41
utilization review nurse jobs in Los Angeles, CA
Codemax Medical Billing —Los Angeles, CA
1 year of experience in Behavioral Healthcare or any other medical field with a rigorous preauthorization process. 401(k) plan with matching contributions.
$25 - $32 an hour
Acentra Health —Los Angeles, CA
Ability to develop level-of-care recommendations based on clinical medical records and evaluations. Proficiency in psychological, emotional, behavioral, and…
$41 an hour
Quick Apply
Keck Medical Center of USC —Los Angeles, CA
Performs and documents InterQual assessments upon admission • Performs and documents InterQual assessments upon a change in level of care • Performs and…
$47.31 - $88.00 an hour
Clinical Management Consultants —Pasadena, CA
A CPHQ certified Registered Nurse with experience in healthcare administration, case management, utilization review, or quality management in the acute care…
$142,000 - $225,000 a year
Astrana Health —Monterey Park, CA
Active and unrestricted LVN license in California, Nevada, or Texas. Maintain knowledge of state and federal regulations and accreditation standards.
$28 - $40 an hour
Quick Apply
Keck Medical Center of USC —Los Angeles, CA
Req Specialized/technical training Licensed Vocational Nurse graduate from an accredited school. Req Experience with computer data entry and spreadsheets.
$33.00 - $54.02 an hour
CEDARS-SINAI —Pasadena, CA
RN State License - Current RN license (not limited to State of California) or higher clinical degree (i.e., MD), or Registered Health Info Admin, or Registered…
$49.04 - $78.46 an hour
11d
Astrana Health —Monterey Park, CA
Possession of an active, unrestricted, and current California Registered Nurse (RN) or Licensed Vocational Nurse (LVN) license.
$30 - $45 an hour
Quick Apply
Astrana Health —Monterey Park, CA
Attend to provider and interdepartmental calls in accordance with exceptional customer service. Assist with attaching incoming notes to appropriate…
$18 - $26 an hour
Quick Apply
9d
Clinical Management Consultants —Beverly Hills, CA
A CPHQ certified Registered Nurse with experience in healthcare administration, case management, utilization review, or quality management in the acute care…
$153,485 - $198,450 a year
UCLA Health —Los Angeles, CA
Provide key clinical support within a world-class health organization. Under the direction and supervision of the RN Assistant Director, the Case Management…
$22.03 - $43.68 an hour
UCLA Health —Los Angeles, CA
You will also provide clinical guidance on denial cases and ensure that all denial letters are written and issued according to internal policies and NCQA,…
$61,400 - $121,400 a year
Molina Healthcare —Los Angeles, CA
Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
$23.76 - $51.49 an hour
Rang Technologies Inc. —Burbank, CA
Shift*:Day 5x8-Hour (08:30 - 16:30). 2 years of Acute Care experience (can consider 1.5 years). Experience with Utilization Review and Discharge Planning.
$2,900 a week
Quick Apply
4d
Molina Healthcare —Long Beach, CA
Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.
$21.60 - $46.81 an hour
9d
UCLA Health —Los Angeles, CA
BSN and Current California RN license. You will collaborate with physician and nursing leadership, residents, clinical staff, and administrative/operational…
$95,900 - $222,100 a year
UCLA Health —Santa Monica, CA
In this important position, you will be responsible for the identification, collection, and entry of quality data for the Clinical Registries, Patient Safety…
$95,900 - $222,100 a year
CEDARS-SINAI —Los Angeles, CA
The UR Case Manager uses medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews in determining…
$52.47 - $83.95 an hour
L.A. Care Health Plan —Los Angeles, CA
Receives incoming calls from providers, professionally handles complex calls, researches to identify timely and accurate resolution steps.
$67,186 a year
12d
L.A. Care Health Plan —Los Angeles, CA
Knowledge of state, federal and regulatory requirements in Care/Case/Utilization Management. Develops tools, job aids, and workflows to optimize the process…
$102,183 a year
2d
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