Utilization Review Clinical Nurse Specialist
6 days ago
We are seeking a skilled Utilization Review RN to join our team at Providence Medical Foundation. This role is responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to our members.
About the RoleIn this position, you will be part of a comprehensive health care organization serving more people, advancing best practices, and continuing our over 100-year tradition of serving the poor and vulnerable.
Key Responsibilities- Conduct thorough reviews of patient records to ensure accurate and timely documentation
- Develop and implement effective care plans that meet individual patient needs
- Collaborate with interdisciplinary teams to coordinate care and improve patient outcomes
- Analyze data to identify trends and opportunities for process improvement
To be successful in this role, you will need:
- Nursing school graduate
- California Registered Nurse License upon hire
- 3 years of experience in utilization management and/or case management
- 3 years of clinical experience in hospital or medical office/clinic setting
- Experience with Milliman criteria
We offer a comprehensive benefits package, including:
- A competitive salary range of $52.46 - $83.05 per hour
- Healthcare benefits (medical, dental, vision)
- Life insurance
- Disability insurance
- Time off benefits (paid parental leave, vacations, holidays, health issues)
- Voluntary benefits
- Well-being resources
Providence is proud to be an Equal Opportunity Employer, committed to creating a diverse and inclusive workplace. We believe diversity makes us stronger, so we're dedicated to shaping an inclusive workforce where everyone feels valued and respected.
-
Clinical Systems Specialist
6 days ago
Mission, Kansas, United States The University of Kansas Health System Full timeAbout the RoleThe University of Kansas Health System is seeking a skilled Clinical Systems Specialist to join our team. As a key member of our clinical informatics group, you will play a critical role in implementing and supporting applications, working closely with end-users to troubleshoot and resolve issues.ResponsibilitiesImplement and support clinical...
-
Nurse Specialist for Labor and Delivery
7 days ago
Mission Hills, Kansas, United States Source Medical Staffing Full timeSource Medical Staffing is a leading provider of medical staffing solutions. We are currently seeking an experienced Nurse Specialist to join our team in Mission Hills, California.We believe that making a difference matters, and we're committed to helping healthcare professionals achieve their goals. Our staff augmentation services allow us to provide...
-
Mission Hills, Kansas, United States Bestica Full timeJob SummaryWe are seeking a highly skilled Medical Traveler RN Labor and Delivery Specialist to join our team at Bestica. This is an exciting opportunity for a dedicated healthcare professional to work in a dynamic environment and contribute to the well-being of patients.About BesticaBestica is a trusted provider of solutions in Information Technology and...
-
Mission Hills, Kansas, United States Bestica Full timeJob Title: Nurse Recruitment Specialist for Labor and DeliveryLocation: Mission Hills, CaliforniaAbout the Role:We are seeking an experienced Registered Nurse to join our team as a Labor and Delivery specialist. As a nurse recruiter, you will be responsible for working closely with healthcare professionals to provide exceptional patient care and...
-
Travel Registered Nurse
2 days ago
Mission Hills, Kansas, United States TotalMed Full timeJob SummaryWe are seeking a highly skilled Travel Registered Nurse to join our team as an Intensive Care Unit (ICU) Care Specialist. This travel assignment is based in Mission Hills, California.
-
Travel Nursing Specialist
7 days ago
Mission Hills, Kansas, United States ICONMA, L.L.C. Full timeJob Title: Travel Nursing Specialist - Mission HillsAbout the Role:This exciting opportunity is available for a skilled Registered Nurse - Case Manager to join our team at ICONMA, L.L.C. in Mission Hills, CA. The selected candidate will work on a 13-week contract, providing exceptional patient care and case management services.About the Location:Mission...
-
Critical Care Nurse
6 days ago
Mission Hills, Kansas, United States TotalMed Staffing Full timeJob Overview: TotalMed Staffing is seeking a travel nurse to fill a critical care position at a facility in Mission Hills, California. As a trusted healthcare staffing agency, we are committed to providing exceptional nursing professionals with the opportunity to excel in their careers while making a positive impact on patients' lives.Salary and Benefits: We...
-
Clinical Endoscopic Technician
2 days ago
Mission Hills, Kansas, United States Providence Full timeAbout the RoleWe are seeking a skilled Clinical Endoscopic Technician to join our dynamic team at Providence Facey Medical Foundation. As a valued member of our team, you will play a crucial role in providing safe and efficient patient care in collaboration with a multidisciplinary team.ResponsibilitiesAssist GI physicians in diagnostic and interventional...
-
Travel Nursing Opportunity in California
6 days ago
Mission Hills, Kansas, United States LanceSoft Full timeWe are seeking a skilled and experienced Registered Nurse (RN) for a 13-week travel nursing assignment in the Emergency Department of a prominent healthcare facility in Mission Hills, California.About the JobThis is a unique opportunity to work with a leading staffing agency, LanceSoft, which has been recognized as one of the Largest Staffing firms and...
