Utilization Review Nurse - Care Coordination & Cost Control
Personal Touch Home Health Care Services Inc.
Personal Touch Home Health Care Services Inc. in Baldwin Park, CA is seeking a clinical reviewer to evaluate medical records and treatment plans for medical necessity and efficient utilization. The role ensures care aligns with established standards and promotes cost-effective decisions. You will collaborate with physicians, caregivers, and care teams to coordinate coverage, support discharge planning, and promote compliant, high-quality health care delivery. #J-18808-Ljbffr Personal Touch Home Health Care Services Inc.
- ...Role Summary Reviews medical records and treatment plans to determine... ...of requested health care services. Key Responsibilities... ..., appropriateness, and cost-effective utilization. Collaborate with physicians... ...caregivers, and care teams to coordinate care and coverage. Support...Suggested
$38.65 - $97.83 per hour
...medical necessity, level of care, and duration of treatment required for standard reviews, and collaborating with... ...in discharge planning, cost of care options, and/or coordinating referrals to appropriate... ...application, interpretation, and utilization of member health care...SuggestedLive inLocal areaRemote work- ...Kaiser Permanente in California is seeking a Registered Nurse to collaborate with an MD, screen admissions, and coordinate discharge planning. The role emphasizes patient advocacy, cost-effective care, and liaison with families and facilities to ensure safe transitions...Suggested
- ...the scope of the LVN MDS Nurse position for the... ...Nursing Reports to: MDS Coordinator FLSA: Non- exempt POSITION... ...and awareness of the care needs of the elderly and... ...of infection control committee. POSITION RESPONSIBILITIES... ...in the development and review of the resident's plan...SuggestedPart timeLocal area
$34 - $36 per hour
...in our recuperative care centers, emergency shelters... ...The Medical Coordinator is responsible for... ...patient’s providers and reviewing medication list... ...forms upon admission Utilize infection control measures according... ...nights Home Health nursing experience and...SuggestedHourly payNight shiftDay shiftAfternoon shift- ...assurance. Responsibilities Coordinate with colleagues within the... ...implement, or evaluate patient care plans. Effectively... ...an interdisciplinary team of Nurses, Physicians, Social Workers and... .... Promote high quality and cost-effective interventions and outcomes...Full timeWork at office
- Emanate Health is seeking an experienced Infusion Registered Nurse in California to provide outpatient infusion therapy,... ...transfusions, with porta-cath and PICC access competency. You will coordinate direct patient care across the cancer care team and educate patients and...
- CARIN Alliance in Baldwin Park, CA seeks a detailed-oriented professional to oversee utilization review and care coordination across care settings. You will assess medical necessity, determine appropriate levels of care, and support discharge planning to ensure continuity...
$49.86 - $76.69 per hour
...provision of patient care, with the underlying objective... ...while managing the cost of care and providing... ...role integrates and coordinates utilization management, care... ...Education: Associate's Degree Nursing Minimum Skills:... ...experience in Utilization Review and Discharge Planning...Hourly payFull timeWork experience placementLocal area- ...Description Registered Nurse - ICU Position Requirement... ...high quality compassionate care to all we serve. We provide innovative... ...the plan for nursing care in coordination with the patient, family, and... ..., Bedside Manner, Infection Control, Nursing Skills,...Full time
- ..., CA is seeking a Case Management Utilization RN. The role collaborates with physicians to coordinate admissions, discharge planning, and ongoing patient care. The ideal candidate will multitask... ..., advocate for patients, review hospital stays, and ensure timely...Daily paidShift work
- Job Title: LVN - Clinical Intake Coordinator Job ID: 91336 Location: Covina, California Role Summary... ...opportunity for a Licensed Vocational Nurse who enjoys coordinating patient services,... ...patients receive timely, high-quality care. Under the supervision of the Administrator...Work at officeMonday to FridayNight shiftAfternoon shift
$26 - $28 per hour
...Join Team Select Home Care as a Registered Nurse (RN), where you’ll... ...with complex needs Coordinate care plans with... ...strategies and procedures utilizing community resources... ..., Infection Control Plan, EMS Plan and the... ...record/utilization review of medical records and...Weekly payDaily paidFull timePart timeReliefImmediate startFlexible hoursNight shiftWeekend workWeekday work- ...community, GEO offers fully diversified, cost-effective services that deliver... ...Summary The Registered Nurse initiates and provides comprehensive nursing care in a correctional setting while observing... ...of medical records. Coordinate Chronic Disease Clinic scheduling...Full timeWork experience placementImmediate startWorldwideFlexible hoursNight shiftWeekend workWeekday work
- ...Registered Nurse (RN)Ready to do what you... ...Team Select Home Care as a Registered Nurse... ...welfare and coordinates care between patients... ...strategies and procedures utilizing community... ...Practices, Infection Control Plan, EMS Plan and... ...record/utilization review of medical records...Weekly payDaily paidNight shiftWeekend workWeekday work
$31.93 per hour
## Licensed Vocational Nurse, Home Care CoordinatorApplyremote type: In Personlocations: West Covina, CA 91790time type: Full timeposted... ...of homecare services for program participants, including the coordination of all contracted home services, durable medical equipment,...Hourly payLocal areaFlexible hours- ...to oversee the resident assessment process, including MDS and PDPM activities. You will ensure timely MDS submissions, coordinate interdisciplinary care, and supervise staff involved in assessments. The role requires a BSN or equivalent, RN licensure, and prior...
