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- 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 job
$77.91k - $116.86k
Alignment Healthcare LLC is seeking a remote Inpatient Review Nurse to assist patients through the continuum of care while ensuring safety and quality. The role... ...and candidates must hold an active California LVN or RN license. The salary range is $77,905.00 - $116,858....SuggestedRemote jobFull timeMonday to Friday- A senior living community is seeking an RN/LPN as a Wellness Director to lead and manage the health of residents. Responsibilities include overseeing clinical... ...leadership and a strong understanding of quality care and life objectives within assisted living environments...Suggested
- Job Overview The LPN Medication Care Manager is responsible for providing the highest degree of quality... ...in a safe organized manner. Review, read, notate, and initial the electronic... ...medications are passed according to times utilizing a mobile medication cart. Document...SuggestedLocal areaImmediate startShift 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- ...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
- ...California is seeking an energetic Ambulatory Case Manager to join their interdisciplinary team. This role focuses on facilitating patient care through effective care coordination and... ...regulations. Candidates should have an LVN/RN license and at least 3 years of case...
- 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
- ...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- ...healthcare provider in California is seeking a PM House Supervisor/RN to oversee nursing operations in a psychiatric facility. This... ...will exhibit strong leadership skills and ensure quality patient care. Competitive opportunities for advancement are available. #J-1880...
$42.75 per hour
...community health center is seeking a Registered Nurse - Clinical - Level I (RN I) to provide patient care. Key responsibilities include triage assessments, patient documentation, and managing clinic operations. Candidates must hold a valid RN license for California and...Hourly pay$34.47 - $55.14 per hour
Care Manager - LVN page is loaded## Care Manager - LVNlocations: Home Office - Californiatime... ...knowledge and skills in areas of utilization management, medical necessity, and patient... ...determination. Conducts pre-service and concurrent review following established guidelines....Hourly payFor contractorsRemote workHome office$75k - $90k
RN / LVN Regional Clinical Liaison We are seeking a RN / LVN Regional... .... As a Physician Practice Manager, you will be assigned SWC providers... ...new markets for Skilled Wound Care. Responsibilities Acquire new... ...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- 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...
- ...Description**General Summary:** The LVN Case Manager focuses on providing quality and continuity of care for our patients while reducing utilization costs. Responsibilities for this... ...accurate database of GMG High Risk patients. Review High Risk census weekly to ensure it...Work at office
$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$96.35 - $111.14 per hour
...Overview The Clinical Nurse (CN) is an RN who provides hands‑on care to patients, practicing in an... ...family the knowledge and skills needed to manage their care and prevent complications.... ...Management and Delegation: Learns and utilizes the available technology for communication...Hourly payPart timeWeekend work- ...State and Federal guidelines. Management responsibility includes the hiring... ...overseeing the provision of care by licensed and non‑licensed... ...orientation and serves as a role model. Utilizes leadership skills to promote a... ...with a current California LVN/RN license in good standing with...Full timeLocal areaImmediate startFlexible hoursShift work
- ...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...
- ...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
$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- 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...
$96.35 - $111.14 per hour
...Overview The Clinical Nurse (CN) is an RN who provides hands‑on care to patients, practicing in an... ...family the knowledge and skills needed to manage their care and prevent complications.... ...Management and Delegation: Learns and utilizes the available technology for communication...Hourly payFull time$43.28 - $71.14 per hour
...a difference. Shasta Regional Medical Center is a 226-bed acute care facility serving Northern California. The hospital offers a comprehensive... ...family. For more information, visit Responsibilities The PACU RN is accountable directly to the OR Charge Nurse and the Director...Full timePart timeWork experience placementLocal areaShift work$33.53 - $41.39 per hour
..., provides program planning development, review, and assessment of clinical and administrative... ...2) years of LVN/LPT experience in health care environment. One (1) year of supervisory... ...of new staff members. Makes use of management practices that include empowerment of staff...Hourly payLocal areaShift workNight shiftWeekend work$75k - $90k
Skilled Wound Care is looking for an RN / LVN Regional Clinical Liaison with a healthcare background. The successful candidate will work with the... ...targets, and growing existing accounts. Qualifications include an LPN or RN license, long-term care experience, and strong...- Concordia Lutheran Ministries and Affiliates is seeking a Nurse Liaison (RN or LPN) to coordinate home healthcare services. The role includes conducting patient assessments, maintaining documentation, and collaborating with referral sources. Applicants must be licensed...
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