• Utilization Management Nurse

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and… more
    LA Care Health Plan (02/24/25)
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  • Quality Management Nurse

    UCLA Health (Los Angeles, CA)
    Description The Quality Management Nurse Specialist serves as the key resource for the investigation of member complaints, grievances, quality of care and ... data collection, data input and report development. The QM Nurse Specialist will adhere to NCQA, State,...experience required + Minimum three years of experience in Utilization Management or Quality Management more
    UCLA Health (03/06/25)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …the coordination of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and ... Enhanced Care Management Clinical Specialist II Job Category:... Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer:… more
    LA Care Health Plan (12/30/24)
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  • Registered Nurse II - North County

    The County of Los Angeles (Los Angeles, CA)
    REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply  REGISTERED NURSE II - NORTH COUNTY ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...practice setting. + Serves as a preceptor: expert or specialist who gives practical experience and training to new… more
    The County of Los Angeles (12/29/24)
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  • Clinical Documentation Integrity Specialist

    UCLA Health (Los Angeles, CA)
    …of clinical hospital experience; or equivalent of education and experience in case management , utilization management or prior clinical documentation review ... assisting with appropriate documentation strategies. Partnering with Medical Coding, Case Management and the Quality team, you will gather/analyze information to… more
    UCLA Health (03/18/25)
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  • Clinical Operations Supervisor, RN - Urgent Care…

    Cedars-Sinai (Los Angeles, CA)
    …or serves as liaison, for administrative support activities including facilities management , pharmacy, utilization management , quality management ... Medical Network is committed to helping primary care and specialist physicians provide excellent care to all their patients,...of medically related tasks. The Supervisor is a registered nurse who works in an administrative role in an… more
    Cedars-Sinai (03/13/25)
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