Authorization Nurse, RN - Utilization Management
Hill Physicians Medical Group
Hill Physicians Medical Group is looking for an Authorization Nurse in Sacramento, California. The nurse will evaluate medical necessity for various services using clinical guidelines while ensuring eligibility requirements are met. Responsibilities include processing authorization requests and collaborating with healthcare providers to support the care of patients. Ideal candidates will hold an active California RN or LVN licensure and have a minimum of 3 years of experience in Managed Care Utilization Management. Strong analytical, communication, and time-management skills are essential for this role. #J-18808-Ljbffr Hill Physicians Medical Group
- PriMed Management Consulting Services, Inc. is seeking an Authorization Nurse to evaluate medical appropriateness for services. The role involves reviewing and processing authorization requests, utilizing medical guidelines, and collaborating with healthcare providers....Suggested
- ...provider in California is seeking a Supervisor of Utilization Management to oversee operations of the Pre-Authorization team. This role requires 5+ years of clinical... ...referrals, and facilitate team meetings. A California RN license is required. This position offers a...SuggestedRemote work
- ...Responsibilities Sierra Vista Hospital is seeking a Full-time Utilization Management Coordinator (Registered Nurse) for the Utilization Management Department. If you... ...will also review with payor sources and receive authorization for the type and volume of services through all...SuggestedFull timeWork at officeShift work
$100k - $123k
...healthcare of the future: actively managed care that prevents disease,... ...! Job Description The Authorization Nurse is responsible for the... ...regulatory requirements. Utilize a variety of medical necessity... ...Licensure: Registered (RN) or Licensed Vocational Nurse...SuggestedFlexible hoursShift work- Your Role The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines... ...an active, unrestricted RN license in assigned states or... ...Medicare) Bachelor of Science in Nursing or advanced degree preferred...SuggestedFull timeWork at office
- ...5.00/yr - $52.00/yr Delivery Manager - Healthcare, Client Relationship... ...MSPHiring Locums & Physicians/Nurses/Allied/Professional Coder... ...Skills Must have California RN License Must have Strong Clinical... ...Skills Summary : The Utilization Management team reviews the inpatient...Contract workTemporary workLocumWork at officeHome officeShift work
- Blue Shield of CA is seeking an experienced nursing leader for its Utilization Management team in California. The role focuses on complex utilization reviews... ...but will come to the office as needed. Requires RN license, ADN required, BSN preferred, and at least five...Work at officeRemote work
- Overview Your Role The Utilization Management team independently manages complex utilization and retrospective... ...and Experience Associate Degree in Nursing required Bachelor of Science in Nursing... ...setting Maintain active, unrestricted RN License in assigned states or the...Full timeWork at office
$2,714 per week
...Registered Nurse (RN) | Utilization Review Location: Sacramento, CA Agency: GQR Healthcare Pay: $2,714 per week Shift Information... ...Weeks Start Date: ASAP About the Position Case Manager RN Job Location: Sacramento, CA Profession:...Hourly payWeekly payFull timeContract workImmediate startShift work$2,714 per week
...Registered Nurse (RN) | Utilization Review Location: Carmichael, CA Agency: GQR Healthcare Pay: $2,714 per week Shift Information... ...Review RN in Carmichael, California, 95608! Case Manager RN Job Location: Carmichael, CA Profession: Registered...Hourly payWeekly payFull timeContract workImmediate startShift work- Blue Shield of CA is seeking a Utilization Management Manager in Rancho Cordova, CA. This role involves leading a team to ensure safe and effective... ...for Medi-Cal and Medicare. Candidates must hold an active RN license and possess at least 7 years of experience, including...
