Top 217 Nurse Jobs in Boulevard, Ca

UM Licensed Vocational Nurse (REMOTE)
Medica Talent Group —California
- $33 - $46 an hour
- Temporary
- Remote
- Microsoft Excel
- Microsoft Outlook
- LVN
Quick Apply
13d
RN Case Manager (Non-Supervisory)
Southern Indian Health Council, Inc —Boulevard, CA
- $97,160 - $135,496 a year
- Weekends as needed
- CPR Certification
- Nursing
- RN License
Quick Apply
RN Registered Nurse PICU (Pediatric ICU) Travel to San Diego, CA
White Glove Placement, Inc. —California
- $93.50 an hour
- Nights as needed
- RN License
- PALS Certification
- BLS Certification
Quick Apply
RN Med Surg/Telemetry 48hrs weekly pay $3220 + $2000 contract completion bonus
We Care Staffing Md LLC —California
- $3,200 a week
- Travel nursing
- Background check
- RN License
- BLS Certification
Quick Apply
2d
Interim Nurse Manager Labor & Delivery
HCT Executive Interim Management & Consulting —California
- $2,750 - $3,000 a week
- Night shift
- Nursing
- RN License
- Hospital
Quick Apply
Travel Nurse RN - ICU/Critcal Care - Up to $2,434/week
Health Carousel —United States
- Up to $9,736 a month
- Weekends as needed
- Up to 50% travel
- RN License
- BLS Certification
- Continuing education credits
- Health insurance
Quick Apply
Travel Labor & Delivery RN
Trustaff —United States
- Up to $3,547 a week
- Part-time
- Background check
- Medication administration
- RN License
- Travel reimbursement
- Health savings account
Quick Apply
3h
Staff RN - ECMO Spec / FT, nights
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Clinical Nurse
Tuba City Regional Health Care Corp —United States
- $32 - $50 an hour
- Full-time
- Nursing
- RN License
- Bachelor of Science
- Paid holidays
- Relocation assistance
Quick Apply
Military Service - U.S. Navy, Registered Nurse
U.S. Navy —United States
- $61,500 - $90,000 a year
- Full-time
- Background check
- Nursing
- RN License
- Loan repayment program
- Health insurance
19h
Travel PACU Registered Nurse (RN) – Nationwide Opportunities
Triage Staff —United States
- $2,050 - $2,935 a week
- Temporary
- Nursing
- RN License
- Mid-level
- Travel reimbursement
- Health savings account
Quick Apply
22h
F-1 RN – South Carolina | Green Card + Relocation
Greenstaff Medical US International —United States
- $30 - $34 an hour
- Full-time
- RN License
- Hospital
- Mid-level
- Relocation assistance
- Health insurance
Quick Apply
10d
Travel RN ICU - $3,000 - Weekly
Ambe Healthcare Staffing —United States
- $2,600 - $3,000 a week
- 12 hour shift
- RN License
- PALS Certification
- BLS Certification
- Referral program
Quick Apply
1d
Travel Registered Nurse- Intensive Care Unit (ICU) - Up to $45,000 assignment gross
Health Carousel —United States
- From $2,000 a week
- Travel nursing
- Background check
- RN License
- Mid-level
- Continuing education credits
- Relocation assistance
Quick Apply
Clinical Donation Coordinator I - PeeDee Region
WE ARE SHARING HOPE SC —United States
- On call
- Mid-level
- Operating room
- 2 years
Travel RN Emergency Room | Up to $2,800/wk + Rapid Hire
Voyage Healthcare —United States
- $2,100 - $2,800 a week
- Temporary
- RN License
- BLS Certification
- Mid-level
- Paid training
- Health savings account
Quick Apply
Travel Registered Nurse- Emergency Room (ER) - Up to $30,000 assignment gross
Health Carousel —United States
- From $2,000 a week
- Travel nursing
- Acute care
- Background check
- RN License
- Continuing education credits
- Relocation assistance
Quick Apply
Travel Registered Nurse- Labor and Delivery RN Up to $3534 per week
Health Carousel —United States
- Up to $3,534 a week
- Contract
- Travel
- 1 year
- Entry level
- Continuing education credits
- Health insurance
Quick Apply
8d
Travel Peds RN in Oklahoma City, Oklahoma
GIFTED Healthcare —United States
- $2,529.76 - $3,323.60 a week
- Overtime
- Background check
- Nursing
- Vital signs
- Health insurance
- Dental insurance
Quick Apply
Travel Registered Nurse (RN) - Med Surg/Tele
National Staffing Solutions —United States
- $2,000 - $2,600 a week
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
14d

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nurse jobs near boulevard, ca

UM Licensed Vocational Nurse (REMOTE)

