Remote utilization review nurse jobs in Los Angeles, CACreate job alerts

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Posted job title: Case Management (Utilization Review). Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied he...

The role of the UM Nurse is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, identifying member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and re...

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Posted job title: Case Management (Utilization Review). Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and. What do we do? Medical...

Perform all functions of a UM nurse reviewer. Ensure the UM nurse reviewer has provided the appropriate reference for benefits, guidelines, criteria, or protocols based on the type of denial. Ensure that there is evidence that the UM nurse reviewer documented communications with the requesting pr...

TotalMed Case Management Staffing is seeking a travel nurse RN Utilization Review for a travel nursing job in Richmond, California. We are seeking a Utilization Review-Registered Nurse for an assignment in Richmond California. Posted job title: Registered Nurse-Richmond in California. ...

Do you thrive in a dynamic, fast-paced environment and enjoy the flexibility of travel nursing? If so, we have an exciting opportunity for you! We are seeking a dedicated Travel RN specializing in Utilization Review to join our team. Are you an experienced Registered Nurse (RN) with a passion for...

Job Title: Utilization Review Registered Nurse- Behavioral Health Unit/FT/Days . This Utilization Review (UR) Registered Nurse (RN) position supports the Mission of Pipeline Health through the provision of distinctive and compassionate care to our patients. This position is responsible for utiliz...

Astrana Health is looking for a Utilization Review Nurse to assist our Health Services Department. Complete prior authorization/retrospective review of elective inpatient admissions, outpatient procedures, post-homecare services, and durable medical equipment. ...

We’re seeking an exceptionally gifted, self-motivated leader with: * Current CA LVN licensure required * Two or more years of utilization review/utilization management experience in an HMO, MSO, IPA, or health plan environment * Previous clinical experience * Experience drafting and issuing compl...

Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to: TJC, DHS, HCFA, CMS, DMHC, NCQA and DOL. Two (2) years combined RN experience in an acute care setting or case management required. Completion of an accredited RN tra...

Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to: TJC, DHS, HCFA, CMS, DMHC, NCQA and DOL. Two (2) years combined RN experience in an acute care setting or case management required. Completion of an accredited RN tra...

Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to: TJC, DHS, HCFA, CMS, DMHC, NCQA and DOL. Two (2) years combined RN experience in an acute care setting or case management required. Completion of an accredited RN tra...

Consults with internal and external physicians, health care providers, discharge planners, and outside agencies regarding continued care/treatment or hospitalization or referral to support services or placement. In conjunction with the Physician, implements care/treatment plan by coordinating acc...

Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to: TJC, DHS, HCFA, CMS, DMHC, NCQA and DOL. Two (2) years combined RN experience in an acute care setting or case management required. Completion of an accredited RN tra...

Adventist Health is seeking a Registered Nurse (RN) NICU - Neonatal Intensive Care for a nursing job in Los Angeles, California. Registered Nurse (RN) licensure in the state of practice: Required. Provides learning opportunities for patients/family members and team members. Posted job title: rn, ...

Adventist Health is seeking a Registered Nurse (RN) NICU - Neonatal Intensive Care for a nursing job in Huntington Park, California. Registered Nurse (RN) licensure in the state of practice: Required. ...

Adventist Health is seeking a Registered Nurse (RN) Labor and Delivery for a nursing job in Los Angeles, California. Registered Nurse (RN) licensure in the state of practice: Required. Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN): Required. Provides learning opportunities...

Adventist Health is seeking a Registered Nurse (RN) NICU - Neonatal Intensive Care for a nursing job in Glendale, California. We are committed to the development and empowerment of our nurses and have received Magnet designation from the American Nurses Credentialing Center. Registered Nurse (RN)...

NeoGenCare is seeking a Registered Nurse (RN) Home Health Pediatrics for a nursing job in Los Angeles, California. Neogen Care is a will established Home Health Care agency with patients throughout the California Bay Area, Greater Los Angeles, Orange, Riverside, San Diego, San Bernardino and Vent...

Adventist Health is seeking a Registered Nurse (RN) NICU - Neonatal Intensive Care Lead for a nursing job in Los Angeles, California. Registered Nurse (RN) licensure in the state of practice: Required. Provides unit-based leadership working collaboratively with the Nurse Manager, Director, Physic...

NeoGenCare is seeking a Registered Nurse (RN) Home Health Educator for a nursing job in Los Angeles, California. The Neogen Care Clinical Educator is a Registered Nurse whose practice is clinical nursing education and who oversees required education, competency, training, and professional develop...

Registered Nurse - Case Manager. Case Manager Registered Nurse travel assignment. Client in Santa Monica, CA is looking for a Case Manager Registered Nurse to help them out for 13 weeks. Start your medical travel career with Fusion Medical Staffing and gain access to competitive pay packages, com...

TravelNurseSource is working with LRS Healthcare to find a qualified Case Manager RN in Eureka, California, 95534!. Ready to learn more? Apply today to start your Travel Adventure with LRS Healthcare!. LRS Healthcare has flexible travel RN jobs nationwide with top facilities. ...

We are currently seeking qualified candidates for RN.Shift 3 - 12HR Nights, 19:00:00-07:00:00, 12.Day 1 Medical, Health, Dental, Vision....