Registered Nurse (RN), Full Time and Part Time for Day Shift!
$71k - $151kColorwave Inc
Registered Nurse - Utilization Review
Location: Los Angeles, CA
Salary range: $71,000 to $151,000 /year
Hospitals on Incredible Health are actively hiring and accepting applications in the Los Angeles, CA area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review.
Shift(s) available: day shift
Job types available: full time and part time
Employer features: Best Places to Work recognition, Cross training, EAP, FSA, Medical, PTO, Retirement Plan
Qualifications:
RN Diploma degree or higher from an accredited school of nursing
Active and unencumbered Registered Nurse license in the state of California
Benefits:
~ Healthcare coverage: Medical, Dental, Vision
~401K
- Paid Time Off
- Tuition Assistance
Why Incredible Health You're in control Skip the endless applications. With us, the health system comes to you. Know where you stand in your job search, and choose interviews that fit your goals. With multiple offers, finding your perfect job just got smarter and faster. Real advocates We're on your team. Our dedicated Career Advocates work directly with you to fine-tune your profile, answer your career questions, and do interview preparation for a stress-free job search. Active listings, faster offers Say goodbye to dead-end listings, the waiting, and the ghosting. Our platform features real, updated job opportunities, refreshed hourly. More interviews, faster offers, and a job search that actually moves!
$71k - $151k
Registered Nurse - Utilization Review Hospitals on Incredible Health are hiring and accepting applications in the Los Angeles, CA area. Work Details Shift(s) available: day shift Job types available: full time and part time Qualifications RN Diploma degree or higher from...SuggestedFull timePart timeShift workDay shift$34 - $47 per hour
Astrana Health, Inc. is seeking a CA-licensed UM Review Nurse for a remote position assisting the Health Services Department. Responsibilities... .... Ideal candidates will have at least one year of outpatient Utilization Management experience and must be available for 5 shifts per...SuggestedRemote jobHourly payShift work$57.28 - $88.92 per hour
...Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to... ...commitment and mutual respect. Required Qualifications Nursing school graduate. California Registered Nurse License upon hire. 3 years of experience in...SuggestedDaily paidWork at officeLocal areaShift work- ...Job Description: Manager of Clinical Utilization Management - Denial Compliance Location... ..., managing daily tasks, performance reviews, and any necessary disciplinary... ...Qualifications: 1. Graduate from an accredited Registered Nursing Program; RN preferred. 2. Minimum of...SuggestedPermanent employmentFull timeTemporary workRemote workFlexible hours
$30 - $34 per hour
...A health services company is seeking a Utilization Management Review Nurse in Monterey Park, CA. This hybrid role includes conducting reviews for inpatient admissions and outpatient procedures, ensuring compliance with regulations, and working collaboratively with the...SuggestedHourly payWeekend work$88.85k
...Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position... ...determinations. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted...Full time- Air Combat Effectiveness Consulting Group, LLC in Monterey Park is seeking a Case Manager RN or LVN to join our Utilization Review Department. This per diem position involves coordinating care for patients, conducting admissions, and liaising with health plans to ensure...Daily paid
- ...Nurse Manager Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center.... ...to staff regarding utilization review, care coordination, discharge... ...services administration. ~ Registered Nurse License (California)...Local area
$74.16 - $107.75 per hour
...UCLA Outpatient Clinics is seeking a Utilization Review Nurse for its Utilization Management Department at the Resnick Neuropsychiatric Hospital in Los Angeles, California. This role supports inpatient, partial hospital, and intensive outpatient programs by performing...Hourly pay$71k - $151k
Incredible Health is seeking Registered Nurses for Utilization Review roles in Los Angeles, CA. Candidates should possess an RN Diploma or higher and an active license in California. The job offers both full-time and part-time positions. In addition to competitive salaries...Full timePart timeDay shift- Providence seeks a dedicated Registered Nurse in Los Angeles to provide utilization review and care coordination. You will be integral to ensuring quality, cost-effective healthcare. The role requires a Nursing school graduate with a California RN license, along with at...
$74.16 - $107.75 per hour
Utilization Review Nurse Work Location: Los Angeles, CA Job #: 30315 Work Hours: Monday-Friday 8am-4:30pm Employment Type: 4 - Staff- Limited Duration: 6 months Salary Range: $74.16-107.75 hourly Posted Date: May 15, 2026 Bargaining Unit: CNA - NX Job Duties The...Hourly payMonday to Friday- Astrana Health Management is seeking a CA-licensed UM Review Nurse to review outpatient medical services. Candidates should have 1+ years of outpatient Utilization Management experience, work remotely, and maintain availability for shifts 8 AM - 8 PM PST, Monday through...Remote jobShift work
- L.A. Care Health Plan in Los Angeles is hiring a Utilization Management Claims Review Nurse RN II responsible for conducting clinical reviews of medical claims. The position requires a minimum of 5 years in clinical nursing, with experience in Medi-Cal and Medicare managed...
