Nurse Manager

23 hours ago

Los Angeles Downtown, United States Necnic Group, LLC Full time

Nurse Manager - Utilization Management

Job Summary:

Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation and others as assigned.

Essential Responsibilities:

  • Assists in developing and maintaining policies and procedures for the Service Area or Medical Center related to Utilization Management.
  • Collaborates with the multi-disciplinary teams to plan and coordinate care across the continuum.
  • Coordinates and manages members care with hospital facilities and providers. Identifies risk management and quality of care issues across the continuum.
  • Surfaces issues and any suggestions to the appropriate multi-disciplinary team members.
  • Manages transportation program to ensure appropriate utilization of resources which meet Health Plan guidelines and patient needs.
  • Assures compliance with Federal, State, TJC, NCQA, other regulatory agencies and internal standards and requirements.
  • Provides direction to staff regarding utilization review, care coordination, discharge planning, and other services across the continuum of care.
  • Assists in conducting statistical studies in utilization trends, patterns, and outcomes.
  • Hires, trains coaches, disciplines professional and clerical support staff.

Qualifications:

  • Minimum three (3) years of experience in utilization management and discharge planning in an acute care setting to also include supervisory or management experience.
  • BSN or bachelors degree in healthcare related field such as management, health services administration.
  • Registered Nurse License (California)
  • Certified Case Manager a plus

Additional Requirements:

  • Demonstrated knowledge of operations and healthcare management; TJC, Title XXII, Medicare, MediCal and other local, state and federal regulations.
  • Knowledge of managed care operations.
  • Demonstrated interpersonal, negotiation, and management skills.
  • Good oral and written communication skills.
  • Must be able to work in a Labor/Management Partnership environment.

Compensation:

  • Competitive compensation ranging from $165,000 - $175,000
  • Comprehensive benefits package

  • Nursing Department Manager

    24 hours ago

    Los Angeles (Downtown), United States Necnic Group, LLC Full time

    Nursing Department Manager - Operating Room Employment Type: Full-Time Job Summary: The Nursing Department Manager for the Operating Room is responsible for managing the delivery of nursing services and ensuring safe patient care within the assigned department. The role involves overseeing services that align with nursing standards, service...

  • RN Manager

    22 hours ago

    Los Angeles (Downtown), United States Necnic Group, LLC Full time

    RN Manager Operating Room Full-Time Day Shift Summary:Under the supervision of the Director of Surgical Services, the Manager Surgical Services is accountable for managing and coordinating quality patient care in a cost-effective manner, complying with patient care standards and job-specific performance standards through observation of clinical practice and...

  • ER - ASSISTANT NURSE MANAGER - SAN FERNANDO VALLEY AREA

    23 hours ago

    Los Angeles (Downtown), United States Advenio Medical Staffing Full time

    Excellent RN Leadership Opportunity - Assistant Nurse Manager of the Emergency Department in the San Fernando Valley area. This is a full-time, 12-hour Night shift position.Qualifications: BSN Degree with an active California RN license or license in process. Min 3 years of clinical experience in an acute care environment or experience in an ER. with Charge...

  • Travel Nurse RN Case Manager

    2 weeks ago

    Los Angeles, California, United States Wellspring Nurse Source Full time

    Travel Nurse RN Case Management OpportunityWellspring Nurse Source is seeking a skilled travel nurse RN case manager to join their team in Los Angeles, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNShift: 12 hours, daysEmployment Type: TravelAs a travel nurse RN case manager, you will have the opportunity to work with a...

  • Travel Nurse RN Case Manager

    1 month ago

    Los Angeles, California, United States Wellspring Nurse Source Full time

    Wellspring Nurse Source is seeking a travel nurse RN Case Manager for a travel nursing job in Los Angeles, California.**Job Details:*** **Specialty:** Case Management* **Discipline:** RN* **Shift:** 12 hours, days* **Employment Type:** Travel**About the Job:**As a travel nurse RN Case Manager with Wellspring Nurse Source, you will have the opportunity to...

  • Travel Nurse RN Case Manager

    2 weeks ago

    Los Angeles, California, United States Wellspring Nurse Source Full time

    Wellspring Nurse Source is seeking a skilled travel nurse RN to fill a Case Management position in Los Angeles, California.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, daysEmployment Type: TravelThe ideal candidate will have a strong background in case management and excellent communication skills. As...

  • Travel Nurse RN Case Manager

    1 month ago

    Los Angeles, California, United States Wellspring Nurse Source Full time

    Wellspring Nurse Source is seeking a travel nurse RN Case Management professional for a travel nursing opportunity in Los Angeles, California.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, daysEmployment Type: TravelThe pay package is based on 12 hour shifts and 36.0 hours per week, with a tax-free...

  • Travel Nurse RN Case Manager

    2 weeks ago

    Los Angeles, California, United States Wellspring Nurse Source Full time

    Wellspring Nurse Source is seeking a travel nurse RN Case Management professional for a travel nursing opportunity in Los Angeles, California.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeksHours: 36 hours per weekShift: 12 hours, daysEmployment Type: TravelThe pay package is based on 12 hour shifts and 36.0 hours per week, with a...

