Utilization Management Nurse: Care Coordination & Access
yourcommission
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 must have a BSN or MSN, a valid CA RN license, and at least 5 years of experience in psychiatric nursing. This position is vital for ensuring optimized patient flow and collaboration across teams. #J-18808-Ljbffr yourcommission
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Utilization Management Nurse: Care Coordination & Access in Los Angeles, CA vacancy
$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...SuggestedHourly pay- ...highest-quality medical care in Los Angeles. We... ...Doing The Case Manager is responsible for... ...their needs, coordinating care,... ...guidelines to conduct utilization review as is appropriate... ...transitioning to the Skilled Nursing Facilities, refers... ...into Nautilus (Access Express) no later...SuggestedDaily paidSeasonal workDay shift
Cedars-Sinai
Beverly Hills, CA3 days ago - ...Be Doing The Case Manager is responsible for... ...discharge from various care settings. In... ...assessing needs, coordinating care, and communicating... ...to Skilled Nursing Facilities, refer... ...information into Nautilus (Access Express) no later... ...appropriate utilization of medical services...SuggestedDaily paidSeasonal workDay shift
$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... ...-ensuring continuity of operations, timely access to care, and optimal bed utilization. Key Responsibilities...SuggestedWork at officeUCLA Health
Los Angeles, CA1 day ago- ...insurance Outpatient Case Management West Los Angeles VAMC 11301... ...We are seeking a Utilization Management Nurse to join our team! As a Utilization... ...that all patients under our care are receiving the necessary... ...and instructions regarding access to computerized files, release...SuggestedFor contractorsWork at officeImmediate startRelocation packageMonday to FridayFlexible hours
Presidential Staffing Solutions, LLC
Los Angeles, CA2 days ago - ...RN Utilization Mgmt, Full-Time Day POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety... ..., and the UM process. Coordinates care submission relating to the... ...~ Associates Degree in Nursing required. BSN preferred....Full time
Vivian Health
Pico Rivera, CA9 hours ago $116.3k - $264.6k
...Direct Jobs is seeking an experienced Utilization Management Assistant Director to lead Intensive Case Management and Utilization Management operations... ...team, ensuring high-quality patient-centered care while driving operational excellence and compliance with regulations...Direct Jobs
Los Angeles, CA1 day ago$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...yourcommission
Los Angeles, CA1 day ago$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...Case Management Society of America Inc
Los Angeles, CA1 day ago- ...Case Manager Care Coordinator The Case Manager Care Coordinator coordinates the care and service... ...through effective care coordination and utilization of healthcare resources in order to... .... Works closely with physicians, nurses, social workers, ancillary staff and...Daily paidNight shiftAfternoon shift
Cedars-Sinai
Los Angeles, CA3 days ago - ..., Level III Geriatric Care ED, STEMI Receiving Center... ...need. The ED Care Coordinator is a non-clinical team... .... Help patients access their health insurance... ...community-based case management, and other support services... ...accredited school of nursing required Bachelor...Daily paidSeasonal workFlexible hoursNight shiftAfternoon shift
Cedars-Sinai
Los Angeles, CA2 days ago - ...12065 Program: Nursing Department: Health... ...: Assistant Nurse Manager Shift... ...specialize in primary care for LGBTQ people and... ...(RN) the LVN Care Coordinator will collaborate with... ...patient access to healthcare. •... ...Increase the access and utilization of medical services...Hourly payFull timeWork at officeLocal areaTrial periodShift work
Los Angeles LGBT Center
Los Angeles, CA3 days ago $36.38 - $65.5 per hour
LTSS Service Coordinator-RN Clinician Virtual:... ...responsible for overall management of member's case... ...the member's care plan to meet the... ...and efficient utilization of health benefits... ...ensures the member's access to those services... ...MA/MS in Health/Nursing preferred. May...Full timeContract workTemporary workWork experience placementWork at officeLocal area$121.68k
...of the departmental management team as the RN Coordinator on the floor to provide... ...a team of triage nurses. In addition, as an... ...the Registered Nurse utilizes the nursing process... ...provide therapeutic care to patients and their... ...ability to access online manuals and...Full timeWork experience placementLocal area- ...Job Description Job Description Maximum is hiring a Nurse Care coordinator in the office to work full time monday to friday. Main job duties is to coordinate hospice care services between the patient, family, doctor and all providers. Training is paid and provided...Full timeWork at officeMonday to Friday
