour
...Compassus Providence Home Health – LA County South Location: Torrance, CA (5315 Torrance Blvd, Ste 169-B) Role Type: Remote Reviewer RN – Back Office Chart Review Start Date: 11/03/2025 Duration: 13 Weeks Pay: $43–$47/hr Job Overview: ~ Review and...Contract workRemote work$47.2 - $63.45 per hour
...perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,... ...work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license At least one year experience in case...Full timePart timeWork experience placementLocal areaShift work$56.12 per hour
...The Staff RN uses the nursing process to deliver nursing care to... ...and nursing plan of treatment utilizing established procedures standards... ...Participates in Peer Review Participates in professional... ...years License and Certifications Registered Nurse License BCLS or ACLS Certification...Shift work$90 - $117 per hour
...- $117.00 Hourly Job Shift: Day Statement of Purpose The Nurse Practitioner (NP) is responsible for preventive and acute... ...on management issues. Participates in medical and services utilization audits, peer review and quality assurance activities. Prerequisite Qualifications...Hourly payFull timeShift work- ...Director and ECM Program Manager, the ECM Registered Nurse (RN) provides clinical leadership and... ...and data needed to monitor/assess utilization, performance management, and health outcomes... ...in eClinicalWorks (eCW). Review and audit clinical documentation to ensure...Flexible hours
- ...Job Description & Requirements Certified Registered Nurse Anesthetist (CRNA) StartDate: ASAP Available Shifts: Night 8;10 Pay Rate: $194.00 - $210.00 This facility is seeking a Certified Registered Nurse Anesthetist (CRNA) for locum tenens support as they look...Full timeFor contractorsLocumImmediate startMonday to FridayShift workNight shift
- ...Summary: Seeking an experienced in-patient Case Manager with Utilization Review expertise to assess and coordinate patient care, ensuring... ...RN license. Possess at least two years of clinical nursing experience. Have a minimum of two years of Case Management...
- ...Overview Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity... ...and Experience Associate Degree in Nursing required Bachelor of Science in Nursing...Full timeWork at office
$30.37 - $59.21 per hour
...SummaryProvides support for clinical member services review assessment processes. Responsible for... ...the Molina care model. • Adheres to utilization management (UM) policies and procedures... ...relevant education and experience. • Registered Nurse (RN). License must be active and...Hourly payWork experience placementWork at office- ...Select, train, orient, supervise and develop nurses and medical assistants. Evaluate clinical... ..., and as needed and complete performance reviews in collaboration with Clinical Services... .../federal guidelines and requirements. Utilize effective problem-solving techniques and...Full timeWork at officeLocal areaMonday to FridayShift workAfternoon shift
$71k - $166k
...completion of the Annual Standing Order Review and Internal Classification of Disease (... ...Manages clinic financials including efficient utilization of supplies or equipment and regular... ...Graduate of an accredited School of Nursing (RN). Current appropriate state licensure...Work experience placementRelocation package- ...Behavioral Health Registered Nurse Under the direct supervision of the Behavioral Health RN... ...specific diagnostic and laboratory tests; reviews patients history and communicates... ...abreast of latest trends and news. Utilizes and organizes time efficiently to maximize...Work at officeShift work
$140k
...Job Description Physician Assistant OR Nurse Practitioner Redondo Beach CA Full-Time... ...performing trigger point and joint injections, utilizing diagnostic ultrasound, treating Federal... ...examinations, and medical assessments Review medical histories, diagnostic imaging,...Full time- ...Certified Registered Nurse Anesthetist | Anesthesiology - General/Other Location: Torrance, CA Employer: Wellhart, LLC Pay: Competitive weekly pay (inquire for details) Start Date: 8/3/2026 About the Position We are actively seeking a dedicated...Weekly payPermanent employmentFull timeContract workLocumShift work
- ...Care Review Clinician This RN will act as a Care Review Clinician... ...to discharge to either a nursing facility or back to their home... ...Molina care model. Adheres to utilization management (UM) policies and... ...education and experience. Registered Nurse (RN). License must be...Remote jobWork at officeImmediate startMonday to FridayFlexible hoursShift workNight shiftWeekend work
- ...Job Title Utilization Management Team Leader Job Description The Utilization Management... ...utilization and retrospective clinical reviews across multiple lines of business,... ...and experience: ~ Associate Degree in Nursing required ~ Bachelor of Science in Nursing...Full timeContract workPart timeWork at officeLocal areaWork from homeHome officeWeekend workAfternoon shift2 days per week
$150k - $170k
...Director of Nursing (DON) Are You Ready to lead in Healthcare? We are currently seeking... ...and regulations. Ensure appropriate utilization of resources necessary to deliver high-... ...employment laws. For further information, please review the Know Your Rights notice from the...Hourly payLocal area- ...POSITION SUMMARY The licensed vocational nurse (LVN) renders professional nursing care... ..., safety, or dignity. Ability to utilize good clinical judgment to deal tactfully... ...forwards pertinent notes to physician for review and signature. Instructs patients on procedures...Full timeWork at officeFlexible hours
- ...AHS NurseStat is looking for a Travel Registered Nurse - Cardiac Cath Lab. This assignment is scheduled to start on Aug 11, 2026 and run through Nov 10, 2026. Contracted travel position will have the possibility of being extended. Benefits for our Travelers...Hourly payWeekly payImmediate start
- ...Job Title: Palliative Care Registered Nurse VITAS Healthcare is the nation's leading provider of end-of-life care. We provide our employees... ...patient's physical and emotional recovery after treatment utilizing appropriate resources as needed. Empowers patients to...Flexible hours
$58 - $65 per hour
...ATC HEALTHCARE IS CURRENTLY HIRING FOR A REGISTERED NURSE - PACU PER DIEM ASSIGNMENT FOR A PROMINENT HEALTHCARE FACILITY IN TORRANCE, CA Location: Torrance CA Title: Registered Nurse - PACU Pay Rate: $58- 65/hr Start Date : ASAP Shift:...Daily paidCurrently hiringLocal areaImmediate startShift workNight shiftAfternoon shift- ...that they are ready, if not, see that the patient is rescheduled Review the Hazard Communication book and sign the training log Ensure... ...proper sterilization and infection control guidelines are utilized Attend and participate in staff meetings and team huddles Other...Hourly payWork at officeImmediate startNight shiftWeekend workAfternoon shift
- Job Description \n \n Work Dates Needed: Sporadic PRN dates \n Preferred Schedule: 7a-3p, days \n Worksite Setting: ASC, GI \n Scope of Work: GI \n Licenses, Certifications, Requirements: CA license. BLS/ACLS/PALS. Minimum 1 year experience as a CRNA...Relief
- ...the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Emergency Nurses treat patients in emergency situations where they’re experiencing trauma or injury. These nurses quickly recognize life-threatening...Hourly payTemporary workWork experience placement
$61.62 per hour
...of dedicated professionals committed to compassion, quality, and service! Responsibilities Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. The Registered...Daily paidLocal areaShift workNight shift
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