RN Utilization Review Specialist
$55.56 - $85.96 per hourTorrance Memorial Medical Center
A healthcare facility in California is seeking a Utilization Review Case Manager to validate patient admissions and levels of care. The role involves performing patient chart reviews, securing authorizations for clinical services, and collaborating with healthcare teams to ensure optimal patient care. Candidates must have a Bachelor's degree in Nursing and relevant nursing license along with experience in hospital case management. This position offers a compensation range of $55.56 - $85.96 per hour. #J-18808-Ljbffr
$43 - $47 per hour
...Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year of Home... ...must possess an active CA RN License. Responsibilities include reviewing and processing chart tasks in a back office setting. This is a...SuggestedRemote work$30 - $45 per hour
...leading healthcare consulting agency is seeking an Operations Specialist III for a contract opportunity in Long Beach, CA. This role... ...Medi-Cal operations, along with experience in Epic EHR and Utilization Review. The selected candidate will perform chart reviews, ensure documentation...SuggestedHourly payContract workRemote work$55.56 - $85.96 per hour
...Torrance-Memorial-Medical-Center is seeking a Utilization Review Case Manager in Torrance, California. This role involves reviewing patient charts according to established criteria, validating admission status, and collaborating with payers to secure authorizations for...SuggestedHourly pay$55.56 - $85.96 per hour
...Rose Senior Living - Avon is seeking a Utilization Review Case Manager to conduct patient chart reviews and ensure proper admission status and level of care. The role involves collaborating with payers for clinical service authorization and adherence to quality standards...SuggestedHourly pay- ...Travel Job 17789408 Apply Now Acute Hospital Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations* Retrospective Review* Admission Criteria Care coordination Concurrent...SuggestedRemote work
$56 per hour
...Job Description Job Description Position Summary The Utilization Review/Management Nurse is accountable for planning, directing, and overseeing aspects of daily Utilization Review operations across ALTA/Southern CA facilities where needed. The Utilization Review...Full timeLocal areaImmediate start- ...POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include... ...admissions with continued and extended hospital stays, and discharge review that determine medical necessity. The RN UM will complete and...Full time
- A senior living community in Torrance, California, is hiring a Kitchen Utility Associate (Dishwasher). This role is essential for maintaining cleanliness in the kitchen by washing and sanitizing dishes and equipment. Suitable candidates should have strong attention to detail...Flexible hoursShift workWeekend work
- Join the Clean Energy Revolution Become a Utility Permitting Senior Specialist at Southern California Edison (SCE) and build a better tomorrow. In this... ...and the likelihood of securing the required permits. Reviews permit applications, ensuring the accuracy and...Local areaRemote workRelocation
$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...Weekly payShift work- ...collaborating with staff, and maintaining high standards of patient care. Qualifications include an Associate's Degree in Nursing and a valid CA RN license, with a preference for candidates holding a Bachelor's Degree. The ideal candidate will have at least 2 years of nursing...