Maximum Palliative Care And Hospice
Los Angeles, CA26 days ago $88.85k
...Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management... ...(Max.) Established in 1997, L.A. Care Health Plan is an independent public... ...L.A. Care’s mission is to provide access to quality health care for Los Angeles...Full timeL.A. Care Health Plan
Los Angeles, CA1 day ago$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... ...running at optimal efficiency, and that all patients under our care are receiving the necessary treatments and procedures. The...Hourly pay$60.79 - $74.4 per hour
...quality of emergency care received by Health... ...Prospective utilization review activities... ...Outside Utilization Coordinators (Southern California... ...California Division) /Case Managers (Northern... ...Two (2) years of nursing experience in Emergency... ...or possible access to: (1) patients,...Full timeContract workTemporary workWork experience placementWork at officeLocal areaShift workAfternoon shiftKaiser Permanente
Downey, CA1 day ago$35 - $40 per hour
...of Hospice and Palliative Care, celebrating 25 years of service... ...Care Clinical Care Coordinator Licensed Vocational Nurse (LVN) This is a Field Position... ...assist them efficiently accessing hospice and/or palliative... ...careservices. Must be able to utilize computers and...Full timeRemote work$116.3k - $264.6k
...continued delivery of exceptional patient care. Take your career to the next... ...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...University of California
Los Angeles, CA1 day ago$88.85k
...Overview: Established in 1997, L.A. Care Health Plan is an independent... .... Care’s mission is to provide access to quality health care for Los... ...that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically...- The treatment nurse oversees and provides care for residents with wounds... ...in wound care management work with residents... ...Care and services: Coordinates, implements and monitors... .... Consults with, utilizes and initiates... ...no longer needing access to software programs...
- ...insurance Location: Outpatient Case Management West Los Angeles VAMC, 11301 Wilshire... ...Center. Job Summary: We are seeking a Utilization Management Nurse to join our team! As a Utilization Management... ...ensure that all patients under our care are receiving the necessary...Work at officeRelocation packageFlexible hours
$116.3k - $264.6k
...Clinics is looking for an experienced Utilization Management Assistant Director in Los Angeles. In... ...operations, ensuring high-quality patient care across complex populations. You will... ...outcomes through effective care coordination. The estimated salary range for this position...UCLA Outpatient Clinics
Los Angeles, CA1 day ago- Direct Jobs is seeking a Utilization Management Nurse in Los Angeles, CA, to support level-of-care determination and optimize patient flow. The Nurse will conduct utilization reviews, ensure timely access to care, and work closely with payors and the treatment team. The...
$74.16 - $107.75 per hour
Direct Jobs is seeking a Lead Charge Nurse in Santa Monica, California. The role involves clinical management and administrative duties, coordinating admissions, and collaborating with healthcare professionals to enhance patient experience. Ideal candidates will possess...Hourly pay$80k - $85k
...POSITION TITLE: Medical Coordinator / Licensed Vocational Nurse Manager REPORTS TO: Director of Recuperative Care LOCATION: Los Angeles... ...LVN Manager will: Utilizing your work experience and leadership... .... We are targeting Food Access, with an emphasis on...Work experience placementImmediate startFlexible hoursShift workNational Health Foundation
Los Angeles, CA5 days ago$58.5 - $96.53 per hour
...VAD Transplant Coordinator The VAD Transplant Coordinator provides nursing care as an RN to Ventricular Assistive... ...families who are managed with, or being considered... ...and tables, utilizing functions (formulas) and... ...with questions about access or requiring a reasonable...Hourly payFull timeWork experience placementLocal areaShift workNight shiftWeekend work$116.3k - $264.6k
...to-day leadership and oversight of Intensive Case Management (ICM) and Utilization Management (UM) programs Supervise and mentor a multidisciplinary team including Registered Nurses, Social Workers, and care coordination staff Oversee care coordination activities for...Work at officeUCLA Health
Los Angeles, CA1 day ago$51.09 - $70.07 per hour
A leading healthcare provider in Los Angeles is seeking a Registered Nurse to deliver coordinated nursing care and supervise nursing staff. The ideal candidate must have a Bachelor's in Nursing and RN licensure. Responsibilities include collaborating with healthcare teams...Full time
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