Utilization Nurse: Referrals & Authorization Lead
Hoag Hospital Foundation
Hoag Hospital Foundation is seeking a Utilization Nurse in Newport Beach, CA. This role focuses on utilization management and care coordination, ensuring the medical necessity of inpatient services. The ideal candidate will have 3 to 5 years of nursing experience, expertise in Medicare plans, and necessary certifications. A Bachelor's degree in healthcare is preferred, along with strong computer skills. The position offers an opportunity to work within a diverse and supportive environment. #J-18808-Ljbffr Hoag Hospital Foundation
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Utilization Nurse: Referrals & Authorization Lead in Newport Beach, CA vacancy
- Job Description Primary Duties and Responsibilities The Utilization Nurse utilizes clinical expertise, discretion, and independent... ...providers/vendors, and medical appropriateness. Referrals & Authorizations Responsible for medical necessity review of incoming referrals...Suggested
$1,903 per week
...Registered Nurse (RN) | Utilization Review Location: Irvine, CA Agency: GQR Healthcare... ...time and have an exceptional experience Referral bonus up to $700 About the Company:... ...valued and make a real impact. We are a leading healthcare staffing provider, specializing...SuggestedHourly payWeekly payFull timeContract workImmediate startShift workTravelNurseSource
Irvine, CA11 hours ago$1,903 per week
...Registered Nurse (RN) | Utilization Review Location: Irvine, CA Agency: GQR Healthcare Pay: $1,903 per week Shift Information... ...sure you start on time and have an exceptional experience Referral bonus up to $700 About the Company: Finding the right...SuggestedHourly payWeekly payFull timeContract workImmediate startShift workGQR Healthcare
Irvine, CA11 hours ago$34.98 - $42.85 per hour
...and innovation. Job Summary The UM Nurse I - RN performs clinical review of authorization requests to determine medical necessity based on established... ..., and organizational policies. This role conducts utilization review activities under established guidelines and...SuggestedHourly payWork at officeRemote workClever Care Health Plan
Huntington Beach, CA2 days ago$41.38 - $69.02 per hour
...RN Utilization Management Nurse (InPatient) – California HMO Virtual: This role enables associates to work virtually full-time, with the exception... ...that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our...SuggestedFull timeTemporary workWork experience placementWork at officeLocal areaShift work1 day per weekElevance Health
Costa Mesa, CA20 hours ago- ...Lead Monitor II The Lead Monitor II will arrange, coordinate, supervise, mentor, and... ...employees, partners, and vendors. Monitor and authorize entrance and departure of employees,... ...Protection As a non-profit agency, VOALA must utilize all limited resources effectively and...Work at officeShift work
Volunteers of America
Costa Mesa, CA1 day ago $20.9 - $22 per hour
...Lead Monitor Swing Shift Location:Costa Mesa, CA Job ID:5140 Salary:$20.9 - $2... ...employees, partners, and vendors. Monitor and authorize entrance and departure of employees,... ...PROTECTION: As a non-profit agency, VOALA must utilize all limited resources effectively and...Hourly payWork at officeLocal areaShift workAfternoon shiftVolunteers of America Los Angeles
Costa Mesa, CA1 day ago$118k - $136k
A leading logistics firm in California is seeking a Corporate Communications Manager to elevate external communications for its Energy... ...fundamentals, excellent writing skills, and experience in the U.S. utility sector. The role offers a competitive salary range of $118,000...$98.5k - $209k
...The Resource Management Lead, Assistant Director is responsible... ...staffing, forecasting, utilization, skills and workforce capabilities... ...is not sponsoring for work authorization at this time. The wage... ...accept unsolicited candidates, referrals or resumes from any staffing...Local areaRemote workWorldwideCrowe
Costa Mesa, CA4 days ago- Chipotle Mexican Grill is hiring a Senior Analyst for Indirect Procurement based in Newport Beach, CA. This role manages the Utilities and Waste Management categories with a $250M spend and involves supplier strategy, market analysis, and contract negotiations. The ideal...Contract work
$129k - $171k
...motivated and analytical Corporate Treasury Lead with 4-6 years of progressive experience,... ...efficiency and control. Implement, utilize, and optimize the Treasury Management System... ...or Reuters terminals is a plus. Must be authorized to work in the United States. Preferred...Full timeTemporary workLocal area- ...SUMMARY/OBJECTIVE Our Nurses play a pivotal role in our studio success... ...comprehensive knowledge base of infusion therapies, utilizing Company policies, procedures and... ...education to external customers, payers and referral sources REQUIRED CERTIFICATIONS AND...Part timeMonday to FridayShift work
Pause Newport Beach
Newport Beach, CA9 days ago $24 - $27 per hour
...employee with responsibility/accountability for leading and managing their assigned clinic location. Utilizes knowledge of organization policies, procedures, and... ...and other voluntary plans 401(k) plan Employee Referral Program Paid Time-Off Company-Paid Holidays Equipment...Hourly payFull timeTemporary workWork at office- ...SUMMARY The Utilization Review RN reviews client health records to ensure proper utilization... ...of treatment. Coordinates discharge referrals as requested by clinical staff, fiscal... ...work, behavioral or mental health, nursing or other related health field preferred....Work at officeShift workWeekend work
KPC Global MSO
Santa Ana, CA4 days ago $22 - $28 per hour
...Select Home Care as a Registered Nurse (RN), where you'll bring... ...families/caregivers and/or their authorized representative, the agency... ...health strategies and procedures utilizing community resources as... ...Vision Insurance ~401(k) ~ Referral Program ~ Flexible scheduling...Weekly payDaily paidFull timePart timeReliefImmediate startFlexible hoursNight shiftWeekend workWeekday workTeam Select Home Care
