Search Results: 3,918 vacancies
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in San Leandro, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 12 weeks
~36 hours per week...
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...Job Description
Job Description Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San Francisco. It is a hybrid position with 1-2 days per week on-site required.
Collaborates with the physician, nurse case manager...
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2 days per week
1 day per week
...staff ensuring timely and consistent medical decisions to members and providers.
Job Summary:
Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive care.
Perform physician-level case review, following...
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...Description: Job Summary:
Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in the discharge planning process.
Essential Responsibilities:
Conducts utilization review for in-house patients and/or members...
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...The Utilization Review (UR) Nurse works collaboratively with the county or customer utilization and the treatment team to ensure that the care provided is appropriate and medically necessary. The UR Nurse also ensures that medical record documentatio RN, Behavioral Health...
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...information about the Behavioral Health Department, please visit
THE POSITION
Under general direction, supervises Clinical Review Specialists in Alameda County Behavioral Health; coordinates day-to-day functions, ensures appropriate staff coverage; and performs...
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...in clinical practice and to optimize clinical outcomes.
Educates physicians and staff regarding regional projects or regulatory reviews, i.e. the interpretation of regulatory requirements and the methods of compliance when preparing for a review or the interpretation...
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...utilization initiatives and is essential to managing conflicting priorities and multiple projects. As part of the Medical Expense Review (MER) team, you will prepare for monthly presentations, and manage both long and short-term projects, working collaboratively with...
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...opportunity employer, promoting diversity, inclusion, and equal opportunities for all qualified applicants.
Job Title: RN Utilization Review
Location: Oakland, CA 94602
Job Type: Contract
Job Duration: 13 Weeks
Pay Range: $70-75
Hours per Week: 36...
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...UM Peer, UM Chiefs/Directors, Quality, TPMG, other departments and contracted/planned providers. Manages projects related to chart reviews.
Conducts utilization data analysis (avoidable days, readmissions, UMAB, PRS reports, one-day stays, DRGs, LOS, PDRs, etc.) for...
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...improve overall revenue by recovering denied and underpaid claims from both commercial and government payers. Our retrospective claims review is contingency based with no upfront costs to our clients and utilizes our proprietary system, staff, and resources to recover...
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$95k - $120k
We have been able to grow because we have put our team and our clients first. With a track record of over 30 years, be want to grow with you. If you believe you will be able to add value, skills, and hard work to ensure the culture remains a place of grow, this Tax Manager...
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...units. Investigates and resolves patient/family member concerns regarding patient care.
Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to...
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...Job Summary:
Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in the discharge planning process.
Essential Responsibilities:
Conducts utilization review for in-house patients and/or members who have been...
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Hourly pay
Shift work
...is essential. This job is not a good fit for people who experience claustrophobia.
Visit the Navy SWCC PST Calculator to review the current minimum Navy Physical Screening Test (PST) requirements for Navy Challenge Programs.
General qualifications may...
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...fundraising activities as required in the Development Plan and/or by EACom.
vii. Work with the Executive Director and EACom to regularly review and update the BSC Development Plan, including key objectives and strategies for alumni engagement and fundraising.
b. Provide...
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...customer satisfaction. Located in San Ramon, California, our company is proud to offer products that stand as the highest-rated and most reviewed in their category on the world's top marketplaces.
At California Design Den, we believe that a good day begins with a great...
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...AND TASKS
Approves the purchases of hospital expenses in accordance with policies and procedures.
Performs hospital financial reviews on a monthly basis and controls expenses.
Prepares any state financial reports that are required.
Completes annual financial...
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...patients within our multidisciplinary organization. The M.D. must also be comfortable communicating with agents of payors for utilization review and request authorizations.
RESPONSIBILITIES:
Comprehensive chronic pain care of the patients
Medication management...
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Monday to Friday
...fantastic and competitive health benefits, paid vacation/sick/personal, a great retirement plan, and an easy commute! Here’s the link to review the Teamsters, Local 856 Memorandum of Understanding (MOU) to learn more: MOU_2022-2026_TEAMSTERS-856 (ca.gov)
A few challenges...
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Local area
