The RN Utilization Management Lead (RN UM) is an onsite position responsible for overseeing the daily operations of the utilization management team to ensure effective, timely, and compliant review processes for medical necessity, prior authorization, eTARs, denials management, concurrent and retrospective review activities. Contacts insurance for pre-authorization prior to conversion; collaborates with CM RN to obtain order for admission if appropriate. Monitor daily workflow for timely completion of authorization reviews (pre-certification, concurrent, post-service). Ensure appropriate application of clinical guidelines (e.g., InterQual, MCG) and regulatory standards (e.g., CMS, NCQA, URAC). Other duties as assignedsuch as denials management and appeals in lieu of other UM duties.
MediPro is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Torrance, California.. Looking for a strong caregiver who can support PM shift.. Yes, to mother baby. MediPro is a leading healthcare talent firm that provides top tier clinicians to medical facilities and practices nationwide.. We focus on Travel Nursing, Advanced Practice, Allied Services, Surgical Services, and Case Management.
Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Mission Hills, California.. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 09/02/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - Case Management in Mission Hills, CA. If you are interested in this position, please contact your recruiter and reference Job #2095421. Posted job title: RN - Case Management About Host Healthcare At Host Healthcare, we provide a truly comfortable experience as you explore your travel nursing, therapy, or allied career.. With access to tens of thousands of travel nursing, therapy, and allied jobs in all 50 states, our responsive and friendly recruiters find your dream position based on what’s important to you.. Benefits Referral bonus School loan reimbursement Vision benefits Wellness and fitness programs Company provided housing options License and certification reimbursement Life insurance Medical benefits Mileage reimbursement Pet insurance Discount program Employee assistance programs Guaranteed Hours Health savings account Holiday Pay 401k retirement plan Continuing Education Dental benefits
LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Mission Hills, California.. Minimum: 2 years Acute Care Hospital Case Manager experience (Care Coordination + Discharge Planning). SNF, DME, Ambulance transport coordination. Social Determinants of Health (mental health, homelessness, addiction, etc.. LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
HonorVet Technologies is seeking a travel nurse RN Case Management for a travel nursing job in San Pedro, California.. Note: 2-year acute medical Care Manager experience performing both roles of Care Coordination and Utilization Review and discharge planning, Interqual and Epic are all HARDSTOPS. Founded in 2015, HonorVet Technologies stands as a Service-Disabled Veteran-Owned Small Business (SDVOSB) , proudly certified by NaVOBA and the U.S. Department of Veterans Affairs.. Our mission goes beyond staffing—we are committed to transforming lives by addressing the critical unemployment challenges faced by veterans.. As a Joint Commission-certified clinical staffing agency , we deliver unmatched expertise in placing top-tier healthcare professionals—RNs, LPNs/LVNs, CNAs/CMAs, and NPs—across diverse facilities, including hospitals, clinics, rehabilitation centers, old-age homes, schools, correctional facilities, and more.
Trustaff is seeking a travel nurse RN Case Management for a travel nursing job in Irvine, California.. As a Case Management RN, you'll develop, implement, and evaluate individual patient care plans.. As one of the nation's leading travel nursing companies, your recruiter will work with you one-on-one to guide your career and help you achieve your goals.. Travel nursing lets you take your professional career to the next level while maintaining your flexibility and freedom.. Great bonuses for completions, referring friends, and more
Nurse First is seeking a travel nurse RN Case Management for a travel nursing job in Mission Hills, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 08/25/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Nurse First Job ID #59077185. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Our company’s founder was a nurse first, and at our roots, we believe nurses need advocates to help them have the best experience possible. Benefits Holiday Pay Guaranteed Hours Continuing Education Mileage reimbursement Referral bonus Medical benefits Dental benefits Vision benefits License and certification reimbursement Life insurance Benefits start day 1 Weekly pay
Summit Medical Staffing Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Mission Hills, California.. Posted job title: Registered Nurse - Case Manager @ Providence Holy Cross Medical Center - Case Management. Located in the Midwest, Summit strives to provide a dedicated and attentive approach to medical staffing services for the employer and the employee.. Our philosophy to connect, educate, consult and advocate resonates within the entire Summit team.. Our travelers make us special; our focus and commitment to them makes us unique.
Travel Nurses, Inc. is seeking a travel nurse RN Case Management for a travel nursing job in San Pedro, California.. Posted job title: Case Manager Registered Nurse About Travel Nurses, Inc. Travel Nurses, Inc. is a leading healthcare staffing agency that provides healthcare professionals with opportunities to work across the country.. However, this quickly evolved to encompass all nursing specialties and allied health fields nationwide.. At the heart of our mission is a profound respect for nurses, whom we consider the cornerstone of healthcare.. Benefits Weekly pay Continuing Education 401k retirement plan Wellness and fitness programs Mileage reimbursement Referral bonus Employee assistance programs Medical benefits Dental benefits Vision benefits Benefits start day 1 License and certification reimbursement Life insurance Retention bonus
Anders Group is seeking a travel nurse RN Case Management for a travel nursing job in San Pedro, California.. Anders Group posted this Travel Nursing Job that offers 40 hours a week for 13 weeks in San Pedro, California.. Posted job title: Registered Nurse - Case Manager @ Providence Little Company of Mary Medical Center San Pedro - Case Management. Anders Group is a Joint Commission accredited staffing agency and stands out from other agencies by our commitment to making sure our travelers are given the best customer service.. Rental Car Allowances
KPG Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in San Pedro, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 09/08/2025 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel To work a contract with KPG Healthcare, a nurse must have two years of.. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Our Services include Travel Nursing, Allied Professionals, Per Diem Nurse Staffing, Locum Tenens Staffing and Physician Placement. Benefits Medical benefits Weekly pay License and certification reimbursement
TravelNurseSource is working with Legacy Personnel, Inc. to find a qualified Case Manager RN in San Pedro, California, 90732!. Note: 2-year acute medical Care Manager experience performing both roles of Care Coordination and Utilization Review and discharge planning, Interqual and Epic are all HARDSTOPS. CPT (Current Procedural Terminology) coding and billing. Legacy Personnel, Inc. is a premier healthcare staffing agency services providing healthcare professionals throughout the country.. Given the golden seal of quality approval by The Joint Commission and as a certified member of the National Minority Supplier Development Council (NMSDC), our commitment to our clients and staff has always been beyond standard.