-
Mission Hills, Kansas, United States LanceSoft Full timeLanceSoft, a certified Minority Business Enterprise and woman-owned organization, is seeking an experienced Registered Nurse (RN) for a 13-week travel nursing assignment in California.Job SummaryThis ED - Emergency Department RN position involves working 36 hours per week, with 12-hour night shifts. As a travel nurse, you will have the opportunity to explore...
-
Nurse Care Coordinator
7 days ago
Mission Hills, Kansas, United States Providence Full timeProvidence is a comprehensive health care organization dedicated to serving the poor and vulnerable. We are seeking a skilled Nurse Care Coordinator to join our team.Salary: $52.46 - $83.05 per hour, depending on experience.About the Role:We are looking for a compassionate and organized Nurse Care Coordinator to coordinate patient care across multiple...
-
Travel Nurse RN Specialist
7 days ago
Mission Hills, Kansas, United States NuWest Travel Nursing Full timeNuWest Travel Nursing OpportunityWe are seeking a skilled Travel Nurse RN NICU - Neonatal Intensive Care professional to join our team in Mission Hills, California.About the RoleThis 13-week assignment involves working 36 hours per week with 12-hour night shifts.The start date for this opportunity is negotiable, but we require a commitment of 13 weeks.In...
-
RN Case Manager
5 days ago
Mission Hills, Kansas, United States Focus Staff Full timeFocusing on exceptional patient care and case management skills, we are seeking a skilled Registered Nurse RN to join our team as a travel nursing professional. With a strong emphasis on flexibility and adaptability, this role will provide the opportunity to work with various patients and families, promoting a positive and supportive environment.As a travel...
-
Mission Hills, Kansas, United States Source Medical Staffing Full timeJob Opportunity at Source Medical StaffingWe are seeking a qualified Labor and Delivery nurse for a travel nursing position in California.About the JobType: Travel NursingShift: 12 hours, daysHours per week: 36Duration: 13 weeksThe successful candidate will be responsible for providing high-quality patient care in the Labor and Delivery department.Benefits...
-
Mission Hills, Kansas, United States Source Medical Staffing Full timeSource Medical Staffing is seeking a travel nurse to fill a case management role at a medical facility in Mission Hills, California.Job DetailsDuration: 13 weeksHours per week: 40 hoursShift: 8 hours, daysThis travel nursing position offers a tax-free stipend amount to be determined and pay package based on 8 hour shifts and 40 hours per week. We anticipate...
-
Mission Hills, Kansas, United States Source Medical Staffing Full timeWe are seeking a skilled travel nurse RN to join our team at Source Medical Staffing. As a Labor and Delivery specialist, you will play a vital role in providing top-notch care to patients in Mission Hills, California.Job DetailsSpecialty: Labor and DeliveryDiscipline: Registered Nurse (RN)Duration: 13 weeksShift: 12 hours, daysEmployment Type: Travel...
-
Mission Hills, Kansas, United States Bestica Full timeAbout the Job">We are seeking a highly skilled Travel Nurse RN to join our team in Mission Hills, California. As a travel nurse with Bestica, you will have the opportunity to work in a dynamic environment and gain valuable experience in Labor and Delivery.">Estimated Salary: $140,000 - $160,000 per year">This position requires a minimum of 2 years of...
-
Neonatal Intensive Care Travel Nurse Specialist
4 weeks ago
Mission Hills, Kansas, United States GHR Healthcare - Travel Division Full timeAt GHR Healthcare, we understand the importance of delivering exceptional patient care in high-stakes environments. As a travel nurse RN in our Neonatal Intensive Care (NICU) team, you will be part of a dedicated network of professionals who share our commitment to excellence.Job Summary:Provide high-quality patient care in the NICU, working closely with our...
-
Care Manager Travel RN
7 days ago
Mission Hills, Kansas, United States Cross Country Nurses Full timeExperience the best of travel nursing with Cross Country Nurses!About the JobCross Country Nurses is a trusted leader in nurse staffing, offering unique opportunities for experienced Case Management nurses like you.Job SummaryWe're seeking a skilled Travel Nurse RN Case Management to join our team in Mission Hills, California. This 13-week assignment offers...
-
Travel Healthcare Specialist
7 days ago
Mission Hills, Kansas, United States GLC On-The-Go Full timeGLC On-The-Go is a leading staffing agency specializing in connecting travel nurses with opportunities across the US.We are currently seeking a skilled Case Management Travel Nurse RN to join our team for a 13-week assignment in California. This exciting opportunity allows you to work on an 8-hour day shift, ensuring a great work-life balance and allowing...