Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Utilization Management RN - Case Quality & Efficiency

Presidential Staffing Solutions, LLC

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 and procedures. The ideal candidate will possess a strong nursing background, with at least five years of experience in a medical setting, and hold a relevant nursing degree. This position offers a competitive salary and a comprehensive benefits package, including health insurance and a signing bonus. If you're passionate about patient advocacy and quality care, this opportunity is perfect for you. #J-18808-Ljbffr Presidential Staffing Solutions, LLC

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Utilization Management RN - Case Quality & Efficiency in Los Angeles, CA vacancy
  •  ...Los Angeles area facility seeks a Director of Case Management to lead Case Management and Utilization Management programs, coordinating care for...  ...patients and their families, and ensuring high-quality outcomes and efficient resource use. The role partners with payors,... 
    Quality

    ScionHealth

    Los Angeles, CA
    2 days ago
  • $47.58 - $76.68 per hour

     ...Southern California is hiring for a position that involves managing admissions and conducting patient reviews in accordance with...  ..., ideally including a BSN. Experienced candidates in Utilization/Quality/Case Management will thrive in this supportive environment. Base... 
    Quality
    Hourly pay

    University of Southern California

    Los Angeles, CA
    1 day ago
  • $102.18k

    RN Job Supervisor, Utilization Management RN Shift: Full Time Pay Range: $102,183.00 (Min.)...  ...operations to ensure optimal efficiency, productivity, and...  ...matter expert (SME) in Care/Case/Utilization Management and...  ..., which are focused on quality care delivery and continuous... 
    Quality
    Full time
    Shift work

    Working Nurse

    Los Angeles, CA
    1 day ago
  •  ...looking for a dedicated Nurse Case Manager to oversee clinical resource utilization and documentation...  ...years’ experience as an RN or Case Manager, demonstrating...  ...managing documentation efficiently, and applying critical...  ...mission of providing quality care and supporting the... 
    Quality

    Memorial Hospital of Gardena

    Gardena, CA
    3 days ago
  •  ...Hospital in Downey, CA is seeking an RN Case Manager to coordinate care from pre-...  ...post-discharge, ensuring efficient patient flow and appropriate utilization of hospital services. The role focuses...  ...party payors while maintaining high-quality patient care. #J-18808-Ljbffr... 
    Quality

    PIH Health Hospital

    Downey, CA
    5 days ago
  • $65.53 - $84.75 per hour

     ...implementing individualized care plans utilizing evidence-based tools for...  ...delivery of safe, high quality, efficient, and cost-effective care....  ...UCLA Health Nursing staff) CA RN License and BLS certification Recent experience in case management, utilization management and... 
    Quality

    UCLA Health

    Los Angeles, CA
    5 days ago
  •  ...Health in Los Angeles is seeking an experienced RN Case Manager for per diem shifts, weekends on a rotating...  ...care plans using risk stratification, and conduct utilization review to ensure safe, high-quality, cost-efficient care. #J-18808-Ljbffr UCLA Outpatient Clinics
    Quality
    Daily paid
    Rotating shift
    Weekend work

    UCLA Outpatient Clinics

    Los Angeles, CA
    4 days ago
  • $68.81 - $88.99 per hour

     ...implementing individualized care plans utilizing evidence-based tools for...  ...delivery of safe, high quality, efficient, and cost-effective care....  ...Health Nursing staff) CA RN License and BLS certification  Recent experience in case management, utilization management and... 
    Quality
    Hourly pay

    UCLA

    Los Angeles, CA
    28 days ago
  • $65.53 - $84.75 per hour

    # RN Case Manager - Complex CasesWork Location **Santa Monica,CA**Job **#30898**Work Hours...  ...implementing individualized care plans utilizing evidence-based tools for risk...  ...stratification to ensure delivery of safe, high quality, efficient, and cost-effective care. You will... 
    Quality
    Hourly pay
    Monday to Friday

    UCLA Outpatient Clinics

    Santa Monica, CA
    4 days ago
  • $98.52 per hour

    RN Job RN Case Manager, Per Diem - Pediatric Shift 10-hour shifts; shift availability required...  ...individualized care plans utilizing evidence-based tools for risk stratification...  ...stratification to ensure delivery of safe, high quality, efficient, and cost-effective care. You will... 
    Quality
    Daily paid
    Shift work
    Weekend work