LocumJobsOnline is working with The Inline Group to find a qualified Nurse Practitioner NP in Encinitas, California, 92024!. Additional Info: In this role, you will provide primary care within our FQHC network, including a 1:4 Saturday rotation (replaces one weekday).. Help streamline clinic operations across 18 sites (Mon-Sat, 8-5).. Use OCHIN's EPIC EMR to help shape the future of healthcare.. Embark on exciting adventures and explore new destinations while fulfilling your professional obligations, combining work with leisure and discovery.
Bestica is seeking a travel nurse RN Case Management for a travel nursing job in San Pedro, California.. 2-year acute medical Care Manager experience performing both roles of Care Coordination and Utilization Review and discharge planning. We are a trusted provider of solutions in Information Technology and Healthcare sectors to the DoD, Federal and Commercial markets.. Our guiding principle and core values help us care for our people and the community; and build a culture of excellence which in turn helps us achieve our organizational objective of exceeding customer’s expectations in each and every project.. Headquartered in San Antonio, TX, we were founded in 2005 and are certified as an 8(a) Business.
Focus Staff is seeking a travel nurse RN Case Management for a travel nursing job in San Pedro, California.. Specialty: Case Management ~ Discipline: RN ~ Shift: 8 hours, days ~ Employment Type: Travel We currently have a client in San Pedro, CA looking for a Registered Nurse RN Case Manager!. BLS for Healthcare Providers required within 30 days of hire Work Experience: At least 2 years of experience If you are seeking a Registered Nurse RN Case Manager position and would like to work with an agency that will listen to your needs and career goals, then Focus Staff is the right place to be.. Travel Case Manager RN Registered Nurse Travel Confidently, Care Boldly with Focus Staff.. At Focus Staff, we’re here to make your travel healthcare career rewarding, seamless, and stress-free.
NuWest Travel Nursing is seeking a travel nurse RN Case Management for a travel nursing job in San Pedro, California. Specialty: Case Management.. We have a new assignment for RN - Case Management in San Pedro, CA and are interviewing ASAP. This is a travel assignment, 5x8 Days position at a great facility. Benefits include medical, dental, vision, 401K, weekly direct deposit, and more!. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
Job Description Nomad Health seeks an experienced Case Management registered nurse for a travel assignment in CA. Take the next step in your healthcare career and join Nomad Health as a Case Management travel nurse.. As a traveler with Nomad, you get access to industry-leading pay, outstanding benefits, and our knowledgeable Nomad Navigator support team.. To apply as a travel RN with us, you must have an active Professional Registered Nursing License or be willing to obtain one in the state you’re applying to, evidence of a minimum of one year RN work experience, and evidence of at least one year of Case Management experience within the last two years.. We also have a 401(k) program with employer matching options, a user-friendly digital timekeeping process, and weekly direct deposits.. We are seeking experienced RNs in a number of specialties to fill critical roles across the country: Medical Surgical Nurse Emergency Room Nurse Step-Down Nurse Telemetry Nurse ICU Nurse Operating Room Nurse Labor and Delivery Nurse Cath Lab Nurse Psychiatric Nurse And more travel RN jobs!
This is a float pool position that covers the following Sharp Rees-Stealy locations: Rancho Bernardo, Scripps Ranch, Murphy Canyon, Del Mar, Sorrento Mesa, Frost Street East (Kearny Mesa), Genesee, Downtown, Chula Vista, Santee, and La Mesa.. As an LVN in this float pool, you would be trained in the departments of Allergy, Nephrology, Sports Med/Ortho Med, and Infectious Disease.. California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians -REQUIRED. California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians; IV Certification (NPTA Sterile Product Certification) - Various-Employee provides certificate; ACLS Certification (Advanced Cardiac Life Support) - American Heart Association; AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association. Keywords: Licensed Vocational Nurse (LVN), Location: Orange, CA - 92866
This is a float pool position so you will floating to one of the following Sharp Rees-Stealy locations as needed: Rancho Bernando, Sorrento Mesa, Genesse, Downtown, Chula Vista, La Mesa (Medical Plaza), and Santee.. California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians -REQUIRED. Support and completion of quality initiatives: P4P, BMI, DataMart, etc.. AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; ACLS Certification (Advanced Cardiac Life Support) - American Heart Association; IV Certification (NPTA Sterile Product Certification) - Various-Employee provides certificate; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians. By applying, you consent to your information being transmitted by Disability Solutions to the Employer, as data controller, through the Employer’s data processor SonicJobs.
Job Opportunity: RN - Case Management.. Specialty: RN - Case Management.. 2 years of RN - Case Management experience required. Travel and housing provided. All medical/occupational health compliance items must be completed within 5 days of offer acceptance.