L.A. Care Health Plan - United States, Los Angeles, Nursing

Seeking an experienced Utilization Management RN II in Los Angeles. This role involves real-time clinical review of inpatient admissions and transfers, ensuring medical necessity and appropriate level of care. Requires 7+ years of acute hospital experience and UM expertise. We offer full benefits...

Seeking a Quality Management Nurse Specialist RN II in Los Angeles. This role leads clinical quality improvement projects and ensures compliance with key regulations like CMS and NCQA. Requires an active CA RN license, 5+ years of acute hospital experience, and strong analytical skills. We offer ...

Seeking a Utilization Management Nurse Specialist RN II in Los Angeles. This role requires an active California RN license, 5+ years of acute care experience, and 2+ years in UM/Case Management. You will coordinate referrals, perform concurrent reviews, and develop discharge plans. We offer compr...

Seeking a Utilization Management Nurse Specialist RN II in Los Angeles. This role requires an active California RN license, 5+ years of acute care experience, and 2+ years in UM/CM. You will coordinate referrals, perform admission reviews, and develop discharge plans. We offer comprehensive benef...