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
- ...Job Description Primary Duties and Responsibilities The Utilization Nurse utilizes clinical expertise, discretion, and independent... ...contracted providers/vendors, and medical appropriateness. Referrals & Authorizations Responsible for medical necessity review of incoming...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 work$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 work- ...team, provides professional nursing care, utilizing the nursing process in... ...behavior. Champions new ideas. Leads and directs others through... ...Shares responsibility and authority with subordinates and holds... ...requests. Makes appropriate referrals and facilitates the customers...SuggestedDaily paidFull timeLocal areaFlexible hoursShift work
$43 - $55 per hour
...treatment team providing professional level of nursing care to patients under minimum... ...threatening emergency, all staff members are authorized to contact emergency services by dialing... .... Resolves client problems and needs by utilizing multidisciplinary team strategies....SuggestedHourly payPrice workShift work$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...Hourly payWork at officeRemote work$20.9 - $22 per hour
...retirement benefits. JOB SUMMARY AND PURPOSE The Lead Monitor I will arrange, coordinate,... ..., partners, and vendors. Monitor and authorize entrance and departure of employees, participants... .... As a non‑profit agency, VOALA must utilize all limited resources effectively and...Hourly payWork at officeLocal areaShift work- ...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
$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 workWorldwide$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...$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 workWork experience placementLocal areaRelocation package- ...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
$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$57.31 - $89.96 per hour
...Title: RN, Lead, Vascular Access Location: Laguna Hills, CA Department: Non-invasive Cardiology Status: Full-time... ...respect, innovation and teamwork. Position Summary Utilizing the nursing process and clinical nursing practice standards, the Lead RN...Full timeShift work- ...system in Orange County, CA is seeking a Lead Neurosurgery APP to join our growing Neurosciences... ...Practice Provider (APP) Lead is a Nurse Practitioner (NP) or Physician Assistant... ...APPs and staff on patient care, resource utilization, time management and professional...Full timeWork at officeMonday to FridayWeekend work
$110k - $135k
...Twenty80 llc is seeking a Registered Nurse (RN) Leader in Newport Beach, California, to oversee clinical operations within its Home Health service line. This position includes responsibilities such as supervising field clinicians, ensuring high-quality patient care, and...Full timeMonday to Friday$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- ...The Program Lead manages all programmatic and staffing aspects of an early care and education... ...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...Full timeTemporary workWork at officeLocal areaImmediate startMonday to FridayShift work
$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 shift$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 hours$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 shift$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 shift$191k - $253k
...Air Vehicle Systems Verification Lead Costa Mesa, California, United States Anduril Industries is a defense technology company... ...aircraft. The Systems Verification Lead is the technical authority for hardware verification strategy and execution across the full...Full timeWork experience placementImmediate start- ...Atria Signature Collection in Newport Beach is seeking a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) to enhance the lives of older adults. In this role, you will assist residents with mobility needs and daily living activities while maintaining positive...
- ...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
$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 work$166k - $220k
...Programs Lead, Test Sites & Infrastructure Costa Mesa, California, United States Anduril Industries is a defense technology... ...Production) and external partners (contractors, vendors, regulatory authorities). Serve as a primary point of contact for test site and...Full timeTemporary workFor contractorsWork experience placementImmediate start- ...healthier communities by connecting people to real food. You lead with confidence, energy, and accountability helping team... ...hours per week ~ Must be 18 years of age or older ~ Must be authorized to work in the United States Who We Are Sweetgreen...Full timePart timeLocal areaAll shiftsShift work
$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 shift- ...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...
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