Medica Talent Group
California

Quick Apply

Job Details

Temporary | Full-time
$33 - $46 an hour
13 days ago

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
Medicare
LVN
Managed care
Electronic health records (EHR) management
Customer service
Managed care organization experience
CMS
Regulatory compliance
Word embeddings
HIPAA
Microsoft Office
CMS regulatory compliance
Pre-authorization review for utilization management
Medicare regulations
Utilization management
Clinical program data analysis
Conflict management
Clinical documentation
Resource utilization in healthcare
Health information regulatory compliance
Medicaid regulations
Clinical confidentiality policies
Clinical data analysis

Full Job Description

The LVN Utilization Management Nurse is responsible for reviewing and processing authorization requests to ensure services are medically necessary, appropriate, timely, and consistent with health plan benefits, regulatory requirements, and nationally recognized clinical guidelines. This position reviews inpatient and outpatient services, hospitalizations, home care, treatment plans, and ongoing services while supporting cost-effective, high-quality patient care.

The UM Nurse works closely with Medical Directors, Hospitalists, providers, health plans, hospital partners, and care teams to facilitate timely authorization decisions and coordinate patient care. Responsibilities include verifying member eligibility and benefits, conducting concurrent and retrospective reviews, processing referrals and prior authorizations, coordinating discharge planning, and communicating authorization decisions to providers and members.

The position requires strong knowledge of utilization management processes, Medicare, Medi-Cal, Commercial, CCS, and other government program requirements, as well as familiarity with evidence-based criteria such as Milliman, InterQual, CMS, and specialty-specific guidelines. The UM Nurse must maintain accurate documentation, meet required turnaround times, protect patient confidentiality, and comply with HIPAA and applicable federal and state regulations.

Minimum Qualifications:

Current, valid Licensed Vocational Nurse (LVN) license.
Minimum of 2 years of managed care experience.
Experience using electronic medical records, authorization systems, and Microsoft Office applications, including Word, Excel, and Outlook.
Knowledge of utilization management, pre-authorizations, reimbursement regulations, and applicable federal and state requirements.
Strong communication, customer service, interpersonal, problem-solving, and conflict-resolution skills.
Ability to work collaboratively with diverse internal and external stakeholders.
Strong attention to detail and ability to analyze and interpret clinical and operational data.
Knowledge of DOFRs, delegation agreements, authorization matrices, and health plan requirements preferred.
Commitment to HIPAA compliance, privacy, and confidentiality standards.

Key Responsibilities:

Review and process referral and authorization requests within established turnaround time requirements.
Evaluate medical necessity and level of care using applicable clinical and evidence-based guidelines.
Verify member eligibility and benefits and communicate authorization decisions to providers and members.
Monitor ongoing services for medical necessity, appropriateness, and cost effectiveness.
Coordinate with Medical Directors, referral specialists, providers, hospitals, and health plans to facilitate timely decisions.
Process and coordinate Letters of Agreement (LOAs) for non-contracted providers and facilities, when applicable.
Conduct concurrent and retrospective reviews, discharge planning, and prior authorization/pre-certification activities as assigned.
Maintain accurate and timely documentation in the Medical Management system.
Stay current on utilization management regulations, health plan requirements, and applicable clinical guidelines.
Develop positive working relationships with internal and external customers while supporting high-quality, cost-effective patient care.

***TEMP POSITION - ASSIGNMENT ENDS 10/31/26***

Pay: $33.00 - $46.00 per hour

Experience:

Managed care: 2 years (Required)
Microsoft Office: 1 year (Required)

License/Certification:

LVN (Required)

Location:

California (Required)

Work Location: Remote

Quick Apply

Refine Your Search

nurse jobs in boulevard, ca

UM Licensed Vocational Nurse (REMOTE)

RN Case Manager (Non-Supervisory)

RN Registered Nurse PICU (Pediatric ICU) Travel to San Diego, CA

RN Med Surg/Telemetry 48hrs weekly pay $3220 + $2000 contract completion bonus

Interim Nurse Manager Labor & Delivery

Travel Nurse RN - ICU/Critcal Care - Up to $2,434/week

Travel Labor & Delivery RN

Staff RN - ECMO Spec / FT, nights

Clinical Nurse

Military Service - U.S. Navy, Registered Nurse

Travel PACU Registered Nurse (RN) – Nationwide Opportunities

F-1 RN – South Carolina | Green Card + Relocation

Travel RN ICU - $3,000 - Weekly

Travel Registered Nurse- Intensive Care Unit (ICU) - Up to $45,000 assignment gross

Clinical Donation Coordinator I - PeeDee Region

Travel RN Emergency Room | Up to $2,800/wk + Rapid Hire

Travel Registered Nurse- Emergency Room (ER) - Up to $30,000 assignment gross

Travel Registered Nurse- Labor and Delivery RN Up to $3534 per week

Travel Peds RN in Oklahoma City, Oklahoma

Travel Registered Nurse (RN) - Med Surg/Tele

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