$47.2 - $63.45 per hour
...to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service... ...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing experience...Full timePart timeWork experience placementLocal areaShift work$85k - $100k
...enabling human life on Mars. SOURCING SPECIALIST, MECHANICAL (STARSHIELD) Starshield... ...manage vendor performance Perform onsite reviews of vendor capabilities Responsible... ...application of contract to business needs Utilize negotiations to maximize value and cost...Permanent employmentContract workTemporary workRemote workWeekend work$22 - $24 per hour
...enabling human life on Mars. RECEIVING SPECIALIST - MULTIPLE SHIFTS RESPONSIBILITIES: Document... ...accordance with prescribed procedures Utilize and understand Warpdrive and other... ...groups to coordinate return shipments Review stagnant inventory reports to ensure location...Permanent employmentTemporary workMonday to FridayShift workWeekend work$23 - $24 per hour
...Job Title: Leasing Specialist Location: Woodland Hills, CA 91367 Salary Range: $... ...by covering all criteria (ask questions; utilize completed guest cards, etc.). Immediately... ...accurately and on a timely basis. Review with the Community Manager prior to obtaining...Hourly payFull timeWork at officeImmediate startFlexible hoursShift workAfternoon shift$51k - $63k
...Job Description We are looking for a VMI Specialist to join our Rexel USA team in Hawthorne,... ...customer satisfaction and/or profit Review customer concerns regarding billing, credit... ...investigation and resolution Identify and utilize business system, CRM tools, and other...Temporary workFor contractorsWork at officeFlexible hours$45.5 - $56 per hour
...HVAC SPECIALIST (CHILLED WATER/DATA CENTER) - LEVEL 4/5 SpaceX was founded under the belief... ...Specialist, you will have the opportunity to utilize your knowledge, experience, and... ...contractor management. Experience reading, reviewing, and approving shop and fabrication drawings...Permanent employmentTemporary workFor contractorsLocal areaWeekend work- Description JOB TITLE: E-COMMERCE SPECIALIST DEPARTMENT: RETAIL STATUS: FULL-TIME... ...listings on our ecommerce platform. * Utilize best practices for title, description, images... .... For further information, please review the Know Your Rights notice from the Department...Full timeWork at office
$85k - $100k
...enabling human life on Mars. SR. SOURCING SPECIALIST, MECHANICAL (STARSHIELD) Starshield... ...vendor performance Perform onsite reviews of vendor capabilities Responsible for... ...application of contract to business needs Utilize negotiations to maximize value and cost...Permanent employmentContract workTemporary workRemote workWeekend work$26.35 - $31.8 per hour
...Revenue Cycle Authorization Specialist Providence at Home with Compassus This position... ...authorizations in a timely manner. Reviews the insurance verification and... ...palliative, or infusion preferred. Utilization management experience and pre-certification...Work at officeShift work- ...The Case Management Society of America (CMSA) ® is seeking a Utilization Management (UM) Registered Nurse (RN) in Long Beach, California. This role involves reviewing medical necessity, collaborating with healthcare professionals, and ensuring effective utilization of...
$51k - $60.5k
...The Accounts Payable Specialist plays a vital role in overseeing accounts payable and vendor... ...properties. This position involves utilizing accounting software to process invoices,... ...categories Collaborate with vendors, review vendor documents, and facilitate their integration...Weekly payWeekend work- ...South Mississippi Mental Health Center is seeking a Utilization Management Registered Nurse (RN) to ensure the effective utilization of hospital resources by reviewing medical necessity and compliance with guidelines. This role involves close collaboration with interdisciplinary...
$23.76 - $51.49 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.... ...and experience. - Registered Nurse (RN). License must be active and unrestricted...Hourly payWork experience placementWork at office- 340B Health in Long Beach, California, seeks a Utilization Management Registered Nurse (RN) to focus on reviewing medical necessity and compliance with healthcare guidelines. The role involves collaborating with physicians and case managers to ensure optimal patient status...
- ...Direct Jobs is seeking a Utilization Management Registered Nurse (RN) in Long Beach, California, responsible for reviewing medical necessity and level of care appropriateness. This role requires collaboration with healthcare professionals to determine appropriate patient...
$29.05 - $67.97 per hour
...Job Title Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and... ...experience. • Registered Nurse (RN). License must be active and unrestricted... ...(CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager...Hourly payFull timeWork experience placementWork at office- Southern California Edison is hiring a Utility Permitting Senior Specialist in Compton, California. This role involves acquiring necessary construction permits, overseeing compliance requirements, and responding to inquiries from internal and external stakeholders. Candidates...Work at officeRemote work
$88.8k - $129.23k
...knowledgeable, full‑time, tenure‑track Disabilities Specialist to join its Special Resource Center... ...to identify, request, and effectively utilize support services and accommodations to... ...past four years; experience developing/reviewing curriculum and assessing learning...Full timeContract workWork at office$2,250 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Paramount, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 06/29/2026 ~...Temporary workFor contractorsShift workWeekend work
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