Utilization Review Nurse jobs in Los Angeles, CA

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Utilization Review Nurse
HealthCare Support Staffing 26 reviews - Encino, CA
Registered Nurse or Licensed Vocational Nurse and live near Encino 5 years minimum nursing experience Must have experience in utilization review from another... $65,000 - $85,000 a year
Easily apply
Sponsored by HealthCare Support Staffing - 3 days ago
Utilization Review - Managed Care Nurse - Travel (UL RN)
NursesRx 8 reviews - Anaheim, CA
regulations. Utilization review nurses assist in... One of the most crucial roles of the utilization review nurse is to ensure that the needs of the patient...
Sponsored by NursesRx - 19 days ago

Utilization Management - Inpatient Nurse

AltaMed Health Services Corporation 2 reviews - Los Angeles, CA 90012
The Nurse, Utilization Management - Inpatient (UMI Nurse), may provide daily care coordination, case management, coaching, consultation and intervention to...
3 days ago - save job - block - email - more...

RN, Care Manager

HealthCare Partners 64 reviews - Los Angeles, CA - +2 locations
We are currently seeking a Registered Nurse, Care Manager:. Responsible for ensuring the continuity of care in both the inpatient and outpatient setting...
4 days ago - save job - block - email - more...

Care Management Transition of Care Nurse Specialist

L.A. Care Health Plan 8 reviews - Los Angeles, CA
The CM Transition of Care Nurse Specialist is primarily responsible for the overall coordination of the care transitions for the L.A....
3 hours ago - save job - block - email - more...

CONCURRENT REV NURSE

Cap Management - Encino, CA
The Concurrent Review Nurse conducts concurrent review, discharge planning and accepts the responsibility for cost-effective resource utilization and timely...
Tenet Healthcare - 1 day ago - save job - block - email - more...

Utilization Review Nurse

Motion Picture Industry Pension & Health Plans - Studio City, CA 91604
The Utilization Review Nurse is responsible for resolving preauthorization requests and medical claims issues to ensure that appropriate care has been or will...
Monster - 6 days ago - save job - block - email - more...

CLINICAL NURSE II

UCLA 132 reviews - Los Angeles, CA
Under the supervision of the Assistant Medical Director, the nurse will perform multiple roles for the Arthur Ashe Student Health and Wellness Center including... $34.67 - $49.53 an hour
2 days ago - save job - block - email - more...

RN - Clinical Nurse 2 - PEP-C

UCLA Health System 14 reviews - Los Angeles, CA
This RN provides pre-operative evaluation and medical screening of patients having anesthesia for a surgery or procedure, by reviewing and evaluating internal...
6 days ago - save job - block - email - more...

RN Case Manager

Facey Medical Group 11 reviews - Mission Hills, CA
Ambulatory Case Manager reviews ambulatory referrals on all capitated patients. The referrals are evaluated for medical necessity using clinical guidelines....
4 hours ago - save job - block - email - more...

NURSE EVALUATOR II, HEALTH SERVICES

California State Personnel Board - Los Angeles, CA
General supervision from a Nurse Evaluator III. Performs utilization review in accordance with requirement set forth in the IHO Waiver program....
5 days ago - save job - block - email - more...

Appeals Nurse Consultant

Aetna 346 reviews - Woodland Hills, CA 91367
Responsible for the review and resolution of clinical documentation, clinical complaints and appeals. Reviews documentation and interprets data obtained from...
10 days ago - save job - block - email - more...
Beverly Hills Clinical Documentation Improvement (CDI) RN -...
CareNational Healthcare Services, LLC - Beverly Hills, CA
The Nurse performs the concurrent review and... provide and facilitate utilization review, continued stay reviews and utilization management of all cases... $90,000 - $114,000 a year
Easily apply
Sponsored by CareNational Healthcare Services, LLC - 25 days ago
Manager RN - Clinical Documentation Program
UCLA Health System 14 reviews - Los Angeles, CA
utilization management or prior chart review experience. Academic medical center experience highly preferred. Demonstrated experience in chart review working...
Sponsored by UCLA Health System - 30+ days ago
Clinical Document Specialist
UCLA Health System 14 reviews - Los Angeles, CA
documentation review experience Recent experience in care management, quality utilization or coding... regarding utilization review and discharge planning...
Sponsored by UCLA Health System - 30+ days ago

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Company with Utilization Review Nurse jobs
26 reviews
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