Santa Ana, CA3 days ago$22 - $26 per hour
...Visual Lead - Fashion Island Newport Beach, California, United States Mindful Movement It's at the core of why we do what... ...executing to meeting company expectations, budgets, timeline Utilizes reporting tools in partnership with management to identify business...Full timeWork experience placementShift workALO Yoga
Newport Coast, CA4 days ago- ...Floor Lead (Retail) (Full-time) South Coast Plaza, Costa Mesa Since 2015, Mejuri has reimagined what fine jewelry can be in a... ...inclusivity & reproductive health in mind. ~ US ONLY: Opportunity to utilize 401(k) & commuter benefits plans. ~ UK ONLY: Comprehensive...Full timeWorldwideShift workWeekend workAfternoon shift
mejuri
Costa Mesa, CA4 days ago $24 - $27.61 per hour
...focused environment for our people. Job Summary The Guest Experience Lead is responsible for ensuring all guests (i.e., customers)... ...productive environment. Job Requirements Eligibility Must be legally authorized to work in the country in which the store is located Must have...Minimum wageContract workPart timeShift workNight shiftWeekend workDay shiftAfternoon shiftEarly shiftlululemon
Newport Beach, CA3 days ago- ...Program Lead - Temporary The Program Lead manages all programmatic and staffing aspects... ...needs and interests of children, utilizes staff, family, and community expertise. Environments... ...act as recruiters, promote the employee referral program, and help recruit new staff...Temporary workWork at officeLocal areaImmediate start
Catalyst Family
Irvine, CA20 hours ago $18.4 - $19.57 per hour
...good food. Position Overview As a Store Floor Lead, FT at Sur La Table, you play a key role in the success of the... ...limited to, receiving, MOS (Mark Out of Stock), and RARs (Return Authorization Requests). • Adhere to applicable wage and hour laws....Contract workWork at officeLocal areaFlexible hoursNight shiftCSC Generation
Costa Mesa, CA2 days ago$23.66 - $25 per hour
...general work area using the M.O.S. guidelines. Lead and coordinate activities of personnel... ...PPE REQUIREMENTS Safety glasses Utility gloves Steel-toe slip-resistant shoes... ...protected by law. Applicants must be authorized to work for ANY employer in the U.S. We are...Immediate startWork visaFlexible hoursShift workDay shiftCAMBRO Services
Huntington Beach, CA3 days ago$134.46k - $184.89k
...Client Management Market Leader (CMML) to lead our Advisory West team within the large... ...successful applicant. you must be legally authorized to work in the United States, without the... ...request an alternative process that does not utilize AI Tools or would like to request a...Full timeWork experience placementWork at officeRemote workHome officeFlexible hoursGuardian Life
Newport Beach, CA1 day ago$21 - $24 per hour
...pull our weight, we do our best, and take care of each other Lead with Heart- We operate with empathy and integrity Rise Up-... ...Read and communicate in English, both verbally and in writing Utilize basic computer skills (Email, Microsoft Office) Must have...Work at officeFlexible hoursShift workNight shiftWeekend workDay shiftLevain Bakery
Newport Beach, CA3 days ago$110.5k - $156k
...Team Manager will support the Director in leading, developing and supporting the sales,... ..., and provide qualitative feedback, utilizing reward and recognition as well as performance... ...floor, operations, etc.). Must have authorization to work in the United States or in the...Full timeWork at officeRemote workNight shiftTiffany & Co.
Costa Mesa, CA5 days ago$84.5k
...requirements. Ensures that the design team utilizes standards -Establishes and maintains... ...to their skill development -Leads CDO and cross-functional innovation and... ...ability to influence others without direct authority. Demonstrated ability to successfully coach...Temporary workLocal areaAbbVie
Irvine, CA20 hours ago$120k - $170k
...certification for the second year in a row. The M&A IT Integration Lead is responsible for coordinating and executing IT integration... ...coordinating across cross-functional teams without direct authority Strong organizational, problem-solving, and execution skills...Work at officeLocal areaFlexible hoursBKF
Costa Mesa, CA3 days ago- ...experience in Microbiology and EM groups and can lead actively and / or participate in... ...collected via environmental, personnel and utility monitoring in support of investigations,... ...Qualification program at Pyramid Laboratories. Authors technical protocols and reports for QC...
Pyramid Laboratories Inc
Costa Mesa, CA10 days ago $2,530 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Newport Beach, CA Agency: Core Medical Group Pay: $2,530 per week... ...reimbursement and dedicated housing support while on assignment Referral cash bonuses when you connect us with other clinicians CoreMedical...Hourly payWeekly payFull timeContract workImmediate startShift workNight shiftCore Medical Group
Newport Beach, CA19 days ago$2,530 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Newport Beach, CA Agency: Core Medical Group Pay: $2,530 per week... ...reimbursement and dedicated housing support while on assignment Referral cash bonuses when you connect us with other clinicians CoreMedical...Hourly payWeekly payDaily paidPermanent employmentFull timeContract workTemporary workImmediate startRelocationShift workNight shiftTravelNurseSource
Newport Beach, CA19 days ago$30 - $36 per hour
Insider, Inc. is seeking a Shift/Charge Nurse - LVN/LPN in Newport Beach, California, to enhance the lives of older adults by assisting with mobility needs and daily living activities. The role involves scheduling caregivers and maintaining positive relations with residents...Shift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Nurse: Referrals & Authorization Lead. Be the first to apply!