    Working Nurse

    Los Angeles, CA
    1 day ago
  • $65.53 - $84.75 per hour

     ...implementing individualized care plans utilizing evidence-based tools for...  ...delivery of safe, high quality, efficient, and cost-effective care....  ...UCLA Health Nursing staff) CA RN License and BLS certification Recent experience in case management, utilization management and... 
    Quality
    Hourly pay
    Remote work
    Monday to Friday

    UCLA Health

    Santa Monica, CA
    3 days ago
  • $88.85k

     ...is to provide access to quality health care for Los Angeles...  .... Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible...  ...processes and increase efficiencies. Takes the initiative to...  ...therapy, infusion), and case management referrals (5%... 
    Quality
    Full time
    All shifts
    Shift work
    Night shift
    Afternoon shift

    L.A. Care Health Plan

    Los Angeles, CA
    1 day ago
  •  ...Case Manager The Case Manager uses InterQual criteria...  ...Case Manager provides an efficient, coordinated approach...  ...care coordination and utilization management activities...  ..., over utilization or quality of care issues and completes...  ...Qualifications RN License in the State... 
    Quality
    Flexible hours

    AHMC Healthcare Inc.

    Monterey Park, CA
    4 days ago
  • $47.2 - $63.45 per hour

     ...community who count on the hospital for high quality and compassionate medical care. St....  ...Responsible for the quality and resource management of all patients that are admitted to the...  ...license At least one year experience in case management, discharge planning or nursing... 
    Quality
    Full time
    Part time
    Work experience placement
    Local area
    Shift work

    Prime Healthcare

    Lynwood, CA
    1 day ago
  • $47.31 - $100 per hour

     ...promote cost-effective, quality outcomes. Serves as a...  ...health care team in the management of specific patient populations. The RN case manager role integrates the functions of utilization management, quality management...  ...a cost effective and efficient plan of care.... 
    Quality
    Hourly pay
    Daily paid
    Contract work
    Work experience placement
    Local area

    Keck Medicine of USC

    Los Angeles, CA
    2 days ago
  • The Case Manager has the responsibility to identify, assess...  ...is to provide for quality, cost-effective outcomes...  ...following: Processes the case utilizing client's outcome...  ..., Registrations: RN license in state(s) where...  ...projects with accuracy and efficiency Detail orientation... 
    Quality
    Contract work
    Temporary work
    Live in

    SCM Associates, Inc.

    Los Angeles, CA
    1 day ago
  • $31 - $45 per hour

     ...Case Manager (LVN or RN) Astrana Health is looking for a LVN Case Manager who...  ...~95 - 100% compliance with Utilization Management health plan...  ...physicians to provide the highest quality of end-to-end care for...  ...and make the US healthcare system more efficient. Astrana Health
    Quality
    Hourly pay
    Work at office
    Work from home
    Home office

    Astrana Health

    Los Angeles, CA
    4 days ago
  • $37.5 - $40 per hour

     ...Outpatient Case Manager (RN/LVN) Recruiting on behalf of a leading healthcare...  ...providers to facilitate efficient care coordination....  ...preferred. ~2-3 years of utilization review or HMO experience is...  ...passionate about delivering quality outpatient care, enjoy working... 
    Quality
    Hourly pay
    Casual work
    Work at office
    Relocation package
    Flexible hours

    Vivo HealthStaff

    Sherman Oaks, CA
    1 day ago
  •  ...Case Manager In collaboration with the interdisciplinary...  ...cost-effective, quality outcomes. Serves as a...  ...complex case management, utilization management, quality management...  ...a cost effective and efficient plan of care....  ...Req Registered Nurse - RN (CA DCA) Req Basic Life... 
    Quality
    Hourly pay
    Full time
    Contract work
    Work experience placement
    Work at office

    University of Southern California (USC)

