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
...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$31.03 - $46.54 per hour
...company in the country. Job Summary The Utilization Review Nurse will evaluate medical records to... ...medical necessity by applying clinical acumen and the appropriate application... ...and standard reviews. You will document decisions using indicated protocol sets, or clinical...SuggestedFull time- ...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
- 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...Suggested
$21 - $31.5 per hour
Emanate Health in West Covina, California, is seeking a Clinical Nurse Partner to provide essential patient care tasks under the supervision of licensed providers. The ideal candidate should have one year of preferred experience as a nurse assistant and possess excellent...Weekend work$130k - $140k
...attending physician as needed and acts as the clinical resource for the interdisciplinary team... ...overall productivity expectations. Reviews and approves payroll, assuring that... ...and supplies. Monitors resources and utilization of clinical operations including but not...Contract work$26 - $28 per hour
...Registered Nurse (RN), where you’ll bring... ...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 paidFull timePart timeReliefImmediate startFlexible hoursNight shiftWeekend workWeekday work- ...Registered Nurse (RN) licensure in the state... ...policy: Preferred Clinical specialty and/or nursing... ...of the most effective utilization of skills and abilities... ...for meals and breaks. Reviews and takes action on... ...Directly involved in decisions to hire and terminate...Full timeWork experience placementWork at officeNight shift
$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- ...Become an Environmental Agency Advocate Senior Advisor in Agency... ...agency perspective to inform SCE decisions. Advocates for SCE's... ...Corporate Affairs, etc.) to review and provide input on relevant... ...and coordinate with electric utility trade organizations and other...Local areaRemote workRelocation
$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- ...Certifications Registered Nurse (RN) licensure in the... ...AH policy (Preferred) Clinical specialty and/or... ...of the most effective utilization of skills and abilities... ...for meals and breaks. Reviews and takes action on... ...Directly involved in decisions to hire and terminate...Full timeWork experience placementWork at officeDay shift
- ...RN - Nurse Lead, ER, Night Shift, Full Time 10... ...AH policy: Preferred Clinical specialty and/or nursing... ...of the most effective utilization of skills and abilities... ...for meals and breaks. Reviews and takes action on... ...Directly involved in decisions to hire and terminate...Full timeWork experience placementWork at officeNight shift
$71.66k - $79.63k
...suitability and to enhance the referral and authorization process. Review donor suitability with Referral Management team, inform... ...Performs potential donor evaluation on-sites when requested by Clinical Resource Specialists. Professional Education Provide education...Full timeShift workWeekend workDay shiftAfternoon shift$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$55 - $60 per hour
...responsible for determining Resource Utilization Group (RUG) levels and... ...goals are accomplished, review resident’s progress, determine... ...with IDT members for pertinent clinical information as needed. Utilizes... ...of nursing. Current CA RN license. At least 3 years of...Work at officeDay shift- ...degree in Nursing at the campus for West Covina, CaAdjunct RN (Pediatrics) Clinical Instructor wanted for Friday 6 p.m. to 7 a.m.Careers Site:... ...leadership, and interpersonal skills.Technical SkillsAbility to utilize electronic health records (EHR) and learning management...Full timeTemporary workImmediate start
$25 - $29.38 per hour
...Position Title: Patient Services Advocate II - Dental Location: El Monte, CA 91731 | West Covina, CA 91790 Description: Grow Healthy If... ...part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for...Hourly payLocal areaRemote workFlexible hours$25 - $29.38 per hour
...Position Title Patient Services Advocate II Location West Covina, CA 91792 Description Grow Healthy – If you are as passionate about helping... ...part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for...Hourly payLocal areaFlexible hours$70 per hour
...Duties and Responsibilities Clinical Practice – Provision of professional... ...Support Services. Access and review the referring hospital’s... ...of Organ procurement. Advocate on behalf of potential donors... ...initiative, judgment and make decisions within the scope of assigned...Hourly payDaily paidWork at officeShift workWeekend workDay shiftAfternoon shift- ...degree in Nursing at the campus located in West CovinaAdjunct RN (OBGYN) Clinical Instructor wanted for Fridays 6:00 p.m. to 7 a.m.It is the... ...students in developing confidence, critical thinking, and clinical decision-making skills.Foster a positive, respectful, and inclusive...Temporary workImmediate start
$50 - $55 per hour
...Type: Part‑Time Salary Range: $50.00 - $55.00 Hourly Adjunct RN (Med‑Surg) Clinical Instructor Position available for associate degree in... ...Support student learning in patient assessment and clinical decision‑making. Support student learning in medication administration...Hourly payPart timeImmediate start$100k
...Matching We thoughtfully match you with intended parents whose values align with yours. Medical Preparation Work with a top fertility clinic for embryo transfer; all medical costs are covered. Pregnancy & Support Consistent support from your dedicated care team throughout...Start working today- ...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
$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$112k - $128k
...assistance. We deliver coordinated clinical and social care in our centers... ...area), up to 75% travel RN License Required Role Scope... ...for conducting competency reviews and signoffs for team members... ...data and curiosity to inform decisions. ~ Acts with integrity and...Contract workTemporary workFixed term contractWork at officeLocal areaRemote workFlexible hours$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$58.29 - $79.98 per hour
...team, provides professional nursing care, utilizing the nursing process in accordance with... ...quality and effectiveness in work habits and clinical practice; and treats co-workers,... ...validation. Make comprehensive nursing decisions based on interpretation of data,...Daily paidFull timeWork experience placementWork at officeLocal areaFlexible hoursShift workNight shiftAfternoon shift
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