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
$27.61 - $53.83 per hour
...Provides support for clinical member services review assessment processes. Responsible for... ...through integrated delivery of care across the continuum. Contributes to overarching... ...the Molina care model. Adheres to utilization management (UM) policies and procedures. Required...SuggestedHourly payContract workWork experience placementWork at office$26.35 - $39.53 per hour
...high-quality, coordinated care. By uniquely aligning... ...Summary The Concurrent Utilization Review (UR) Nurse is... ...provided to members under a managed care health plan. This... ...Education: Registered Nurse (RN) or Licensed Vocational/Practical Nurse (LVN/LPN) with an active,...SuggestedHourly payWork at officeRemote work$85.7k - $128.54k
...the mold in conventional health care, committed to serving seniors and... ...opportunities for growth and innovation. Utilization Management Nurse Lead Responsibilities Reviews reporting to assign tasks to UM... ..., valid, and unrestricted LVN or RN license in California (Non-...SuggestedRemote jobImmediate start$26.35 - $39.53 per hour
Job Summary The Concurrent Utilization Review (UR) Nurse is responsible for conducting... ...provided to members under a managed care health plan. This role involves... ...Education: Registered Nurse (RN) or Licensed Vocational/Practical Nurse (LVN/LPN) with an active, unrestricted California...SuggestedHourly payWork at office- ...Alignment Healthcare LLC is seeking a Lead Utilization Management Nurse, responsible for reviewing inpatient service requests while leading a team of UM Nurses... ...communication skills and a valid California LVN or RN license. The role includes mentoring and training, along...SuggestedRemote work
$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...Hourly payRemote work$26.35 - $39.53 per hour
NeueHealth is seeking a Concurrent Utilization Review Nurse responsible for real-time clinical reviews to ensure the medical necessity of healthcare services. The role includes conducting assessments, coordinating with providers, and collaborating with the Medical Director...Remote jobHourly pay- ...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...Temporary workLocal areaMonday to Friday
$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- ...RN Clinical Staff Nurse - EmPATH - Full Time Nights $7 differential... ...of nursing and the management of patient care. Reporting to the EmPATH... ...as a problem‑solving model; utilizing knowledge and experience to... ...positive patient outcomes. Reviews all orders on patients, communicates...Hourly payFull timeLocal areaShift workNight shift
- ...professional Registered Nurse (RN) responsible for excellence... ...of nursing and the management of patient care. Reporting to the Manager of... ...as a problem solving model; utilizing their knowledge and experience... ...patient population. Reviews all orders on patients and...Hourly payFull timeLocal areaShift 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,...Hourly payFull timeRelocation 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
- ...to work with an agency that honors and cares for its clinicians, with the strong communications and teamwork... ...: Licensed as a Registered Nurse/RN Valid Driver's License and reliable vehicle... ...comfort and quality of life Keep Case Manager informed of all changes in condition...Daily paidReliefWeekend work
- ...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
$35 - $50 per hour
...Description Summary The LVN Care Coordinator is responsible for... ...patient care is coordinated and managed appropriately. The LVN Care... ...Receives case referrals. Reviews available patient information... ...care needs. Assigns appropriate clinicians to case. Reviews and evaluates...Immediate startMonday to Friday- 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
$65 - $71 per hour
...Description MMG Marina - Primary Care Pay Range: $65-$71 The Primary Care Ambulatory RN serves as a clinical partner to... ..., telephone triage, and disease management. The Ambulatory RN comprehensively... ...-based care plans. This role utilizes clinical judgment, data, and evidence...- 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...
$37 - $47 per hour
## LVN or RNApplylocations: Lincoln Meadows Care Centertime type: Full timeposted on: Posted Yesterdayjob requisition id: JR170669## LVN / RN Nurse – Full Time** Lincoln Meadows Care Center** ** $37–$47/hour DOE**Are you a compassionate and dedicated LVN or RN looking to...Full timeLocal area- ...Position Summary The LVN/LPN will provide patient care and assist in the collection... ...the direction of an RN, mid-level practitioner,... ...ascertaining clinical medication management with Registered Nurses,... .... Provide assistance to Utilization Review in communicating...Night shift
$46.6 - $77.67 per hour
...of your career. Option Care Health, Inc. is the... ...members including 5,000 clinicians, we work compassionately... ...documentation of education utilizing OCH applications and... ...scheduling, performance reviews, discipline, etc.)... ...unrestricted Registered Nurse (RN) license required....Part timeLocal areaRemote workFlexible hoursWeekend work$57.53 per hour
...making a difference.Shasta Regional Medical Center is a 226-bed acute care facility serving Northern California. The hospital offers a... ...their family. For more information, visit Responsibilities The PACU RN is accountable directly to the OR Charge Nurse and the Director...Daily paidWork experience placementLocal areaShift work$48 - $58 per hour
...Ramp Health is seeking RN and LPN professionals for PRN vaccination positions in California. As part of our team, you'll administer vaccines, conduct biometric screenings, and join our mission to provide top-tier health services. Enjoy flexible scheduling to balance your...Hourly payReliefFlexible hours- ...RPN) to join our senior care team. The RPN will work... ...meals as required. Review the 24-72 hour report at... ...nursing staff under the RN’s direction. Collaborate... ...control practices and utilize the Infection Control Surveillance... ...coordination, time management, and customer‑focus...Part timeWork at officeImmediate startShift work
$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- ...where we're passionate about transforming care for individuals with complex needs. We’re... ...We're seeking an exceptional LVN Case Manager (internal title: Clinical Lead Care Manager... ...health care professionals (e.g. PCP, etc.) Utilize evidence-based practices, such as...Local areaImmediate startRemote workMonday to FridayWeekend workAfternoon shift
- ...patients and families after hours. You will plan, organize, and direct hospice care, as well as coordinate with healthcare professionals to address patient needs. The ideal candidate will have a valid RN license, a minimum of two years’ experience, and a commitment to quality...Daily paidRelief
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