Utilization Review RN — Clinical Decision Advocate
Dormont Manufacturing Co
Dormont Manufacturing Co is looking for a Utilization Review Nurse in Covina, California. This role involves evaluating medical records to determine medical necessity and documenting decisions using clinical guidelines. The ideal candidate will have a California RN license, a minimum of three years of utilization management experience, and excellent customer service skills. Join our team to contribute to quality patient care and medical claims review. #J-18808-Ljbffr Dormont Manufacturing Co
$52.03 - $80.64 per hour
...Utilization Review Nurse The Utilization Review Nurse will evaluate medical... ...necessity by applying clinical acumen and the appropriate application... ...reviews. You will document decisions using indicated protocol... ...Requirement: California RN license. Pay Range: $52...SuggestedFull time$31.03 - $46.54 per hour
...company in the country.Job SummaryThe Utilization Review Nurse will evaluate medical records to... ...determine medical necessity by applying clinical acumen and the appropriate application... ...standard reviews. You will document decisions using indicated protocol sets, or clinical...SuggestedFull time$31.03 - $46.54 per hour
...in the country. Job Summary The Utilization Review Nurse will evaluate medical records to... ...determine medical necessity by applying clinical acumen and the appropriate application... ...standard reviews. You will document decisions using indicated protocol sets, or clinical...SuggestedFull timeLocal area- ...care system recognized for excellence, where your role as a Utilization Review Nurse will be pivotal in evaluating medical records and ensuring... ...of quality care. In this position, you will apply your clinical acumen to assess medical necessity and support medical claims...Suggested
- Dormont Manufacturing Co in Covina, California, is seeking a Utilization Review Nurse to evaluate medical records for necessity and provide... ...in computer use. Join us in ensuring quality care and adherence to clinical guidelines. #J-18808-Ljbffr Dormont Manufacturing CoSuggested
$55 - $60 per hour
...the campus located Adjunct RN (Mental Health) Clinical Instructors wanted -... ...environments that support shared decision-making. Assists the staff... ...Leads in the conduct and utilization of nursing research. Evaluation... ...care for them. Regularly reviews data that may reveal...Hourly payFull timeTemporary workPart timeImmediate startShift work- An established industry player in health care is seeking a Utilization Review Nurse to join their dedicated team. In this vital role, you will evaluate medical records and apply clinical expertise to ensure the delivery of necessary health services. Your contributions will...
$62.4k - $93.6k
...Clinical Review Nurse - Prior Authorization Akido builds AI-powered... ...authorization activities within the Utilization Management (UM) department... ...notes, status updates, and decision rationale Collaborate... ...~ Active California LVN or RN license ~3-5+ years of current...- ...assistance. We deliver coordinated clinical and social care in our centers... ...and monthly operating reviews, and provide support with quality... ...unrestricted Registered Nurse (RN) license in the state of... ...frontline supervisors. Strong decision‑making and prioritization skills...Contract workTemporary workFixed term contractWork at officeLocal areaRemote workFlexible hours
$53 - $87.45 per hour
Keck Medicine of USC is seeking a dedicated Registered Nurse who will be an integral part of the interdisciplinary team, providing personalized care coordination to patients. Key responsibilities include facilitating patient appointments, offering education, and maintaining...Hourly pay$22.32 - $24.96 per hour
2025-27: Participant Advocate (Class II) JOB TITLE: Participant Advocate (Class II) Pay:... ...beneficiaries and providers in understanding and utilizing the benefits available through the plans... ...be able to modify plans, actions, and decisions in light of changing situations and...Local area- ...Registered Nurse (RN) Ready to do what... ...with your clinical supervisor and participate... ...Acts as an advocate for patient welfare... ...strategies and procedures utilizing community... ...record/utilization review of medical records... ...assessment and triage decisions under the guidance...Weekly payDaily paidImmediate startFlexible hoursNight shiftWeekend workWeekday work
$53 - $87.45 per hour
...Infusion Registered Nurse utilizes the nursing process to... ..., the Infusion RN will also provide therapeutic... ...competency. Acts as patient advocate as seen by intervening... ...pain scale and review of possible side effects... ...ie. No food or drink in clinical areas) JCAHO (continuous...Hourly payFull timeWork experience placementLocal area$2,664 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Baldwin Park, CA Agency: FlexCare Pay: $2,664 per week Shift Information: Days - 4 days x 10 hours Contract Duration: 11 Weeks Start Date: ASAP About the Position TravelNurseSource...Full timeContract workImmediate startShift work$2,664 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Baldwin Park, CA Agency: FlexCare Pay: $2,664 per week Shift Information: Days - 4 days x 10 hours Contract Duration: 11 Weeks Start Date: ASAP About the Position Position Details...Full timeContract workImmediate startShift work$158.08k - $260.83k
The Clinic Nurse Manager holds 24-hour accountability for the quality... ...; and makes data driven decisions. They will role model performance... .../resource requirements and utilization of outside resources.... ...Req 4 years Experience as an RN Req Must be computer literate...Full timeWork experience placementLocal areaImmediate startFlexible hoursShift work- University of Southern California Arcadia Hospital is seeking a clinically competent registered nurse to provide safe, therapeutic care to... ...requirements include an Associate degree in nursing, California RN license, BLS/ACLS as appropriate, and basic computer skills. #J...