  • Travel Nurse RN Case Manager

    1 month ago

    Los Angeles, California, United States Wellspring Nurse Source Full time

    Wellspring Nurse Source is seeking a travel nurse RN Case Management professional for a travel nursing opportunity in Los Angeles, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks, 36 hours per weekShift: 12 hours, daysEmployment Type: TravelThe pay package is based on 12 hour shifts and 36.0 hours per week,...

  • Womens Health Nurse Practitioner

    21 hours ago

    Los Angeles (Downtown), United States CCWSG Full time

    Join Our Greater Los Angeles, CA Team! Locum Nurse Practitioner Salary: $85/hr Requirements to apply:Master s degree in nursing (MSN)A current license to practice as a Registered Nurse, a certificate to practice as a Nurse Practitioner, and a Furnishing Number issued by the California Board of Registered Nursing.A valid California Class C Driver License or...

  • Family Practice/Primary Care Nurse Practitioner

    22 hours ago

    Los Angeles (Downtown), United States Amergis Locum Tenens Full time

    Are you looking for a low-volume work environment? Are you passionate about helping the older patient population with preventive and chronic care management? There is a great position in the Los Angeles area near Downey/Montebello areas that is seeking a primary care nurse practitioner. Please see details below.Apply today! Call or text Monica at (with your...

  • Psychiatric - Mental Health Nurse Practitioner

    19 hours ago

    Los Angeles (Downtown), United States LifeStance Health Full time

    Job Description What we offer Nurse Practitioners Competitive compensation package based on productivity with uncapped earning potential Comp range of $200,000 to $250,000Sign-on bonusClinician Long Term Incentive ProgramComprehensive benefits package401K with 4% matchPart-time and full-time optionsYearly funds towards association or license duesCME...

  • Travel Nurse RN

    4 weeks ago

    Los Angeles, California, United States Travel Nurse Source Full time

    Job Title: Labor and Delivery RNTravel Nurse Source is partnering with Magnet Medical to find a qualified Labor and Delivery Registered Nurse for a travel assignment in California.About the PositionThe successful candidate will be responsible for delivering direct patient care using the nursing process and as defined by the healthcare facility in their...

  • Travel Nurse RN

    4 weeks ago

    Los Angeles, California, United States Travel Nurse Source Full time

    Travel Nurse Opportunity in Clovis, CATravel Nurse Source is partnering with Advantis Medical Staffing to find a qualified ER/Trauma Registered Nurse for a 13-week contract in Clovis, California.About the PositionAs a Joint-Commission-certified agency, we promise a seamless and stress-free experience. As a ED- Emergency Department travel nurse, you will...

  • Care Manager RN

    5 days ago

    Los Angeles, California, United States Travel Nurse Source Full time

    At Travel Nurse Source, we're committed to providing exceptional opportunities for skilled professionals like you. We're currently seeking a highly motivated and compassionate Care Manager RN to join our team in Los Angeles. About the PositionJob Type: ContractShift: 8 hours, Day shiftHours Per Week: 40Start Date: ASAPDuration: 13 weeksAs a Care Manager RN,...

  • Nurse Specialist

    2 weeks ago

    Los Angeles, California, United States Jackson Nurse Professionals Full time

    Jackson Nurse Professionals is seeking a skilled Labor and Delivery Registered Nurse for a travel nursing assignment in a state-of-the-art hospital.Key Responsibilities:Manage the care of mothers and their babies during the delivery processCollaborate with a supportive and ambitious teamParticipate in a rewarding LD position with a 13-week contract...

  • Travel Nurse Position

    4 weeks ago

    Los Angeles, California, United States Travel Nurse Source Full time

    Travel Nurse Opportunity in Lodi, CATravel Nurse Source is partnering with Titan Medical Group to find a qualified NICU Registered Nurse for a 12-week assignment in Lodi, California.About the PositionLocation: Lodi, CAAssignment length: 12 weeksMinimum years of experience: 2Job type: TravelerShift: Night (3x12)Certifications: NRP/BCLS/BLSTTitan Medical is...

  • Travel Nurse Position

    3 weeks ago

    Los Angeles, California, United States Travel Nurse Source Full time

    Travel Nurse Opportunity in Ventura, CATravel Nurse Source is partnering with Advantis Medical Staffing to find a qualified Med/Surg RN for a 13-week contract in Ventura, California.About the PositionThis travel nursing job offers a competitive pay package, starting at $1,837 per week, and a Night shift schedule. As a Medsurg/Tele Registered Nurse, you will...

  • Travel Nurse Position

    4 weeks ago

    Los Angeles, California, United States Travel Nurse Source Full time

    Travel Nurse Opportunity in Lodi, CATravel Nurse Source is partnering with Titan Medical Group to find a qualified NICU RN for a 12-week assignment in Lodi, California.About the PositionLocation: Lodi, CAAssignment length: 12 weeksMinimum years of experience: 2Job type: TravelerShift: Night (3x12)Certifications: NRP/BCLS/BLSTTitan Medical is seeking a travel...

  • Nurse Labor and Delivery Specialist

    2 weeks ago

    Los Angeles, California, United States Jackson Nurse Professionals Full time

    Travel Nurse RN Labor and Delivery OpportunityJackson Nurse Professionals is seeking a skilled Travel Nurse RN Labor and Delivery to join our team for a 13-week contract assignment at a state-of-the-art area hospital in Los Angeles, California.Job SummaryWe're offering a rewarding Labor and Delivery position for Registered Nurses with experience managing the...