Registered Nurse - Utilization Management
Los Angeles, California
RN
Posted Jul 15
What the listing says
Role
- Accepts
- RN
- Experience
- 3+ years
Ratio not posted. Ask in the interview.
Pay
- Against the board
The median for nursing in California is $49/hr, across 1912 postings. It covers every nursing role in the state, so it is a bearing, not a like-for-like comparison.
About this role
The Utilization Management Nurse supports the delivery of high-quality, medically necessary, cost-effective, and compliant care for myPlace Health participants. This role reviews, coordinates, and monitors participant services to ensure care decisions align with clinical needs, PACE requirements, and applicable Medicare and Medicaid guidelines. Responsibilities include conducting concurrent and retrospective utilization reviews, monitoring hospitalizations and skilled nursing facility stays, collaborating with the Interdisciplinary Team, and supporting compliance with CMS, DHCS, Medicare, Medicaid, and PACE requirements.
Requires an active unrestricted RN license, minimum 3 years nursing experience preferably in geriatrics, acute care, case management, or utilization management.
Sourced from a public job board.
Requirements
- Active unrestricted RN license
- & Experience
Benefits
- Annual employee bonus program
- Medical, Dental, Vision coverage
- Generous paid-time-off (PTO)
- 11 paid holidays per year, plus 1 additional floating holiday
- 401(k) Retirement Saving Plan with employer match
- Robust employee recognition program
- Robust Wellness Program
Place
- City
- Los Angeles, California
- Median rent
- $1,933/mo
- Local household income
- $81,939/yr
- Metro price level
- 14% above the national average
rent and tenant-paid utilities
all local households, not nurse pay
Los Angeles area index 113.6, where 100 is the national average.
Los Angeles blends year-round sunshine, Pacific coastline, and major healthcare systems from Westside hospitals to Downtown medical centers. Nurses relocating here find diverse neighborhoods stretching from beach communities like Santa Monica to inland valleys. Expect car culture, outdoor living, and a sprawling metropolis where hiking trails and entertainment venues sit near clinical opportunities.
Cost figures from U.S. Bureau of Economic Analysis.
How this role fits you
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About the employer
myPlace Health is a Program of All-Inclusive Care for the Elderly (PACE) organization that integrates medical, social, and supportive services to help older adults remain in their homes rather than moving to institutional care settings. The organization operates day health…
Worth asking
We can’t answer these from the listing we have. Good ones to ask a recruiter or in the interview.
- Can you walk me through differentials?
- What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
