serp_jobs.error_messages.no_longer_accepting
California Licensed Utilization Management Nurse
VirtualVocationsRiverside, 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 • Riverside, California, United States
Job_description.internal_linking.related_jobs
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 TravelNurseSource is working with LRS Healthcare to find a qualified ICU / Critical Care RN in Pomona, California, 91767!.
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 TravelNurseSource is working with Titan Medical Group to find a qualified Telemetry RN in Upland, California, 91784!.Titan Medical is looking for travelers to fill a Per Diem Telemetry position in ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Utilization Review Specialist to monitor and ensure the effective use of outpatient services.Key Responsibilities Establish and maintain methods for ensuring medical ne...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Utilization Management Nurse Supervisor to provide leadership and oversight to the nursing team.
Key Responsibilities Supervise UM nurses, ensuring productivity, accurac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Remote RN Admissions Coordinator Long-Term Care & Rehabilitation.Key Responsibilities Coordinate and oversee admissions and transitions of care for members entering...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 TravelNurseSource is working with OneStaff Medical to find a qualified Telemetry RN in Upland, California, 91786!.An independently-owned, nationally-recognized and amazingly awesome staffing firm r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Registered Nurse for the Weight Management Program.Key Responsibilities Collaborate with an interprofessional team to provide care to patients on GLP-1 medications Edu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 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 Pre-Service Review Nurse RN to work remotely in the Pacific or Mountain Time Zones.Key Responsibilities Conduct utilization management, including Prior Authorization Re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day TravelNurseSource is working with OneStaff Medical to find a qualified Telemetry RN in Pomona, California, 91767!.An independently-owned, nationally-recognized and amazingly awesome staffing firm r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Regional Utilization Review (UR) Manager to oversee and support utilization review operations across multiple facilities.
Key Responsibilities Manage and support facilit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
Vivo HealthStaff is actively recruiting for a fully remote Case Manager position.This temporary 3-month contract role, with an option to extend, and focuses on health care management and coordinati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 TravelNurseSource is working with Adelphi Medical Staffing to find a qualified Admin / Mgmt RN in Colton, California, 92324!.
ALL certs & Licenses active.At least 1+ year of recent / current Supervi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Utilization Review Nurse.Key Responsibilities Monitor utilization practices from preadmission to discharge to ensure cost-effective resource use and quality patient car...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less A company is looking for a Utilization Review Nurse (PRN).Key Responsibilities Review and evaluate electronic medical records for emergency admissions to assess medical necessity Apply clinical ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Director of Utilization Management.Key Responsibilities Develop and implement strategic plans for Utilization Management aligned with organizational goals Direct all U...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours TravelNurseSource is working with LRS Healthcare to find a qualified Telemetry RN in Upland, California, 91786!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pack...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Utilization Management Nurse Consultant.Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services / benefits for members Gather...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
Our network gives you lots of access to specialists, hospitals, skilled nursing, urgent care and more so you have the perfect fit for good health.
Utilization Management process including in - netwo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- 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
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,881 to $2,085 per week in Pomona, CA
TravelNurseSourcePomona, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Telemetry in Upland, CA
TravelNurseSourceUpland, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Utilization Review Specialist
VirtualVocationsMission Viejo, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Utilization Management Nurse Supervisor
VirtualVocationsIrvine, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed RN Admissions Coordinator
VirtualVocationsFontana, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Telemetry - $1,900 per week in Upland, CA
TravelNurseSourceUpland, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Minnesota Licensed Registered Nurse
VirtualVocationsRiverside, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,737 to $1,925 per week in Upland, CA
TravelNurseSourceUpland, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Review Nurse
VirtualVocationsSan Bernardino, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Telemetry - $1,686 per week in Pomona, CA
TravelNurseSourcePomona, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Florida Licensed UR Manager
VirtualVocationsFontana, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Remote Case Management RN - California License
Vivo HealthStaffSan Bernardino, CA, USserp_jobs.filters.remote
serp_jobs.job_card.permanent +1
- serp_jobs.job_card.promoted
Travel Nurse RN - Administration / Management - $92 per hour in Colton, CA
TravelNurseSourceColton, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Oregon Licensed Utilization Review Nurse
VirtualVocationsMoreno Valley, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
State Licensed Utilization Review Nurse
VirtualVocationsMoreno Valley, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Texas Licensed Clinical Nurse Director
VirtualVocationsFontana, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Nurse RN - Telemetry - $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
Ohio Licensed Utilization Nurse Consultant
VirtualVocationsRiverside, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Physician / Pediatrics / California / Locum or Permanent / RN, Utilization Management, Pediatrics - Irvine, CA Job
OptumCareIrvine, California, United Statesserp_jobs.job_card.permanent