    Los Angeles, CA
    2 days ago
  •  ...passion for the highest quality and patient happiness?...  ...process as defined in the Utilization Review Plan in...  ...appropriate financial management for the patient and the...  ...unrestricted California RN license required American...  ...required ~2+ years of case management experience preferred... 
    Quality
    Daily paid
    Seasonal work

    Cedars Sinai

    Los Angeles, CA
    3 days ago
  • The RN Case Manager manages a continuum of care from pre-admission through...  ...and families proceed efficiently throughout the course of hospitalization...  ...is the appropriate utilization of hospital services,...  ...cutting-edge advancements, quality of care and healthcare technology... 
    Quality
    Full time
    Work at office
    Shift work

    PIH Health Hospital

    Downey, CA
    5 days ago
  •  ...Position Summary: The LVN Case Manager is responsible for the...  ...services. Promotes quality care using a...  ...or Registered Nurse (RN) license in good standing...  ...Prior case management, utilization review, and discharge...  ...organizational skills and efficient in prioritizing and managing... 
    Quality
    Full time
    Shift work

    Los Palos Post-Acute Care Center

    Los Angeles, CA
    13 days ago
  •  ...Position: #710291 Program: Case Management Department: Health...  ...in collaboration with RN Care Managers and...  ...an effective and efficient Program. • Develop guidelines...  ...to provide consistent quality care to patients. •...  ...the access and utilization of medical services by... 
    Quality
    Hourly pay
    Full time
    Contract work
    Work at office
    Trial period
    Monday to Friday
    Shift work

    Los Angeles LGBT Center

    Los Angeles, CA
    2 days ago
  •  ...Location: Outpatient Case Management West Los Angeles VAMC,...  ...73 There are five new RN vacancies at the West...  ...Summary: We are seeking a Utilization Management Nurse to...  ...methods with an eye for efficiency and effectiveness....  ...treatment. Advocate for quality patient care to prevent... 
    Quality
    Work at office
    Relocation package
    Flexible hours

    Presidential Staffing Solutions, LLC

    Los Angeles, CA
    4 days ago
  • $116.3k - $264.6k

     ...Outpatient Clinics is looking for an experienced Utilization Management Assistant Director in Los Angeles. In this...  ...role, you will oversee Intensive Case Management and Utilization Management operations, ensuring high-quality patient care across complex populations. You... 
    Quality

    UCLA Outpatient Clinics

    Los Angeles, CA
    4 days ago
  •  ...Medicine of USC in Los Angeles seeks a Registered Nurse case manager to coordinate care across the care continuum,...  ...meet patient needs and promote cost-effective, quality outcomes. The RN case manager integrates utilization, quality, discharge planning, and post-hospital... 
    Quality

    Keck Medicine of USC

    Los Angeles, CA
    2 days ago
  •  ...California - Los Angeles Health is seeking a Nurse Case Manager to assess and coordinate care for a diverse...  ...based risk stratification, and ensure safe, high-quality, cost-effective care. You will also conduct utilization review and support post-hospital care while driving... 
    Quality

    University of California - Los Angeles Health

    Los Angeles, CA
    4 days ago
  •  ...Angeles seeks an experienced nurse case manager to assess and coordinate care...  ...plans and ensure safe, high-quality, cost-effective care....  ...include risk stratification, utilization review, discharge planning, and...  ...applicants will have BSN or MSN, CA RN license, BLS, and 3+ years in... 
    Quality

    University of California - Los Angeles Health

    Los Angeles, CA
    5 days ago
  • UCLA Health is seeking a self-directed nurse case manager to assess and coordinate care for a diverse group...  ...for risk stratification to ensure safe, high-quality, cost-effective care. The role includes performing utilization review and supporting post-hospital... 
    Quality

    University of California - Los Angeles Health

    Los Angeles, CA
    3 days ago
  • UCLA Health is seeking an experienced RN Case Manager for the swing shift in Los Angeles. You will assess and coordinate...  ...-based risk stratification to ensure safe, high-quality, cost-effective care. The role includes utilization review and driving performance improvement while... 
    Quality
    Afternoon shift

    UCLA Outpatient Clinics

    Los Angeles, CA
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization Management RN - Case Quality & Efficiency. Be the first to apply!