Registered Nurse - Utilization Management
Los Angeles, California
Posted Jul 15
- License
- RN licenseActive unrestricted RN license
Do you qualify?
- License
- Active unrestricted RN license
What it pays
- Against similar roles
- In range for Los Angeles staff RN rolesLos Angeles staff RN postings that state pay run $41/hr to $59/hr, the middle half $45/hr to $54/hr, across 118 postings.
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
More benefits (1)
- Robust Wellness Program
The workplace
Worth asking
- Can you walk me through differentials?
- What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
More questions to askFewer questions
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
Your fit
Original listing
Read full text
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.
What's around it?
Los Angeles, CAFrom Census ACS 2024.
Living costs about 14% above the US average
- Median rent
- $1,933/mo
- Household income
- $81,939/yr, all local households, not nurse pay