RN Utilization Management Specialist
Martin Luther King Jr. Community Hospital
Martin Luther King, Jr. Community Hospital is seeking a Registered Nurse for the RN Utilization Management position in La Mirada, California. This role involves coordinating patient care from admission to discharge and managing clinical denials while maintaining high quality and efficiency in healthcare services. Qualified candidates should have a Nursing degree, a California RN license, and at least 3-5 years of relevant experience in utilization or case management. Bilingual skills in Spanish are preferred to enhance communication with diverse patients. #J-18808-Ljbffr
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the RN Utilization Management Specialist in La Mirada, CA vacancy
- ...Martin Luther King, Jr. Community Hospital is seeking a skilled RN Utilization Management professional to function as a support liaison for various UM functions. The role involves coordinating care from admission to discharge, managing clinical denials, and ensuring adherence...Suggested
Martin Luther King Jr. Community Hospital
Huntington Park, CA4 days ago - ...Martin Luther King, Jr. Community Hospital is hiring an RN Utilization Management professional to coordinate patient care related to utilization management functions, including pre-authorizations and clinical reviews. This role demands a strong understanding of health...Suggested
Martin Luther King Jr. Community Hospital
Pico Rivera, CA3 days ago - ...Martin Luther King, Jr. Community Hospital is seeking a dedicated RN for the Utilization Management team. The RN UM will act as a liaison for various utilization management functions, coordinating care submissions throughout the healthcare process. The ideal candidate...Suggested
Martin Luther King Jr. Community Hospital
Lakewood, CA4 days ago $41.38 - $69.02 per hour
...RN Utilization Management Nurse (InPatient) – California HMO Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity...SuggestedFull timeTemporary workWork experience placementWork at officeLocal areaShift work1 day per weekElevance Health
Cerritos, CA3 days ago- ...Job Opportunity We are recruiting for an RN or LVN Case Management with strong UM skills. Utilization Management. Shift is 0800-1700. Strong UM Review nurses, LVN or RN Candidate MUST have UM Review experience, Aware of Turn-Around-Time for all Lines-of business, Familiar...SuggestedWeekly payDaily paidContract workFlexible hoursShift work
- The Simulation Operations Specialist (SOS) serves as a resource for various PIH Health clinical... ...and virtual reality systems, learning management systems, and audiovisual systems for... ...and ensures simulation operation and utilization within the Simulation Center and in‑situ...
- Octapharma Plasma, Inc. in West Covina, California is seeking a qualified healthcare professional to evaluate donor eligibility for plasmapheresis procedures. The role involves administering state-regulated immunizations and ensuring compliance with all operational and ...Flexible hours
$2,800 per month
...Offering Nursing Profession Registered Nurse Specialty Utilization Review Job ID 18027156 Job Title Utilization Review RN Weekly Pay $2800.0 Shift Details Shift 12 Hour Mid 11-11 Scheduled...Weekly payShift workOU Health (Parent)
Whittier, CA3 days ago$56 - $70 per hour
A leading healthcare organization is seeking a Utilization Review/Management Nurse in California. This role involves planning and overseeing daily utilization review operations and coordinating discharge planning for complex patients. Candidates must have a current Registered...Hourly pay$16.9 - $24.9 per hour
...premiums may apply if applicable criteria are met. The Parts Specialist will provide all retail and installer customers with a high level of service. This position will also support store management in the accomplishment of assigned tasks. Bilingual candidates...Hourly payMinimum wageLocal areaFlexible hoursO'Reilly Auto Parts
La Habra, CA22 hours ago$70.5k
...Purchase Specialist TAWA Services, Inc. is seeking a versatile Procurement Specialist to manage the end‑to‑end sourcing and purchasing process for both internal business needs and commercial products. This role supports a broad range of procurement categories, including...Full timeContract workWork at officeLocal areaOverseasWeekend workTawa Services, Inc.
