Utilization Review Nurse jobs in Los Angeles, CA

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Utilization Management RN - Nationwide Posting
Registered Nurse, RN, RN Case Manager, Utilization Manager, Utilization Review RN, Concurrent Review RN, Telecommute, Telecommuting, Work From Home, UM Nurse,...
Manager, Utilization Management
FamilyCare Health - 6 reviews - United States
Provide department direction and leadership through the Supervisor, Utilization Review. Concurrent review experience....
RN Medical Management Consultant - Southern California
Medical consultant, utilization management, RN, registered nurse, case management, prior authorization, concurrent review, managed care, CA, California,...

Sr. Manager of Medical Review

HMS - 460 reviews - Los Angeles, CA
The Medical Review Manager provides leadership to a team of medical review nurses to perform prepayment, post payment, and onsite medical record reviews....
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Utilization Management Specialist

L.A. Care Health Plan - 25 reviews - Los Angeles, CA 90017
Registered Nurses (RN) graduate; Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent post-service and retrospective...

RN Utilization Review

D) Utilization review. Nursing/Registered Nurse (RN, ASN, BSN, MSN). A professional nurse (RN) assigned to conduct assessments for appropriateness of admission,...
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Clinical Documentation Improvement Specialist - Long Beach,...

UnitedHealth Group - 3,781 reviews - Long Beach, CA
Provides expert level review of inpatient clinical records within 24-48 hours of admit; Ensures effective utilization of Midas or OptumĀ® CDI 3D Technology to...

Case Management Assistant Sr. CA-Woodland Hills

Health Net, Inc. - 572 reviews - Woodland Hills, CA 91367
Gathers medical information to assist nurses in the review process. Utilization review, case management, or prior authorization, preferably in a managed care...

Remote Case Manager - Case Management Resource Center

Adventist Health Southern California Network - Glendale, CA
Reviews the utilization of resources and works to reduce unnecessary lengths of stay and the over utilization of hospital services....

Nurse Auditor - RN

Alta Hospitals System, LLC - Los Angeles, CA
Reviews charge-related patient grievances; Two years experience performing utilization review, charge audit, case management or similar functions in an acute...
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Case Manager - RN

$29.50 - $46.48 an hour
D) Utilization review. A professional nurse (RN) assigned to conduct assessments for appropriateness of admission, continued stay and to prepare the patient for...
Easily apply

UM Nurse Consultant

Aetna - 1,562 reviews - Woodland Hills, CA
Utilization Review and/or Managed Care experience preferred. Nursing/Registered Nurse is required. Functional - Clinical / Medical/Concurrent review / discharge...

RN Care Coordinator (Full Time/Evenings)

California Hospital Med Center - 665 reviews - Los Angeles, CA 90015
Registered Nurse in the State of California. 3 -5 years prior Utilization Management/Case Management experience....
Manager, Medical Management
Operations, reporting, and staff management of utilization review, case management, and coordination of linked and carved out service functions....
Out-Of-Network Utilization Management RN
Out-of-Network Utilization Management Nurse (RN). Applies utilization management skills in day to day reviews using approved medical necessity criteria....
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Company with Utilization Review Nurse jobs
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier
Utilization Review Nurse salaries in Los Angeles, CA

$72,819 per year

3.8% lower than national average


Salary data based on 2 employees and 17 jobs