- CVS Health in Sacramento seeks a Registered Nurse for Utilization Management. This 40-hour full-time role operates in a 24/7 environment with weekend, holiday, and evening hours. You will assess and coordinate care, apply clinical criteria, and communicate with providers...Full timeWeekend workAfternoon shift
- ...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Rancho Cordova, CA... ...from internal and external facilities, managing an average of 12 cases per shift with up... ...concurrent chat channels Navigate and utilize multiple computer applications simultaneously...Weekly payFull timeContract workTemporary workImmediate startShift workNight shiftWeekend work
- ...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Rancho Cordova, CA... ...from internal and external facilities, managing an average of 12 cases per shift with up... ...concurrent chat channels Navigate and utilize multiple computer applications simultaneously...Weekly payFull timeContract workImmediate startShift workNight shiftWeekend work
$84.07k - $163.93k
...Job Summary Leads and manages multidisciplinary team of healthcare... ...functions: care management, utilization management, behavioral... ...management (prior authorizations, inpatient/outpatient medical... ...experience. • Registered Nurse (RN), Licensed Vocational Nurse...Contract workWork experience placementWork at officeLocal area$53 - $60 per hour
...Job Title: Registered Nurse Salary: $53 - $60 / Hourly Schedule... ...FUNCTION The Registered Nurse, RN, is a member of the... ...JOB RESPONSIBILITIES Case Management and Supervision for Registered... ...RN, appropriately identifies/utilizes resources, referrals such as PT...Hourly payShift workRotating shiftWeekend workAfternoon shift- ...Conducts reviews to determine prior authorization/financial responsibility for Molina and... ...the Molina care model. Adheres to utilization management (UM) policies and procedures.... ...education and experience. Registered Nurse (RN). License must be active and unrestricted...Remote job
- ...Behavioral Health Admission Nurse Sierra Vista Hospital is seeking... ...for initial insurance pre-authorization of admitted patients within 2... ...an accredited program and an RN license, required.... ...and most respected health care management companies, operating through...Full timeFlexible hoursShift workNight shiftWeekend work
$3,245 per week
...Registered Nurse (RN) | Labor & Delivery Location: Sacramento, CA Agency: FlexCare Pay: $3,245 per week Shift Information... ...leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S....Full timeContract workImmediate startShift work- ...Registered Nurse (RN) | Administration / Management Location: Carmichael, CA Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 7...Weekly payFull timeContract workShift work
- ...Registered Nurse (RN) | Administration / Management Location: Carmichael, CA Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 7...Weekly payFull timeContract workShift work
- ...Registered Nurse (RN) | Administration / Management Location: Sacramento, CA Agency: Titan Medical Group Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Contract Duration: 8 Weeks Start Date: 7/...Weekly payFull timeContract workShift work
$2,220 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Sacramento, CA Agency: FlexCare Pay: $2,220 per week Shift Information... ...leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S....Full timeContract workImmediate startShift work- ...Mental Health Registered Nurse (RN) The Mental Health Registered Nurse (RN) is a licensed... ...strong clinical judgment, crisis-management skills, and the ability to maintain a safe... ...setting, and psychotherapeutic communication. Utilize appropriate interventions during...Shift workNight shift
$2,896.88 per week
...seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in... ...weeks Pay: $2896.88 / Week Profession: RN Requirements: BLS;ACLS;NIH Desired... ..., allied health, and therapy talent management solutions for top healthcare facilities throughout...Flexible hoursShift workNight shift$2,889 - $2,978 per week
...Registered Nurse (RN) | Case Manager Location: Sacramento, CA Agency: Pioneer Healthcare Services Pay: $2,889 to $2,978 per week... ...to ensure continuity of care. Coordinate insurance authorizations, appeals, and approvals for necessary medical services and...Full timeRelocation packageShift work$3,132 per week
...Registered Nurse (RN) | Case Manager Location: Sacramento, CA Agency: Cynet Health Pay: $3,132 per week Shift Information:... ...Office programs - Experience with discharge planning and utilization review - Familiarity with Medicare/Medi-Cal guidelines related...Full timeContract workCasual workWork at officeFlexible hoursShift work$2,889 - $2,978 per week
...Registered Nurse (RN) | Case Manager Location: Sacramento, CA Agency: Pioneer Healthcare Services Pay: $2,889 to $2,978 per week... ...to ensure continuity of care. Coordinate insurance authorizations, appeals, and approvals for necessary medical services and...Full timeRelocation packageShift work$3,172 per week
...Registered Nurse (RN) | Case Manager Location: Carmichael, CA Agency: Cynet Health Pay: $3,172 per week Shift Information:... ...They will be responsible for managing care coordination and utilization review. They will complete initial assessments and discharge...Full timeContract workShift workWeekend work$3,068 - $3,163 per week
...Registered Nurse (RN) | Case Manager Location: Carmichael, CA Agency: Pioneer Healthcare Services Pay: $3,068 to $3,163 per week... ...to ensure continuity of care. Coordinate insurance authorizations, appeals, and approvals for necessary medical services and...Full timeRelocation packageShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Authorization Nurse, RN - Utilization Management. Be the first to apply!
- rn manager Sacramento, CA
- icu rn Sacramento, CA
- part time clinic rn Sacramento, CA
- clinic registered nurse rn Sacramento, CA
- prn rn Sacramento, CA
- registered nurse office Sacramento, CA
- fema rn Sacramento, CA
- rn case manager Sacramento, CA
- new grad rn work from home Sacramento, CA
- travel registered nurse l&d Sacramento, CA


