Care Review Clinician (RN/LPN) - Utilization Management
$27.61 - $53.83 per hourMolina Healthcare of Illinois
Molina Healthcare is seeking a dedicated professional to provide support for clinical member services in California. The role includes assessing services to ensure compliance with regulations and optimizing member outcomes through effective collaboration and review processes. Candidates should have at least 2 years of relevant healthcare experience, strong communication skills, and proficiency in Microsoft Office. The position offers a competitive pay range of $27.61 - $53.83 per hour, depending on experience and qualifications. #J-18808-Ljbffr Molina Healthcare
$85.7k - $128.54k
The Supervisor, Utilization Management (UM), reports to the Manager... ...pre‑service and claims reviews. Supervise licensed... ...Promote quality patient care outcomes while supporting... ...orient, and train UM clinicians and coordinators.... ...valid, and unrestricted RN or LVN license in California...SuggestedRemote jobLocal area$30 - $34 per hour
A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active... ...in California and have experience in outpatient utilization management. Responsibilities include approving or denying medical services...SuggestedRemote jobHourly pay- ...Nursing Services that provides care and services to residents in a... ...Graduate of an accredited RN school of nursing. Current nursing... ..., and emotional well‑being utilizing the nursing process of assessing... ...and ending of assigned shift. Reviews daily patient reports and...SuggestedShift work
$37.5 - $40 per hour
The Vital Care Case Manager is responsible for the assessment, treatment planning... ...Nursing Program. Current CA RN, or LVN license, current CPR... ...experience. 2-3 years of utilization or HMO experience preferred.... ...healthcare team (concurrent review, pre-authorization, PCP/SPC,...SuggestedHourly payFull timeRelocation packageFlexible hours- ...coordinates high‑risk patient care (frail, chronic disease,... ...injury) in an ambulatory setting. Reviews referrals and applies the UM... ...eligibility and benefits. Monitor utilization of resources and readjust... ...plans. Orient providers to managed care and RMC goals and philosophies...SuggestedTemporary workLocal areaMonday to Friday
- ...differential on Saturdays and Sundays* Additional $3.40 per hour Direct Care Wage through September 2026* Additional $2.00 per hour for... .... Instructs nursing personnel in proper nursing techniques and utilizations of equipment, assist with orientation of new employees, directs...Hourly payFull timeTemporary workPart timeReliefShift workNight shiftDay shiftAfternoon shift
$48 - $58 per hour
RN and LPN PRN Flu Vaccination Positions Join to apply for the RN and LPN PRN Flu Vaccination... ...needed Bridge communication between our managers and clients with your people skills... ...Time Days 15K Sign On Bonus Ambulatory Care Center Registered Nurse (RN) Santa Monica...Hourly payFull timeReliefRelocation packageFlexible hours$30 - $35 per hour
Department: Enhanced Care Management (ECM) Reports To: Registered Nurse Clinical Case Consultant... ...medication reconciliation activities under RN supervision. Educate members regarding... ...pass a Motor Vehicle Report (MVR) review. Preferred Qualifications Experience with...Hourly payTemporary workWork at officeLocal areaRemote workMonday to FridayFlexible hoursAfternoon shift- A long-term care facility in California is seeking a Charge Nurse to oversee resident care and manage nursing staff. Responsibilities include planning and coordinating care plans, supervising nursing personnel, and ensuring the well-being of residents. Candidates should...Full timePart timeNight shiftAfternoon shift
- Psychiatric Medical Care, LLC is seeking a compassionate RN or LPN to join their Intensive Outpatient Program in Quincy, California, focusing on mental health support for older adults. This role involves collaboration with a healthcare team and community engagement. The...Full timeMonday to FridayShift work
$75k - $90k
...These are some of Skilled Wound Care's core values; we are seeking... ...Skilled Wound Care is looking for a RN / LVN Regional Clinical Liaison... ...potential by developing and managing accounts. If you have... ...stipend Qualifications And Skills LPN or RN license required Experience...$2,671.2 - $3,579.2 per month
...(PHF) is seeking nurses (RN) to provide direct client care to patients receiving inpatient... ...administration, managing admissions and discharges,... ...required; organize, assign, review and evaluate staff work on... ...infectious disease knowledge; utilization of documentation standards...Hourly payPermanent employmentFull timePart timeWork at officeTrial periodShift work- Description We’re hiring a compassionate RN or LPN to join our established Intensive... ...You’ll work alongside a collaborative care team providing compassionate mental health... ...the country's largest Behavioral Health Management companies. Why work with PMC? Because PMC...Hourly payFull timeLocal areaImmediate startMonday to Friday
- A leading healthcare provider in Missouri is seeking a Vital Care Case Manager responsible for assessment, treatment planning, and managing high-risk members. This role involves collaborating with healthcare professionals to create care plans that meet the medical and psychosocial...