Buena Park, CA3 days ago- Air 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...Daily paid
$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...Hourly payWeekend workAstrana Health
Monterey Park, CA1 day ago$73k - $156k
...domains in the interest of national security. Job Title: Sr Specialist, Category Management Job Location: Palm Bay, FL; Camden, NJ; Anaheim, CA;... ...maximum salary for each role in Colorado and/or US Remote, and utilize the USA3 salary range for roles posted in California. It...Local areaRemote workFlexible hours- ...implementation, revision and reporting of the case management program. Acts as a liaison between the... ...: Registered Nurse (RN) licensure in the state of practice: Required... ..., the appropriateness of resource utilization, consultations, treatment plan, estimated...Full timeWork experience placementWork at officeDay shift
- Responsibilities Manage multiple priorities and provide technical recommendations/solutions to complex problems encountered during the... ...Requests for Information (RFIs) and ensure timely responses. Utilize knowledge of construction safety principles and practices in...Contract workFor contractors
- ...Overview Milton Hershey School, a cost-free pre-K through 12th grade residential school, is seeking a Youth Development Specialist in the Education, Training & E-Learning department. This role supports students’ academic, social, and emotional growth through mentoring...Full time
Milton Hershey School
La Habra, CA22 hours ago $9,449 per month
...project controls systems. Working closely with engineers, project managers, and construction management staff, you'll help ensure... ...alteration projects. JOB SUMMARY : The Project Controls Specialist provides comprehensive project controls support to ensure capital...Full timeContract workFor contractorsWork experience placementWork at officeFlexible hoursLos Angeles County Sanitation Districts
Whittier, CA3 days ago$56 per hour
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/Management Nurse is also responsible in...Full timeLocal areaImmediate start$41.73 - $61.35 per hour
...position will provide safe and therapeutic management of patient care to adult and elderly behavioral health patients through utilization of the Nursing process, in adherence to the... ...better. Licenses & Certifications Required RN Registered Nurse AHA BLS Basic Life Supp Preferred...Daily paidTemporary workImmediate startShift workWeekend work$47.2 - $63.45 per hour
...service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the point... ...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 workPrime Healthcare
Lynwood, CA2 days ago- ...RN Case Manager Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission... ...for assigned patients. Partners with medical staff, utilizes scientific evidence for best practices, relevant data and compliance...Temporary workShift work
Care Navigators On Demand
Whittier, CA3 days ago - ...Job Summary The Registered Nurse (RN) Case Manager provides care coordination which emphasizes positive partnerships with nursing, physicians... ...level of care and services. The RN Case Manager performs utilization review with a high level of expertise by using criteria that...Work at officeShift work
PIH Health Hospital
Whittier, CA22 hours ago - ...implementation of District's policies, procedures and plans regarding cost management of capital projects with multiple funding sources Provide... ..., and risk assessment. Preferred Qualifications: Experience utilizing Microsoft Office, Advanced Excel Skills, Proliance, Data-...Contract workWork at office
- Archinect is seeking a professional with a BS/BA in Interior Design or Architecture for a role focusing on the analysis and monitoring of architectural and engineering drawings. The successful candidate should have 2 to 4 years of related experience, proficiency in software...
- Who We Are H Mart is the largest Asian supermarket chain in the United States and a pioneer in bringing Asian food culture to America. Since opening its first store in 1982, H Mart has grown to over 97 locations nationwide, offering a unique blend of authentic Asian groceries...For contractorsFlexible hours
- ...referring top talent to the Talent Acquisition Team and hiring managers. Installs, programs, test, repairs, and services a variety... ...manuals, schematics, and wiring diagrams, and repairs equipment, utilizing knowledge of electronics and using standard test instruments...Full timeRemote workWork from homeNight shift
Convergint
La Palma, CA3 days ago - Astrana Health Management is seeking a CA-licensed UM Review Nurse to review outpatient medical services. Candidates should have 1+ years of outpatient Utilization Management experience, work remotely, and maintain availability for shifts 8 AM - 8 PM PST, Monday through...Remote jobShift work
$31.93 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$80k - $90k
...Summary We are seeking a detail-oriented Project Accountant to manage the financial lifecycle of diverse construction projects ranging... ...accurate and timely tracking of project costs and revenues. Utilize Sage, Vista Viewpoint, and other accounting software to maintain...Work at officeLocal areaJobot
Anaheim, CA22 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Utilization Management Specialist. Be the first to apply!
Related searches
- labor and delivery registered nurse rn La Mirada, CA
- pcu rn La Mirada, CA
- full-time registered nurse rn La Mirada, CA
- clinic registered nurse rn La Mirada, CA
- rn ambulatory surgery La Mirada, CA
- nicu rn La Mirada, CA
- registered nurse night shift La Mirada, CA
- dialysis rn La Mirada, CA
- rn risk management La Mirada, CA
- rn hospice La Mirada, CA