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$21 - $32 per hour
...The Utilization Management (UM) Coordinator provides MSO referral management services. The UM Coordinator serves as a liaison between members physicians... ...and gathering information. Position is responsible for reviewing and processing requests for authorization and...SuggestedWork at office$3,579 per week
...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 12/10/2025 ~ Duration: 13 weeks...SuggestedHourly payWeekly payContract workFor contractorsShift workGQR Healthcare
Los Angeles, CA1 hour agonew- ...multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum,... ...prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing...SuggestedWeekend work
- ...Description Imperial is currently seeking a Registered Nurse with 2 to 3 years of clinical nursing background and 2 to 3 years of Utilization Review experience. The ideal nurse for this role would also be proficient in conducting peer-to-peer meetings, mitigation of denials...SuggestedImmediate start
Imperial Health Plan of California, Inc.
Pasadena, CA15 days ago $80k - $100k
Overview Position Overview: The Utilities Coordinator III/Virtual Design and Construction (VDC) works closely with the BIM Manager and the Los... ...may include, but is not limited to, the following activities: Review and upload equipment data from completed As-Builts to CMMS...Suggested$129k - $184k
Join to apply for the Senior Utility Coordinator role at HDR 1 day ago Be among the first 25 applicants Join to apply for the Senior Utility... ...client deliverables, utility exhibits, project guides, project reviews, project invoices, expense reports and project monitoring/...SuggestedFull timeTemporary workPart timeFor subcontractorWork at officeLocal areaRelocation$19 - $30 per hour
Join to apply for the Utilization Management Inpatient Coordinator role at Preferred IPA of California 3 days ago Be among the first 25 applicants Join... ...case manager. Issuing approval letters for admissions Reviewing hospital discharge orders received for completeness...Suggested16 hoursFull timeContract workTemporary workWork at office- Overview Third Party Utility Coordinator job at Terravanta Inc. Los Angeles, CA. If you like to innovate, are self-reliant with a strategic... ...Interface Managers in other efforts, as required. Prepare and review technical reports and written correspondence. Review general...SuggestedContract workFor contractorsLocal areaRemote workMonday to FridayShift work
$2,246 per week
...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 12/01/2025 ~ Duration: 18 weeks...SuggestedFull timeContract workShift workGQR Healthcare
Los Angeles, CA4 days ago- ...Job Description LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Duarte, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 12/02/2025 ~ Duration: 8 weeks ~40...SuggestedWeekly payLong term contractPermanent employmentTemporary workWork at officeShift workNight shift
LanceSoft
Duarte, CAa month ago - ...Job Description Anders Group is seeking a travel nurse RN Utilization Review for a travel nursing job in Los Angeles, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 12/02/2025 ~ Duration: 13 weeks...SuggestedCasual workShift workNight shift
Anders Group
Los Angeles, CA15 days ago $8 per hour
...Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS Quality Management Location: Los Angeles, CA Employment Type: Travel/Contract Shift: Day (5x8 Hours) 8:00 17:00 Start Date: 2/24/2025 Job Duration: 13...SuggestedHourly payContract workRemote workShift workZenex Partners
Los Angeles, CA1 day ago- ...Customer Solutions Representative II Utilities Company Position Type:... ...inquiries, validating application data, coordinating service orders, and ensuring timely and... ...program databases (e.g., PV, SBP, MAR). Review submitted MSA applications for completeness...SuggestedTemporary workFor contractorsWork at officeRemote workShift work
Alura Workforce Solutions
Azusa, CA1 day ago - ...Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity with HMO, PPO, POS Preferred: * Managed care experience * Knowledge...SuggestedLocal areaRemote workWeekend work
Zenex Partners
Beverly Hills, CA2 days ago - ...We are looking for an MDS Coordinator to join our team! The MDS Coordinator completes MDS for all... ...placement Determine potential Resource Utilization Groups (RUGs) and expense associated with a potential admission Review all applications for admission, followed by...SuggestedPart timeShift workWeekend work
- ...hospital departments. Performs all tasks pertaining to the review, coordination, regulations, and policies and procedures for PIH Health’s... ...Organized in tracking and monitoring progress of assignments Utilizing contract management software Required Experience Required:...Contract workWork at officeShift work
$2,562 per week
...Anders Group is seeking a travel nurse RN Utilization Review for a travel nursing job in Los Angeles, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 12/02/2025 ~ Duration: 13 weeks ~40 hours per...Casual workShift workNight shiftAnders Group
Los Angeles, CA3 days ago$17 - $20 per hour
...Scan Coordinator is responsible for maintaining overall price integrity in their store. Perform cashier duties as needed. Focus on delivering... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.Superior Grocers
Pico Rivera, CA3 days ago$52.03 - $80.64 per hour
...the #1 ranked health care system in the United States, and the #19 ranked company in the country. J ob Summary The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and the appropriate application...Full timeLocal areaEmanate Health
Covina, CA1 day ago- ...place for you! Maersk Warehousing and Distribution USA LLC handles end-to-end warehousing and distribution logistics needs utilizing our strategic network of storage facilities. Our facilities are capable of receiving, storing, processing and dispatching cargo,...
