California Licensed Utilization Management Nurse
VirtualVocationsOrange, California, United Statesjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a UM Nurse, RN for the Weekend Shift.
Key Responsibilities
Conduct prospective and concurrent / retrospective reviews of referrals to ensure compliance with regulatory requirements
Utilize nationally recognized UM criteria to meet Member needs effectively
Support the Quality Program goals including HEDIS, CAHPS, and NCQA Accreditation
Required Qualifications
Two or more years of utilization management experience in a healthcare delivery setting or an acute care facility
Experience in an HMO or Managed Care setting is preferred
High school diploma or GED required; Bachelor's degree in Nursing preferred
Possession of an active, unrestricted Registered Nurse (RN) license issued by the California BRN
Valid California Driver's license is required
serp_jobs.job_alerts.create_a_job
Utilization Management Nurse • Orange, California, United States
Job_description.internal_linking.related_jobs A company is looking for a Concurrent Review Nurse (RN) (Temporary).Key Responsibilities Performs concurrent, post-service, and retrospective reviews of acute in-patient care services using estab...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements.Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) wit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
TravelNurseSource is working with LRS Healthcare to find a qualified ICU / Critical Care RN in Upland, California, 91786!.
Ready to start your next travel adventure? LRS Healthcare offers a full benef...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Utilization Management Nurse to deliver comprehensive, patient-centered care while assessing individual needs and developing personalized care plans.Key Responsibilities ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Bilingual Family Nurse Practitioner (CA Licensed, Spanish Speaking).Key Responsibilities Provide virtual preventive care for underserved patients using internal care de...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Utilization Management Nurse.Key Responsibilities Performs clinical utilization reviews using evidence-based guidelines and internal policies Collaborates with healthc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Trustaff is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements.
As a Case Management RN, you'll develop, implement...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
We are currently seeking a Registered Nurse with 2 to 3 years of clinical nursing background and 2 to 3 years of Utilization Review experience.
The ideal nurse for this role would also be proficient...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Telehealth Nurse Practitioner Manager to lead and support a team of remote Family Nurse Practitioners providing virtual consultations.
Key Responsibilities Lead, mentor,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Become a key member of a world-class health organization.Contribute to the delivery of Magnet designated nursing excellence.
Take your career to the next level.Ucando all this and more at UCLA Healt...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Nationwide Therapy Group is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.
Job Description & Requirements.NTG is committed to matching you to th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Utilization Management Nurse Consultant.Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services for members Gather clinical...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Telehealth Nurse Practitioner for a virtual women's health clinic in California.Key Responsibilities Provide direct patient care during virtual clinic visits and ensure...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a UM Nurse, RN for the Weekend Shift.Key Responsibilities Conduct prospective and concurrent / retrospective reviews of referrals to ensure compliance with regulatory requi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Fertility Utilization Management RN - Remote.Key Responsibilities Determine the appropriateness of inpatient and outpatient services based on medical guidelines and ben...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Triage Nurse RN (Telehealth) for a part-time weekend position.Key Responsibilities Receive inbound and place outbound calls to patients for clinical assessment and tria...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Bilingual Family Nurse Practitioner (CA Licensed, Spanish Speaking).Key Responsibilities Provide virtual preventive care for underserved patients using internal care de...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
We are currently seeking a Registered Nurse with 2 to 3 years of clinical nursing background and 2 to 3 years of Utilization Review experience.
The ideal nurse for this role would also be proficient...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
MediPro is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements.
CASE MANAGERS DO NOT DO UTILIZATION REVIEW.Special Proc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
ALOIS Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements.
As a nurse case manager, your primary responsi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
California Licensed Concurrent Review Nurse
VirtualVocationsSignal Hill, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Case Management
Travel Nurses, Inc.Mission Viejo, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,588 to $1,761 per week in Upland, CA
TravelNurseSourceUpland, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Utilization Management Nurse - RN
VirtualVocationsNorwalk, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Bilingual Family Nurse Practitioner
VirtualVocationsWhittier, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
North Carolina Licensed Utilization Management Nurse
VirtualVocationsSignal Hill, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Case Management
TrustaffMission Viejo, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Utilization Management Denials Specialist, RN
Imperial Health Plan of California, Inc.Pasadena, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
California Licensed Telehealth Nurse Manager
VirtualVocationsSignal Hill, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN - 5MN Intermediate Care Unit - Santa Monica
University of California - Los Angeles HealthLos Angeles, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Case Management
Nationwide Therapy GroupMission Viejo, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
New York Licensed Utilization Nurse Consultant
VirtualVocationsSignal Hill, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Telehealth Nurse Practitioner
VirtualVocationsCarson, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Utilization Management Nurse
VirtualVocationsLong Beach, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Texas Licensed Utilization Management RN
VirtualVocationsLong Beach, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Triage Nurse RN
VirtualVocationsSignal Hill, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
California Licensed Bilingual Nurse Practitioner
VirtualVocationsGlendale, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Utilization Management Denials Specialist, RN (Pasadena)
Imperial Health Plan of California, Inc.Pasadena, CA, USserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Case Management
MediProMission Viejo, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Case Management
ALOIS HealthcareMission Viejo, CA, USserp_jobs.job_card.full_time