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

RN Utilization Manager: Care Coordination & Denials

Ocean State Job Lot

Ocean State Job Lot is seeking an RN for Utilization Management in Los Angeles, CA. This role involves coordinating care submissions and documentation for patient admissions, focusing on high-quality care and efficiency. Candidates must hold an Associate's Degree in Nursing and have experience in Case Management or Utilization Management. The RN will collaborate with interdisciplinary teams, handle e-TAR processes, and require effective communication skills. Preferably, candidates should also possess a current California RN License and MCG experience. #J-18808-Ljbffr Ocean State Job Lot

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the RN Utilization Manager: Care Coordination & Denials in Los Angeles, CA vacancy
  • $116.3k - $264.6k

     ...delivery of exceptional patient care. Take your career to the...  ...at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you’ll...  ...management to a team of UM coordinators and nurses. You’ll work closely...  ...-service Authorizations/Denial Letters Concurrent... 
    Suggested

    UCLA Health

    Los Angeles, CA
    2 days ago
  •  ...of California - Los Angeles Health is looking for a dynamic Utilization Management Assistant Director to supervise Intensive Case Management and...  ...healthcare culture and commitment to patient-centered care are vital to this role. #J-18808-Ljbffr University of California... 
    Suggested

    University of California - Los Angeles Health

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

    UCLA Health is seeking an experienced Utilization Management Assistant Director to oversee Intensive Case Management and Utilization Management operations...  ...operational excellence. The ideal candidate will have a BSN, RN licensure in California, and significant experience in case... 
    Suggested

    Case Management Society of America (CMSA) ®

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

    Yourcommission is seeking a Utilization Management Assistant Director in Los Angeles to lead Intensive Case Management and Utilization Management...  ...improving patient outcomes. Ideal candidates possess a BSN, active RN license in CA, and experience in management roles within... 
    Suggested

    yourcommission

    Los Angeles, CA
    5 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. Responsibilities... 
    Suggested
    Hourly pay

    MLK Community Healthcare

    Los Angeles, CA
    4 days ago
  •  ...The Supervision Of The Nurse Manager/Clinical Coordinator. Registered Nurse Role The Registered Nurse (Rn) Assesses, Plans, Implements,...  ...Supervises Individual Patient Care On A Nursing Unit/Department...  ...Service, Teamwork, Resource Utilization, And Staff And Self Development... 
    Temporary work
    Flexible hours

    Yale New Haven Health

    Hawthorne, CA
    2 days ago
  •  ...Health in Santa Monica seeks an experienced nurse to assess and coordinate patient care in a collaborative environment. Responsibilities include developing individualized care plans and performing utilization reviews to ensure high-quality care. The ideal candidate will... 
    Shift work

    UCLA Health

    Santa Monica, CA
    5 days ago
  • Working Nurse is seeking a Case Manager - Care Coordinator for a full-time position in Los Angeles. This role emphasizes supporting the physician...  ...authorization processes, and ensuring efficient resource utilization. Minimum education includes an Associate’s Degree in... 
    Full time
    Day shift

    Working Nurse

    Los Angeles, CA
    1 day ago
  • $46.07 - $67.73 per hour

     ...Wound Care Coordinator RN (Sub-Acute/FT/Days) Job Category: Registered Nurse Requisition Number...  ...on wound care techniques, self-management strategies, and signs of infection....  ...interactions with patients and family members. Utilizes white boards for patient communication... 
    Full time
    Relocation package
    Shift work

    Memorial Hospital of Gardena

    Gardena, CA
    1 day ago
  •  ...join their team. In this role, you will assess and coordinate care for patients, working in a supportive...  ...Qualified candidates will have a BSN or MSN, CA RN License, and experience in case management or utilization management. This position offers the chance to make... 

    Direct Jobs

    Santa Monica, CA
    4 days ago
  • $75k - $80k

     ...revolutionizing the way senior care is delivered through the...  ...supervision of the Clinic RN, the Home Care Coordinator (LVN/RN) provides home-...  ...services as assessed by Case Management RN and approved by Primary...  .... Conducts QI and utilization management activities, tracks... 
    Live in

    Seen Health

    Alhambra, CA
    2 days ago
  • UCLA Health seeks a skilled Case Manager to assess and coordinate care for diverse patients in Los Angeles. Utilizing advanced nursing skills, you will collaborate with a multi...  ...performance improvement. A BSN or MSN, CA RN License, and strong leadership abilities are... 

    Case Management Society of America (CMSA) ®

    Los Angeles, CA
    2 days ago
  •  ...Combat Effectiveness Consulting Group, LLC in Monterey Park is seeking a Case Manager RN or LVN to join our Utilization Review Department. This per diem position involves coordinating care for patients, conducting admissions, and liaising with health plans to ensure appropriate... 
    Daily paid

    Air Combat Effectiveness Consulting Group, LLC

    Monterey Park, CA
    1 day ago
  •  ...Monica, California. You will assess and coordinate care for various patients while...  ...responsibilities will include performing utilization reviews and driving performance improvements...  ...patient care. If you have a BSN or MSN, a CA RN license, and passion for nursing, come... 

    Direct Jobs

    Santa Monica, CA
    4 days ago
  • $110k - $120k

     ...being organization based in Los Angeles is searching for an RN Care Manager. The role involves leading clinical care management for members...  .... You will work collaboratively with health coaches and coordinate care plans that improve health outcomes. Ideal candidates possess... 