$60 per hour
...Adjunct RN (Pediatrics) Clinical Instructor - Friday PM - Marsha Fuerst School of Nursing - West Covina Salary Range $60.00 - $60.00 Hourly... ...interpersonal skills. Technical Skills ~ Ability to utilize electronic health records (EHR) and learning management systems...Hourly payFull timeTemporary workPart timeImmediate start$25 - $29.38 per hour
...AltaMed Patient Services Advocate If you are as passionate about helping those in need as you are about growing your career, consider... ...part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for...Hourly payFlexible hours- ...and Drug Administration (FDA), Clinical Laboratory Improvement Act (... ...medical/laboratory findings. Reviews informed consent forms for... ...with SOP. Understands and utilizes donor center's donor management... ...Nurse. Must have at least one (1) RN, LPN, LVN, EMT-P, or EMT-I...Local areaImmediate startShift workWeekend workAfternoon shift
$21 - $24.97 per hour
...Patient Financial Advocate The Patient Financial Advocate is responsible for providing... ...liabilities. Independent judgement and decision making is required to address the full range... ...and financial information, including reviewing and interpreting insurance benefits....Hourly payFull timeTemporary workWork experience placementWork at officeLocal area$18 - $19 per hour
...Financial Assistance Advocate Polaris Specialty Pharmacy LLC - Covina, CA 91724 Overview Salary Range $18.00 - $19.00 Hourly... ...Personal Time Off (PTO) ~ Competitive pay with annual performance reviews and merit-based raises ~ Career growth potential ~ Annual...Hourly payFull timeTemporary workPart time$25 - $29.38 per hour
...part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for... ...us forward every day. Job Overview The Patient Services Advocate is an AltaMed ambassador by welcoming and attending to the needs...Hourly payTemporary workFlexible hours- AltaMed Health Services Corporation is seeking a Patient Services Advocate II to warmly greet patients, manage front desk needs, and... ...emphasizes clear communication, problem-solving, and teamwork in a busy clinic setting. The candidate should have 1-2 years of customer...
- AltaMed Health Services Corp. seeks a Patient Services Advocate to welcome patients and coordinate a positive front office experience.... ...teamwork, and problem-solving to ensure patients feel respected and cared for in a busy clinic environment. #J-18808-Ljbffr altamed
$72 - $85 per hour
...Clinical Director - Psychiatric Nurse Practitioner Pay Rate: $7... ...in all clinical guidance and decision-making. Integrity Accountability... ...related to: PRN psychotropic utilization, medication errors,... ...Participate in complex case reviews and provide clinical perspective...Contract workPart timeReliefWork at officeWork from home$70 per hour
...Duties and Responsibilities: Clinical Practice Provision of professional... ...Services. 5. Accesses and reviews the referring hospital's... ...Director of Organ procurement. Advocates on behalf of potential donors... ..., judgment and make decisions within the scope of assigned...Hourly payDaily paidWork at officeShift workWeekend workDay shiftAfternoon shift- ...provides professional nursing care, utilizing the nursing process in... ...effectiveness in work habits and clinical practice; and treats co-... ...Make comprehensive nursing decisions based on interpretation of data... ...TITLE: Specialty Unit Staff RN - Hospital - ICU LOCATION:...Daily paidFull timeLocal areaFlexible hoursShift workAfternoon shift
$25 - $28 per hour
...under the direction of an RN Administer... ...leadership and experienced clinical supervisors A company... ...of care Assists in reviewing, evaluating and... ...Participates in peer review, utilization review and QAPI... ...critical thinking and decision making Performs other...Weekly payDaily paidWork at officeImmediate startFlexible hoursNight shiftWeekend workWeekday work$29 - $45.2 per hour
...a designated group of patients. The LVN utilizes the Nursing Process to provide therapeutic... ...flow, assists physicians with minor clinical procedures, performs EKGs, prepares patient... ...information Req Able to make decisions effectively and with appropriate stakeholder...Hourly payFull timeWork experience placementLocal area
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