$43 - $54 per hour
...Registered Nurse (RN) - Bilingual Cantonese... ...providing direct patient care for patients... ...Recognizes and utilizes safety precautions and infection control procedures, maintaining... ...patient flow and post-op coordination as needed... ...their patients in a cost-effective manner. Our...Hourly payImmediate start- ...Medical Assistant to provide direct patient care in a General Surgery clinic in California. You will support physicians, nurses, and office staff to deliver high-quality... ...documentation, injections, EKGs, phlebotomy, and care coordination in a fast-paced #J-18808-Ljbffr OptumWork at office
- ...Center in California is seeking a part‑time LVN/MDS Nurse to conduct and collect data for resident... ...collaborate with the nursing staff, participate in care planning, ensure timely MDS completion, and support infection control processes while adhering to federal, state, and...Part timeLocal area
$58.5 - $96.53 per hour
...RESPONSIBILITIESAccountable to the Lead Administrative Coordinator and/or Vice President/CNO for... ...interdepartmental quality control, performance improvement, and... ...)Bachelor’s degree in nursing or in a health-related field... ...delivery of quality patient care. Demonstrates investment in...Hourly payDaily paidWork experience placementLocal areaShift work- ...community, GEO offers fully diversified, cost-effective services that deliver... ...Summary: The Registered Nurse initiates and provides comprehensive nursing care in a correctional setting while observing... ...of medical records. Coordinate Chronic Disease Clinic scheduling...Work experience placementImmediate startWorldwideFlexible hoursNight shiftWeekend workWeekday work
$53 per hour
...Guarantee Program. Imagine a nursing job where you have time to... ...Lead and support your Wellness Coordinator team during each shift. Deliver... ...exceptional patient care and creating an outstanding patient... ...supervisor to assign, direct, and control the work of employees. An...Full timePart timeShift workWeekend work- PIH Health is seeking a registered nurse to provide direct patient care, including assessment, planning, education, and evaluation for assigned patients. You will coordinate care with the interdisciplinary team to ensure smooth patient flow and delivery of services across...
$43 - $45 per hour
...Job Shift: Day, Job Category: Nursing/Nursing Support, SUMMARY: Our... ...services to support medical care and behavioral health care. We... ...forms Collaborate and coordinate multiple medical services for... ...aseptic techniques and infection control precautions as required Maintain...Hourly payPart timeLocal areaShift work$35.95 - $50.59 per hour
...NurseThe Licensed Vocational Nurse plays a vital role within... ...Department. The LVN within the Utilization Management team... ...and efficient transitions of care. This coordination not only supports optimal patient... ...experience in Utilization Review or Case Management discharge...Hourly payShift workWeekend work$58.6k - $63.7k
...Summary of Functions: The Surgical Recovery Coordinator Assistant (SRCA) is an entry-level... ...in audits, equipment checks, inventory reviews, and competency activities. 6. Ensure vehicles... ...Plans -Employer pays 90% of premium cost for employee 19 days of PTO 2 Floating...Full timeWork experience placementWork at officeShift workWeekend workDay shiftAfternoon shift- Charge Nurse position at Emanate Health in California oversees staff, unit flow on the assigned... ...as a role model for all staff. You will coordinate schedules, participate in performance... ...physicians. Providing direct patient care as needed is part of the role. The role requires...Shift work
- ...Clinical Nurse III - Hematology (4 East)Join the transformative... ...a network of clinical care locations across... ...physical exams, review of medical history, and... ...techniques to improve symptom control and quality of life.... ...financial assistance.Care Coordination: Nurses collaborate...Work experience placementRelocation packageShift workNight shiftWeekend work
$30 - $34 per hour
A health services company is seeking a Utilization Management Review Nurse in Monterey Park, CA. This hybrid role includes conducting reviews for inpatient admissions and outpatient procedures, ensuring compliance with regulations, and working collaboratively with the team...Hourly payWeekend work
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