Utilization and Quality Nurse Coordinator

7 days ago


Los Angeles, California, United States L.A. Care Health Plan Full time
About the Opportunity

Join our team as a Utilization and Quality Nurse Coordinator at L.A. Care Health Plan, where you will have the opportunity to make a meaningful impact on the lives of our members. In this role, you will be responsible for promoting and supporting team engagement, programs, and activities to create a positive and productive workplace environment. You will also identify and initiate referrals for appropriate members to various L.A. Care programs/processes and external community-based programs or Linked and Carve Out Services.

**Responsibilities:**

  • Promote and support team engagement, programs, and activities to create a positive and productive workplace environment.
  • Identify and initiate referrals for appropriate members to various L.A. Care programs/processes and external community-based programs or Linked and Carve Out Services.

Requirements: To be successful in this role, you will need a minimum of 5 years of varied clinical experience in an acute hospital setting, including at least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting. You will also need excellent communication and time management skills, as well as the ability to maintain strict member confidentiality and comply with all HIPAA requirements.



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