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 4 days ago
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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...Hourly pay- ...Los Angeles is seeking a Registered Nurse to deliver coordinated nursing care for patients according to established standards. The RN will supervise nursing staff, coordinate care with other disciplines, and utilize critical thinking and independent judgment. A Bachelor...
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LTSS Service Coordinator-RN Clinician Virtual: This role enables associates... ...is responsible for overall management of member's case within the... ..., and revises the member's care plan to meet the member's... ...cost effective and efficient utilization of health benefits. Obtains...Full timeContract workTemporary workWork experience placementWork at officeLocal area- ...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...
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...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- ...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...
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...Description: The RN Case Manager is responsible for performing... ...reassessment of acute care Inpatients for the purpose of performing utilization review, resource... ...healthcare team to promote and coordinate the delivery of safe... .... Communicates denials and physician related...Daily paidLocal areaImmediate startSouthern California Hospitals
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Los Angeles, CA2 days ago - AltaMed Health Services Corp is seeking an RN Case Manager to provide care coordination and case management for patients in hospitals and Skilled Nursing Facilities. This role involves working collaboratively with an interdisciplinary team to ensure patients receive appropriate...
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Accesstlcfoundation is seeking a dedicated HCBA Registered Nurse (RN) to join its HCBA department in Beverly Hills, California. The role includes assessing and coordinating care for individuals at risk of institutional placement. This full-time position offers compensation...Full time- ...Living - Avon is seeking a dedicated Registered Nurse to deliver coordinated nursing care to patients in the greater Los Angeles area. This role... ...patient care plans. Candidates should hold a Registered Nurse (RN) license and a Bachelor's Degree in Nursing is preferred....
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- ...Glendale, California is seeking a Registered Nurse to provide coordinated nursing care for patients. The role includes supervising nursing staff... ...coordinating care across disciplines. Candidates must have RN licensure in California and CPR/BLS certification. A Bachelor...
- 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...
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