$27 - $32 per hour
6AM City, LLC is hiring RN, LVN, or LPTs for their substance use disorder treatment team. Positions available at full-time residential... ...Ana, and Beverly Hills. The role involves comprehensive patient care and support in a nurturing environment aimed at helping clients attain...Hourly payFull time- ...passionate about delivering high-quality patient care. We accept Medicare, Medi-Cal, Tricare,... ...Licensed Vocational Nurse (LVN) - Care Management works under the supervision of a... ...the patients monthly according to their clinician’s plan of care. Responsibilities Maintain...Full timeRemote workHome office
$37 - $47 per hour
Rehabcentre is hiring a Full-Time Licensed Vocational Nurse (LVN) or Registered Nurse (RN) at Lincoln Meadows Care Center in California. We seek compassionate professionals ready to provide high-quality care in our skilled nursing environment. Enjoy competitive pay, supportive...Full time- ...nurse to work with students in California. The role involves managing care for children with chronic health conditions, communicating with... ..., and providing first aid. Candidates should have a valid RN or LPN license in New York and ideally be CPR/BLS certified. The position...Flexible hours
- ...safe, efficient, and high-quality patient care in alignment with the standards of the... ...and Psychiatric Technicians, while also managing key administrative functions that support... ...support efficient practice operations. Review and approve staff timesheets, conduct performance...
$55 - $75 per hour
Job Description RN, LVN CNA Continuity Care Home Nurses is actively recruiting for RNs, LVNs, and CNAs with our growing patient base. You will be working in the home providing care to our clientele many of whom have special skills including brain injury, paraplegic patients...Flexible hours- A community health organization in California seeks a Home Care Coordinator to provide nursing services and oversee care for seniors. Responsibilities... ...on participants' care plans. The ideal candidate must hold an LPN license, have experience with elderly populations, and be CPR...
- A health care organization is seeking a Registered Nurse for a full-time position with 36 hours per week, featuring three 12-hour night... ...graduated from an accredited nursing program and possess a valid RN license and BLS certification. The role offers a comprehensive benefits...Full timeNight shift
- Responsibilities Provide a monthly care management conversation through outbound phone calls to assigned patients to address their healthcare... ...equipment such as computers and phones. Required Education LPN/LVN degree from an accredited nursing program. We are looking...Full timeWork at officeRemote workMonday to FridayDay shift
- ...condition, and providing ongoing continuity of care. Working as part of a team, the nurse... ..., 40‑hour weekly position, days only. Utilizes clinical knowledge to determine actions necessary... ...’ needs primarily by telephone or review of documentation. Effectively collaborates...Full timeTemporary workFlexible hours
- Nazareth Living Care Center in California is looking for a compassionate Licensed Vocational Nurse (LVN). You will provide direct nursing care under supervision, ensure compliance with nursing standards, and oversee nurse aides. Candidates must have an active nursing license...
- ...ODCHC) provides skilled nursing care to patients under the supervision of a Registered Nurse (RN). The LVN II plays an essential... ..., and co-visits with RN.* Utilizes resource schedule in clinic to... ...according to ODCHC Protocols.* Manages tasks in their EHR inbasket and...Hourly payWork at officeLong distance
$35 - $40 per hour
...compassionate, patient-centered care to individuals at the end of... ...provide skilled nursing support, manage symptoms, administer... ...supportive team culture. We value our clinicians and foster an environment... ...team comprised of a physician, RN, CNA, HHA, social worker, chaplain...Hourly payInterim roleReliefLocal areaFlexible hours$2,000 per week
...delivering excellent patient care. Why LVNs Choose Nextaff Competitive... ...for bringing in strong clinicians A responsive team experienced... ...Perform nursing tasks under RN/Provider supervision within LVN... ...protocols Support chronic care management and follow-up care Assist...Weekly payContract workFor contractorsFlexible hours$38 - $41 per hour
...Tuition Assistance. Talent development reviews and growth opportunities. Commuter Reimbursement... ...is responsible for the overall nursing care/service on their shift, including the... ...indicated. Principal Duties Assists the RN supervisor and/or supervises and oversees...Hourly payDaily paidShift work$45 - $60 per hour
...b. Conduct basic hygiene and nursing care, including administration of prescribed... ...the Primary Care Provider (PCP) or RN in a timely manner; d. Provide patient... ...jobs in California, United States . Utilization Management Nurse, LVN/LPN (Work from home) LICENSED VOCATIONAL...Full timeContract workTemporary workPart timeFor contractorsRemote workWork from homeRelocation packageShift work
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