Utilization Management Nurse
$74.16 - $107.75 per hourUniversity of California
Job Title
Work Location: Los Angeles, CA, USA
Onsite or Remote Fully On-Site Work Schedule Monday-Friday 8am-4:30pm
Salary Range: $74.16 - 107.75 Hourly Employment Type 4 - Staff: Limited Duration 6 months Job # 30315
Primary Duties and Responsibilities
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Job Qualifications
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- BSN or MSN, required
- 5 years of psychiatric nursing care experience required.
- Current valid CA RN license, required
- BLS from the ARC or AHA, required.
- Prior case management experience, highly desired
- Proficient in Microsoft Office
$74.16 - $107.75 per hour
...Description The Utilization Management (UM) Nurse supports appropriate level‑of‑care determination, patient flow, and revenue cycle integrity across inpatient, partial hospitalization, and intensive outpatient programs. The UM Nurse functions in two utilization management...SuggestedWork at office- ...Training & development Vision insurance Outpatient Case Management West Los Angeles VAMC 11301 Wilshire Blvd Los Angeles, CA... ...Opportunities Job Summary We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the...SuggestedFor contractorsWork at officeImmediate startRelocation packageMonday to FridayFlexible hours
- ...RN Utilization Mgmt, Full-Time Day POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include... ...Education ~ Associates Degree in Nursing required. BSN preferred. B....SuggestedFull time
$60 - $75 per hour
...Utilization Management Nurse We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your...SuggestedHourly pay- yourcommission is looking for a Utilization Management Nurse responsible for overseeing patient care determinations across various programs. The role includes conducting utilization reviews, communicating with payors, and monitoring bed utilization. The ideal candidate...Suggested
$99.31k - $131.09k
...Utilization Management RN Los Angeles, CA, USA At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive... ...: Minimum of three (3) years of relevant clinical nursing experience Strong preference for prior PACE experience...$88.85k
...Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13077 Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $14...Full time$116.3k - $264.6k
...to the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team of UM coordinators and nurses. You'll work closely with Medicare Advantage leadership to plan,...Remote workMonday to FridayFlexible hours$116.3k - $264.6k
...UCLA Outpatient Clinics is looking for an experienced Utilization Management Assistant Director in Los Angeles. In this key leadership role, you will oversee Intensive Case Management and Utilization Management operations, ensuring high-quality patient care across complex...$2,065 - $2,160 per week
...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare Pay: $2,065 to $2,160 per week... ...RN in Los Angeles, California, 91345! Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:...Hourly payWeekly payFull timeContract workImmediate startShift work$2,065 - $2,160 per week
...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare Pay: $2,065 to $2,160 per week... ...Date: ASAP About the Position Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:...Hourly payWeekly payFull timeContract workImmediate startShift work$31.05 - $38.82 per hour
...despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests from all lines of business using respective national/...Hourly payFlexible hours$116.3k - $264.6k
...centered care. UCLA Health is seeking a dynamic and experienced Utilization Management Assistant Director to oversee Intensive Case Management (ICM... ...and mentor a multidisciplinary team including Registered Nurses, Social Workers, and care coordination staff Oversee care...$116.3k - $264.6k
...Direct Jobs is seeking an experienced Utilization Management Assistant Director to lead Intensive Case Management and Utilization Management operations. In this role, you will supervise a multidisciplinary team, ensuring high-quality patient-centered care while driving...$116.3k - $264.6k
...Yourcommission is seeking a Utilization Management Assistant Director in Los Angeles to lead Intensive Case Management and Utilization Management operations. You will oversee a team while ensuring regulatory compliance, driving operational excellence, and improving patient...- L.A. Care Health Plan in Los Angeles is hiring a Utilization Management Claims Review Nurse RN II responsible for conducting clinical reviews of medical claims. The position requires a minimum of 5 years in clinical nursing, with experience in Medi-Cal and Medicare managed...
- MedPOINT Management is hiring a UM Outpatient Licensed Clinician in Los Angeles, California. In this role, you'll be responsible for... ...current California RN or LVN license and 2+ years of experience in utilization management are required. Proficiency in Microsoft Office is...Work at office
$74.16 - $107.75 per hour
Description The Utilization Review Nurse is part of the Utilization Management Department at the Resnick Neuropsychiatric Hospital, supporting inpatient, partial hospital, and intensive outpatient programs. Performs clinical reviews with third party payors in order to...Work at office$116.3k - $264.6k
UCLA Health is seeking a leader for Intensive Case Management and Utilization Management programs in Los Angeles. This role involves supervising... .... The ideal candidate will have a Bachelor's in Nursing, RN licensure in California, and several years of experience...$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...Hourly pay$30 - $34 per hour
A health services company is seeking a Utilization Management Review Nurse in Monterey Park, CA. This hybrid role includes conducting reviews for inpatient admissions and outpatient procedures, ensuring compliance with regulations, and working collaboratively with the team...Hourly payWeekend work$116.3k - $264.6k
...UCLA Health is seeking an experienced Utilization Management Assistant Director to oversee Intensive Case Management and Utilization Management operations. This leadership role involves supervising a multidisciplinary team focused on high-risk patient populations while...- ...Veterans in Healthcare is seeking a Utilization Management Assistant Director – RN in Los Angeles, CA. This role entails overseeing Intensive Case Management and Utilization Management programs, mentoring a multidisciplinary team, and ensuring compliance with healthcare...
- Neuehealth is seeking a Concurrent Utilization Review Nurse in Los Angeles, CA. This vital role involves conducting real-time clinical reviews... ...ensure the medical necessity of healthcare services under managed care health plans. Responsibility includes collaborating with...
$74.16 - $107.75 per hour
UCLA Outpatient Clinics is seeking a Utilization Review Nurse for its Utilization Management Department at the Resnick Neuropsychiatric Hospital in Los Angeles, California. This role supports inpatient, partial hospital, and intensive outpatient programs by performing clinical...Hourly pay$88.85k
...Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established...Full time$110k
Overview The Nurse Clinical Supervisor, UM Denial Compliance oversees the denial process within the utilization management (UM) department, ensuring that all denials are handled efficiently, accurately, and in full compliance with regulatory, accreditation, and health plan...Casual workRelocation package$54.32 - $89.63 per hour
PIH Health Hospital is seeking a UM Manager in Downey, California, responsible for overseeing operations of the Utilization Management department. This role requires a focus... ...California RN License and a bachelor's degree in nursing, along with a minimum of two years'...Hourly pay- ...Registered Nurse - ICU Duration:26 Weeks Start:12/27/2024 Job Type: Travel... ...coordinates care with other disciplines while utilizing critical thinking, professional and... ...Diversity, Equity, and Inclusion (DEI). We have managed and Implemented Talent Acquisition and...Contract workWork experience placement
- ...Registered Nurse - ICU Duration: 26 Weeks Start: 12/27/2024 Job Type: Travel Minimum... ...coordinates care with other disciplines while utilizing critical thinking, professional and... ...Diversity, Equity, and Inclusion (DEI). We have managed and Implemented Talent Acquisition and...Contract workWork experience placement
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