Maersk Company Limited
Santa Fe Springs, CA1 day ago - ...and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Utilization Review Nurse Location(s): Los Angeles, CA Job Description: Ensuring appropriate, cost-effective, and high-quality...Shift work
Ampcus
Los Angeles, CA2 days ago - ...4 by U.S. News & World Report, is seeking a Full Time, MDS Coordinator-RN. This position develops, completes, and transmits resident... ...applies comprehensive knowledge of MDS processes, performs utilization reviews, and has knowledge of Quality Improvement and Care Planning...Full timePart time
HumanGood
Duarte, CA10 hours ago $55 - $60 per hour
...SUMMARY The Minimum Data Set (MDS) Coordinator is responsible for the MDS assessment process... ...responsible for determining Resource Utilization Group (RUG) levels and assisting with... ...to ensure goals are accomplished, review resident's progress, determine reimbursement...Work at officeDay shiftGrand Lodge, Masonic Homes & Acacia Creek
Covina, CA10 hours ago- ...Job Title: Care review Clinician | Utilization review nurse Location: 100% Remote in CA Duration: 06 months+ contract (Possibility of extension) Shift timings: Standard hours - 8:00 AM to 5:00 PM (Mon-Fri) Pay Rate - $47.14/hr on W2 Job Summary:...Contract workWork at officeRemote workShift work
Integrated Resources
Long Beach, CA4 days ago $75k - $85k
..., and be part of a fast-moving, game-changing organization that celebrates diversity and innovation. Job Summary The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and the appropriate application...Full timeRemote workWeekend workClever Care Health Plan
Huntington Beach, CA2 days ago$30.38 - $37.98 per hour
...future. Responsibilities Provide professional assessment and review for the medical necessity of treatment requests and plans.... ...documentation for all reviews in appropriate documentation software. Utilize guidelines in appropriate hierarchy. Guidelines include MCG...Hourly payTemporary workPart timeFlexible hoursPersonify Health
Los Angeles, CA1 day ago$45.83 - $61.61 per hour
...achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. Qualifications EDUCATION, EXPERIENCE...Full timePart timeWork experience placementLocal areaShift workAfternoon shift$29.21 - $42.95 per hour
...MDS Coordinator LVN (Subacute/Full Time/Days) Job Category: Licensed Vocation Nurse Requisition... ...Essential Functions: Assess and review, in collaboration with Pharmacy, Medical... ...with patients and family members. Utilizes white boards for patient communication....Hourly payFull timeShift workMemorial Hospital of Gardena
Gardena, CA2 days ago- ...Description The Registered Nurse (RN) Case Manager provides care coordination which emphasizes positive partnerships with nursing,... ...level of care and services. The RN Case Manager performs utilization review with a high level of expertise by using criteria that demonstrates...Full timeWork at officeShift work
PIH Health
Whittier, CA9 days ago - ...Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of... ...and appropriate community agencies. + Reviews, monitors, evaluates and coordinates... ...providing continuity of care, including Utilization management, Transfer coordination,...Local areaWeekend work