$74.16 - $107.75 per hour
Veterans in Healthcare is looking for a Utilization Review Nurse to work in Los Angeles, CA. This role is part of the Utilization Management Department at the Resnick Neuropsychiatric Hospital and supports various treatment programs. The ideal candidate will perform clinical...Hourly payMonday to Friday- Rheumatology (MD/DO) Utilization Review - Remote Contract (1099) Apply for this independent contractor position with Medical Review Institute of America. Flexible Independent Contractor (1099) Opportunity Fully remote, 1-2 hours per week, no minimum commitment. Covered...Remote jobContract workFor contractorsFlexible hours
$27.61 - $53.83 per hour
...Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services... ...multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required...Hourly payContract workWork experience placementWork at office- ...Management as a Medical Claims Clinical Review Nurse in Sherman Oaks, CA, where you'll play... ...information and resolve discrepancies. Utilize clinical knowledge to assess the... ...policies and procedures. Requirements: Registered Nurse (RN) license in California is...Remote work
$47.2 - $63.45 per hour
...perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,... ...work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license At least one year experience in case...Full timePart timeWork experience placementLocal areaShift work$37.6 - $78.35 per hour
...Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards and... ...Health Education & Disease Management Programs utilizing established interventions, performing necessary...Hourly payWork at office- ...hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient... ...the Hemodialysis Treatment Sheet. Reviews, transcribes, and enters physician lab... ...lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab...ReliefImmediate startShift work
- ...fifth consecutive Magnet designation for nursing excellence. From working with a team of... ...to complete initial and continued stay reviews in determining appropriate level of patient... ...Follow the UR process as defined in the Utilization Review Plan in accordance with the CMS...Daily paidSeasonal work
- The Utilization Management Policy Initiatives Nurse RN II, under the purview of the Utilization Management (UM) Department... ..., is responsible for managing, reviewing, updating and creating Healthcare... ...Licenses/Certifications Active Registered Nurse (RN) unrestricted...
$30 - $34 per hour
...Dr., Monterey Park, CA 91754 Compensation: $30.00 - $34.00 / hour Department: Health Services (HS - UM) Job Title Utilization Management Review Nurse About the Role Astrana Health is looking for a Utilization Review Nurse to assist our Health Services Department. This...Hourly payWork at officeMonday to FridayShift work$45.05 - $72.08 per hour
...Registered Nurse II, Oncology - The Angeles Clinic & Research Institute / 10HR Full-time. This... ...routine oncology patient populations. Reviews lab diagnostic data and incorporates... ...required (i.e., IV therapy equipment utilization, universal precautions, body mechanics...Full timeShift work$31.05 - $38.82 per hour
...goes beyond just a job; it's a calling that drives us forward every day. Job Overview The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests from all lines of business using respective national/state, health plan, and...Hourly payFlexible hours- ...Angeles, California. In this role, you'll be responsible for reviewing outpatient precertification requests and ensuring high-quality... ...current California RN or LVN license and 2+ years of experience in utilization management are required. Proficiency in Microsoft Office is...Work at office
$27.61 - $53.83 per hour
Molina Healthcare in Los Angeles, California is seeking a qualified candidate to provide support for clinical member services assessment processes. The role involves verifying medical necessity and ensuring compliance with clinical guidelines. Ideal candidates will have...Hourly pay- ...Clinical Nurse Reviewer As one of the fastest growing Independent Physician Associations in Southern California, our organization offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people...Work experience placementFlexible hours
- ...Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria, respective...Live inRemote workShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Registered Nurse (RN), Full Time and Part Time for Day Shift!. Be the first to apply!
- rn network Los Angeles, CA
- registered nurse on call Los Angeles, CA
- telephonic rn Los Angeles, CA
- travel or rn Los Angeles, CA
- labor and delivery registered nurse rn Los Angeles, CA
- pcu rn Los Angeles, CA
- full-time registered nurse rn Los Angeles, CA
- postpartum rn Los Angeles, CA
- new graduate rn Los Angeles, CA
- wound care rn Los Angeles, CA


