UR Nurse, RN — Inpatient Review & Care Coordination
$74.29k - $111.43kNeueHealth
NeueHealth in California is seeking a Concurrent Utilization Review Nurse responsible for conducting clinical reviews to ensure the medical necessity and appropriateness of services provided under a managed care plan. The role requires 2-3 years of clinical experience, preferably in utilization review, and demands strong analytical skills and knowledge of clinical guidelines. Eligible candidates will enjoy a competitive salary of $74,286.15–$111,429.23 annually, along with comprehensive health benefits and a 401(k) savings plan. #J-18808-Ljbffr NeueHealth
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the UR Nurse, RN — Inpatient Review & Care Coordination in California, MO vacancy
$74.29k - $111.43k
...Concurrent Utilization Review (UR) Nurse is responsible for conducting... ...members under a managed care health plan. The role involves assessing inpatient admission and continued stays, coordinating with healthcare... ...Education – Registered Nurse (RN) with an active,...SuggestedWork at officeNeueHealth
California, MO3 days ago- Purpose and Scope The Inpatient RN provides direct patient care in accordance with company policies... ...interpret, adjust, and coordinate daily patient care plans... ...with FMS facility nursing staff and hospital personnel... ...on an as‑needed basis. Reviews and complies with the Code...SuggestedLocal areaShift workNight shift
- ...organization is seeking a skilled professional to provide utilization review and coordinate care for members in California. The successful candidate will have a Nursing school degree and a California RN License. Key responsibilities include ensuring quality and cost-...Suggested
$54 - $57 per hour
...provide exceptional care and improve the health... ...Job Description The Inpatient Registered Nurse provides hospice care... ...setting. The Inpatient RN fully supports the... ...emotional condition. Coordinate care with other interdisciplinary... ...and Utilization Review Activities. Maintain...SuggestedHourly payLocal areaFlexible hoursShift work3 days per weekSupportFinity
California, MO19 hours ago$26.41 - $51.49 per hour
...California, MO is seeking a Clinical Member Services Reviewer. The role includes assessing clinical service... ...delivery. The ideal candidate has an active RN license and at least 2 years of experience in hospital or managed care settings. Competitive pay is offered, ranging...SuggestedHourly pay$160k
Care Coordination Case Management Nurse — Southern California Hospital Opportunity The Care Coordination Case Management... ..., social workers, utilization review specialists, and a diverse team of... ...explore this hospital case management RN opportunity—spark the next step in...- ...Description Summary:**The RN Case Manager, in... ...plan of care for patients, determining... ...case review. This position functions... ...Science degree in Nursing preferred.**Experience... ...Modifiable)****Care Coordination*** Works with the... ...each day of the inpatient stay.* Actively leads...Daily paidShift work
- Nurse Practitioner II‑Inpatient Correctional Health Services Overview This position is intended... ...Duties Elicit, record, and review medical histories and perform acute primary care examinations (pre‑employment... ..., clients, and families. Coordinate individual and family health...Temporary workImmediate startFlexible hours
- ...this opening Registered Nurse (RN) Plans and provides comprehensive nursing care including, but not... ...treatment orders. Assist in coordinating professional medical... ..., inmate/resident inpatient hospitalizations for early... ...with the review of medical files to determine...Contract workRotating shift
HAN Staff
California, MO3 days ago - ...The RN Utilization Management (RN UM)... ...and the UM process. Coordinates care submission relating... ...documentation for inpatient admissions with... ...stays, and discharge review that determine... ...team to support the UR process and care management... ...Degree in Nursing required. BSN preferred...Full timeLocal area
Ocean State Job Lot
California, MO2 days ago $26.41 - $51.49 per hour
...for clinical member services review assessment processes. Responsible... ...integrated delivery of care across the continuum. Contributes... ...in hospital acute care, inpatient review, prior authorization,... ...and experience. Registered Nurse (RN). License must be active and...Hourly payWork experience placementWork at officeRemote workMolina Healthcare
California, MO3 days ago- ...Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Qualifications Nursing school graduate. California Registered Nurse License upon hire. 3 years...Work at office
Providence Health Plan Group
California, MO3 days ago - ...ongoing need for Registered Nurses. Our facilities include the Contra... ...hall. Recruited Assignments Inpatient Psych, Psych Emergency... ...interventions, evaluates patient care outcomes and documents all of... ...the appropriate disciplines. Coordinates the care of the patient; initiates...Full timeWork at officeLocal areaShift work
Contra Costa County
California, MO3 days ago $160k
Clinical Management Consultants is seeking a Care Coordination Case Management Nurse for a dynamic hospital in Southern California. This role is vital for enhancing patient experience and hospital performance through effective care coordination. The ideal candidate will...- ...in California seeks a Case Manager to facilitate care for Cal Medi-Connect program members. The role involves coordinating services alongside health plan and hospital... ...extensive knowledge in case management, a licensed RN or LVN credential, and collaboration skills. Professional...
