Utilization Review Jobs in Los Angeles
Search jobs in
1 - 15 of 21
Search Results - Utilization Review Jobs in Los Angeles
GQR HealthcareLos Angeles
Job Description
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in San Pedro, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 05/04...
LanceSoftLos Angeles
experience
• Experience in:
✔️ Care Coordination
✔️ Utilization Review
✔️ Discharge Planning
• Strong experience with InterQual & EPIC
• California Case Management experience REQUIRED
• Background in MS, MS/Tele, ICU & some ER
• Active CA RN License...
LanceSoftLos Angeles
40 hours per week
• Shift: 8 hours, days
• Employment Type: Travel
• Work Settings
Acute Hospital
Case Management/Utilization Review
Admission Criteria
Benefits Eligibility
Care coordination
Concurrent Review
Continued Stay Reviews
Determine...
University of California San DiegoLos Angelesappcast.io
license issued by the State of California.
• BLS at time of hire with commitment to get BART within six (6) months of hire date.
• Minimum of 3 years inpatient acute care management experience.
• Demonstrated utilization review/discharge planning...
Hanker Systems IncLos Angeles
PM)
• Weekend Rotation: Every other weekend
Job Description:
We are seeking an experienced RN Case Manager for an acute care setting. This role requires strong expertise in care coordination, utilization review, and discharge planning. The ideal...
Centene Corp.Los Angelesappcast.io
functions for the business unit.* Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.* Performs medical review activities pertaining to utilization review, quality assurance...
Catalytic SolutionsLos Angeles
Manager, Registered Nurse/n
• Shift: Day 5x8-Hour (08:00
• 16:30)/n- Experience Required: 2 years in acute medical Care Management/n- Skills Required:/n
• Care Coordination/n
• Utilization Review/n
• Discharge Planning/n
• Interqual and Epic experience...
Oklahoma Complete HealthLos Angelesappcast.io
improvement activities.* Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.* Supports effective...
LanceSoftLos Angeles
Case Management experience
• Experience in:
✔️ Care Coordination
✔️ Utilization Review
✔️ Discharge Planning
• Strong experience with InterQual & EPIC
• California Case Management experience REQUIRED
• Background in MS, MS/Tele, ICU & some ER
• Active...
NavitasPartnersLos Angelestalentnest.com
the continuum of care
• Perform discharge planning and utilization review
• Collaborate with physicians, nurses, and allied health professionals
• Ensure appropriate resource utilization and patient advocacy
• Monitor patient progress and adjust care plans...
Concentra, Inc.Los Angelesappcast.io
procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work...
Los Angelesacentra.com
obligations.
• Skilled in conducting utilization reviews and patient chart reviews with accuracy and timeliness.
• Strong clinical assessment, analytical, and critical-thinking skills with the ability to apply evidence-based criteria.
• Excellent written...
Motive CompaniesLos Angelessmartsearchonline.com
quality assurance reviews, and utilization reviews
• Ensure compliance with HIPAA and state regulatory standards
Financial and Operational Management
• Monitor enrollments, service activity, and billing accuracy
• Support budget planning and financial oversight...
Los Angelesicims.com
personnel as necessary.
• Act as a patient advocate, ensuring dignity and confidentiality.
• Demonstrate empathy and compassion for patient experience.
• Advocate for evidence-based practices in case management and utilization review.
• Safety...
NavitasPartnersLos Angelestalentnest.com
and hospital policies
• Support appeals, denials, and utilization review processes
• Coordinate complex discharges involving social, behavioral, and medical needs
• Educate patients and families on care plans and post-discharge resources
• Maintain accurate...
12
Companies now hiring in Los Angeles:
Utilization Review jobs in Los Angeles – Similar offers:
Utilization Review jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Review, Los Angeles
It's free, and you can cancel email updates at any time
12