    Blue Zones Health

    Los Angeles, CA
    1 day ago
  •  ...Case Manager Care Coordinator The Case Manager Care Coordinator coordinates the care and service of...  ...through effective care coordination and utilization of healthcare resources inorder to achieve...  ...- minimum Licenses and Certifications RN State License - Upon Hire minimum... 
    Daily paid
    Shift work
    Night shift
    Afternoon shift

    Cedars-Sinai

    Los Angeles, CA
    14 hours ago
  •  ...Monterey Park is searching for a dedicated Case Manager to evaluate the appropriateness of admissions and coordinate patient care. This role emphasizes collaboration with...  ...discharge planning. Applicants must hold a valid RN License in California and have a minimum of one... 

    AHMC Healthcare

    Monterey Park, CA
    4 days ago
  •  ...The University of Southern California is seeking an RN Case Manager to provide comprehensive care coordination services, manage patient care plans, and advocate for patients’ needs. This role involves collaboration with an interdisciplinary team, conducting assessments... 

    University of Southern California

    Los Angeles, CA
    5 days ago
  •  ...A regional healthcare network in California seeks an LVN Care Manager to oversee patient care from pre-admission to post-discharge. You...  ...hospitalization while ensuring appropriate hospital service utilization. This role offers an opportunity to work within a recognized... 

    PIH Health

    Downey, CA
    1 day ago
  • $75k - $80k

     ...A healthcare organization is seeking a Home Care Coordinator in Alhambra, CA. This role involves providing home-based nursing services and coordinating care for elderly participants. Candidates should hold an Associate's degree in nursing or equivalent, with at least... 

    Seen Health

    Alhambra, CA
    1 day ago
  • $70.9k - $145.2k

     ...Outpatient Clinics in Los Angeles is seeking a Utilization Management Supervisor (Non-Clinical) to oversee...  ...efficient workflow, timely access to care, and high-quality service delivery....  ...supervising patient navigators and coordinators, while also managing staff performance... 

    UCLA Outpatient Clinics

    Los Angeles, CA
    3 days ago
  • A healthcare organization in California is seeking a Registered Nurse (RN) Disease Manager to coordinate care for patients with chronic health conditions. The role involves patient assessment, education, care coordination, and advocacy to improve health outcomes. Ideal... 

    TEEMA Solutions Group

    Los Angeles, CA
    1 day ago
  •  ...hospital, two urgent cares, home care services, comprehensive...  ...ancillary personnel utilizing both professional and...  ...Schedules, leads, and coordinates the daily activities...  ...Registered Nurse (RN) licensure in the...  ...with staff members and management with minimal incidents... 
    Full time
    Work experience placement
    Shift work
    Day shift

    Adventist Health

    Glendale, CA
    4 days ago
  • $35 - $40 per hour

     ...leading provider of Hospice and Palliative Care, celebrating 25 years of service to...  ...Time Hospice/Palliative Care Clinical Care Coordinator, Licensed Vocational Nurse (LVN). This...  ...palliative care services. Must be able to utilize computers and be comfortable with... 
    Full time
    Remote work

    Roze Room Hospice

    Los Angeles, CA
    5 days ago
  •  ...dedicated healthcare professional for the role of Case Manager. This position entails leading the coordination of patient care and collaborating with the healthcare team to...  ...have a Bachelor's Degree in Nursing (BSN) and RN licensure. Responsibilities include maintaining... 

    Adventist Health

    Montebello, CA
    3 days ago
  •  ...Effectiveness Consulting Group, LLC is seeking a Case Manager to evaluate admission appropriateness and coordinate patient care at Garfield Medical Center. This role emphasizes...  .... The ideal candidate must possess an active RN License in California and at least one year of... 

    Air Combat Effectiveness Consulting Group, LLC

    Monterey Park, CA
    4 days ago
  • Cedars-Sinai Medical Network is seeking a Case Manager in Beverly Hills, California to coordinate care for hospitalized patients and ensure smooth transitions upon discharge. Applicants should have at least 3 years of nursing experience and a Bachelor's Degree in nursing... 

    South Mississippi Mental Health Center

    Beverly Hills, CA
    5 days ago
  • Direct Jobs is seeking a dedicated Case Manager to join Cedars‑Sinai Medical Network in Beverly Hills, California. This role focuses...  ...cases during hospitalization and post-discharge, ensuring coordinated patient care while assessing needs and communicating with health plans.... 

    Direct Jobs

    Beverly Hills, CA
    5 days ago
  • CommonSpirit Health is looking for an RN Care Coordinator in Los Angeles. In this role, you will play a pivotal part in patient care through comprehensive assessment, planning, and advocacy across the healthcare continuum. The ideal candidate has a California RN license... 
    Relocation package

    CommonSpirit Health

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

    UCLA Outpatient Clinics in Santa Monica is seeking an RN Case Manager to coordinate care for diverse patients. As part of the multi-disciplinary healthcare team, you will use your advanced nursing skills to develop care plans and ensure high-quality patient outcomes. The... 
    Hourly pay
    Day shift

    UCLA Outpatient Clinics

    Santa Monica, CA
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN Utilization Manager: Care Coordination & Denials. Be the first to apply!