$26.35 - $39.53 per hour
...entitled to high-quality, coordinated care. By uniquely aligning the interests... ...The Concurrent Utilization Review (UR) Nurse is responsible for... ...This role involves assessing inpatient admission and continued stays... ...: Registered Nurse (RN) or Licensed Vocational/Practical...Hourly payWork at officeRemote workNeueHealth
California, MO2 days ago$55 per hour
...Akkodis is hiring a Concurrent Review Nurse to support our client in the... ...concurrent reviews of inpatient activities. This role is responsible... ...for ensuring that member care is provided at the most appropriate... ...judgment within the scope of RN practice in California....Full timeContract workTemporary workLocal areaRemote workAkkodis
California, MO4 days ago$30 - $34 per hour
...Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway... ...Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence... .../retrospective review of elective inpatient admissions, outpatient procedures, post-...Hourly payRemote workMonday to FridayAstrana Health
California, MO4 days ago$27.61 - $53.83 per hour
...Provides support for clinical member services review assessment processes. Responsible for... ...outcomes through integrated delivery of care across the continuum. Contributes to overarching... ...experience in hospital acute care, inpatient review, prior authorization, managed care...Hourly payContract workWork experience placementWork at officeMolina Healthcare
California, MO3 days ago$200k
...Services program office after review of the EDRP application.... ...kneeling, rapid mental and muscular coordination simultaneously, depth... ...dental, term life, long‑term care, and other federal insurance... ...Sacramento VA Medical Center (81‑bed inpatient facility with four operating...Permanent employmentFull timeContract workFreelanceInternshipWork at officeRelocation packageMonday to Friday- ...RN Clinical Staff Nurse - EmPATH - Full Time Nights $7 differential... ...of patient care. Reporting to the EmPATH... ...planning, directing, coordinating, and providing high quality... ...positive patient outcomes. Reviews all orders on... ...adult outpatient or inpatient psychiatric unit, background...Hourly payFull timeLocal areaShift workNight shift
Ocean State Job Lot
California, MO2 days ago $26.35 - $39.53 per hour
...Concurrent Utilization Review (UR) Nurse is responsible for conducting... ...members under a managed care health plan. This role involves assessing inpatient admission and continued stays, coordinating with healthcare... ...Education: Registered Nurse (RN) or Licensed Vocational/...Hourly payWork at office$34 - $36 per hour
...services in our recuperative care centers, emergency shelters,... ...Job Description The Medical Coordinator (LVN) is responsible for delivering... ...with patient’s providers and reviewing medication list Establish and... ...and nights Home Health nursing experience and experience working...Hourly payWork at officeNight shiftDay shiftAfternoon shiftIllumination Health + Home
California, MO4 days ago$35 - $50 per hour
...person Job Description Summary The LVN Care Coordinator is responsible for ensuring that patient... ...Receives case referrals. Reviews available patient information related to... ...Position Qualifications Licensed vocational nurse with current licensure to practice professional...Immediate startMonday to FridayAlliance Health Services, Inc.
California, MO2 days ago- RN Clinical Coordinator RMG page is loaded## RN Clinical Coordinator RMGlocations... ...and regular chart reviews. **What you will do** * Ensure... ...level of accuracy of clinical care to patients from our physicians... ...Education** * Bachelors Degree, Nursing (Preferred) **Experience** *...Work at officeFlexible hours
$57.53 per hour
...Medical Center is a 226-bed acute care facility serving Northern... ...visit Responsibilities The PACU RN is accountable directly to the OR Charge Nurse and the Director of Surgical Services... ...services. The Registered Nurse also coordinates the post-operative care of the patient...Daily paidWork experience placementLocal areaShift workPrime Healthcare
California, MO3 days ago$35 - $40 per hour
...provider of Hospice and Palliative Care, celebrating 25 years of... ...Full Time Clinical Care Coordinator (LVN) Field-Based Position |... ...provides education, conducts nursing assessments, coordinates admissions... ...assessments and admissions Review consents along with other documents...Hourly payFull timeRoze Room Hospice of the Valley
California, MO2 days ago$74.56 - $90.51 per hour
...Summary and Responsibilities Day Full Time RN Care Coordinator The RN Care Coordinator is... ...collaboration with utilization management nursing physicians, ancillary departments, insurers... ...care and appropriate utilization of inpatient resources using established evidence‑...Hourly payFull time- ...consecutive Magnet designation for nursing excellence. From working with... ...a Per Diem Registered Nurse, Care Coordinator at Cedars‑Sinai you will be... .../Certifications Valid CA RN license required Certified... ...case management in the acute inpatient or outpatient settings preferred...Daily paidWork experience placementSeasonal workShift workWeekend work
- ...Executive Service Corps is seeking an RN Case Manager-Pre Access in... ...screening and facilitating admission reviews for acute patients. The ideal candidate... ..., and has experience in an acute care setting. Responsibilities include coordinating patient transfers and ensuring...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to UR Nurse, RN — Inpatient Review & Care Coordination. Be the first to apply!
Related searches
- rn relocation bonus California, MO
- flex rn California, MO
- charge registered nurse California, MO
- ccu rn California, MO
- international registered travel nurse California, MO
- registered nurses covid-19 California, MO
- interventional radiology rn California, MO
- rn risk management California, MO
- travel clinic rn California, MO
- rn quality California, MO