Utilization Review Nurse jobs in Los Angeles, CA

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PreService Review Nurse - Work from home anywhere in US
UnitedHealth Group 2,135 reviews - Cypress, CA
Perform utilization and concurrent review using Milliman criteria. Utilization management, prior authorization, and case management experience....
Sponsored by UnitedHealth Group
Utilization Review - Managed Care Nurse - (UL RN)
NursesRx 12 reviews - Los Angeles, CA
Utilization Review - Managed Care Nurse - (UL RN). As a critical member of the hospital staff, the utilization review nurse is also responsible for:....
Sponsored by NursesRx
RN - Registered Nurse - Utilization Review
Core Medical Group 25 reviews - Los Angeles, CA
CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses....
Sponsored by NurseJobsNationwide.com

Nurse Medical Mgmt I/ll/Sr RN

Anthem, Inc. 617 reviews - Woodland Hills, CA
Previous Utilization Management experience is strongly desired. Conducts pre-certification, continued stay review, care coordination, or discharge planning for...

RN, Care Manager

HealthCare Partners 88 reviews - Los Angeles, CA  +3 locations
Previous care management, utilization review or discharge planning experience. We are currently seeking a Registered Nurse, Care Manager:....

Utilization Management - Inpatient Nurse

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

Remote Case Manager - Case Management Resource Center

Adventist Health Southern California Network - Glendale, CA
Responsible for completing clinical review on all assigned patients and communicating the reviews timely to payors....

Nurse Medical Management I, II or Sr. - California - 106443S...

Anthem, Inc. 617 reviews - Glendale, CA 91205
RN Nurse Medical Management I, II or Sr. Knowledge of the Continued stay review process and prior authorization preferred....

Care Review Clinician I

Molina Healthcare 155 reviews - Long Beach, CA
Hospital utilization management. Managed Care Utilization Management. Active, unrestricted State Licensed Vocational Nurse or Licensed Practical Nurse in good...

NCLEX RN Faculty PT Los Angeles Area

Kaplan 642 reviews - Los Angeles, CA  +3 locations
Current, unencumbered license as a Registered Nurse. Understanding & application of Kaplan methodology with appropriate utilization of the Faculty Manual....

Ambulatory Case Manager

Providence Health & Services 169 reviews - Mission Hills, CA 91346
The ambulatory nurse case manager prepares cases for weekly UM committee and Clinical Case reviews at several Facey sites....

Patient Care Coordinator RN

Saratoga Medical Center - Los Angeles, CA
BLS, Interqual Utilization Review Strongly Prefer:. Nurses, physicians, nurse practitioners, wellness/fitness specialists, emergency medical technicians,...

Medical Case Manager - Workers Compensation - Broadspire Ser...

Broadspire 26 reviews - Los Angeles, CA
Nurse, insurance, employee health, office nurse, return to work, injured. Nurse, field case manager, occupational health....
Registered Nurse - RN Clinical Documentation Specialist
The Brandman Centers for Senior Care 2 reviews - Reseda, CA
Reviews staff documentation evaluation. Review clinical assessment and treatment plan. Previous Case Management or Utilization Management experience....
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Sponsored by The Brandman Centers for Senior Care
Manager, Utilization Management RN
L.A. Care Health Plan 16 reviews - Los Angeles, CA
Operations, reporting, and staff management of utilization review, case management, and coordination of linked and carved out service functions....
Sponsored by L.A. Care Health Plan

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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