Search Results: 14,309 vacancies
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~40 hours per week
~ Shift...
Suggested
Weekly pay
Holiday work
Shift work
...Job Description
Pyramid Consulting is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: ASAP
~...
Suggested
Hourly pay
Contract work
Local area
Immediate start
Shift work
...Duties and responsibilities
Conducts pre-certification, out of network and appropriateness of treatment setting reviews within scope of licensure by utilizing appropriate medical policies and clinical guidelines in compliance with department guidelines and consistent...
Suggested
Daily paid
Holiday work
Full time
Contract work
Temporary work
Remote job
Flexible hours
...Job Description
Job Description The Utilization Management Nurse Specialist LVN promotes... ...guidelines to emergent/urgent and continued stay reviews. Complete medical necessity and level of... .... · Active California LPN/LVN or RN license. · Three (3) years of utilization...
Suggested
Holiday work
Immediate start
...Job Description
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~40 hours...
Suggested
Weekly pay
Holiday work
Shift work
$47.31 - $88 per hour
...The RN Float Case Manager and Utilization Review Nurse provides coverage for an RN Case Manager or RN Utilization Review Nurse. The RN Float Case Manager and Utilization Review Nurse is assigned to function in the role of either a RN Case Manager or RN Utilization Review...
Suggested
Full time
Job Description: Manager of Clinical Utilization Management - Denial Compliance
Location: Burbank... ...staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.... ...accredited Registered Nursing Program; RN preferred.
2. Minimum of five years in...
Suggested
Permanent employment
Full time
Temporary work
Remote job
Flexible hours
...Responsibilities
Utilization Review (UR) Coordinator Opportunity.
Position: PRN (as needed)
This position is on-site and cannot be done remotely.
For nearly 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction...
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Relief
Local area
Remote job
$46.88 - $72.92 per hour
...technologies. In addition to providing technical support to critical Utilities areas, you may also perform the following responsibilities:... ...Utilities, and to be known as SME for related areas.
Review process and support equipment and systems design drawings and documents...
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Minimum wage
Holiday work
Full time
Temporary work
For contractors
Local area
Shift work
...staff and appropriate community agencies.
Reviews, monitors, evaluates and coordinates the... ...providing continuity of care, including Utilization management, Transfer coordination,... ...Experience
· Two (2) years combined RN experience in an acute care setting or case...
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Local area
...role in our participant's journey and our Utilization Management team ensures we can provide... ...guiding this team, the Utilization Management RN Supervisor drives the continuous... ...designated UM team
Assist the team in reviewing prior-authorization requests for medical...
Suggested
Hourly pay
Holiday work
...today's complex healthcare challenges. Our culture is fueled by passion and driven by purpose.
Position Overview
As a Utilization Clinical Reviewer, you'll harness your expertise to meticulously evaluate medical records against precise criteria, wielding critical...
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Remote job
Full time
Local area
...ranked company in the country.
Job Summary
The Manager Utilization Review/MediCal Specialist will develop and maintain a full Medi-Cal case... ....
Minimum License Requirement:
Current California RN or LVN license. RN license is preferred. Maintains BLS certification...
Suggested
Full time
...non-licensed denial unit staff, managing daily tasks, performance reviews, and disciplinary actions.
2. Collaborate effectively with... ...Qualifications:
1. Graduate from an accredited Registered Nursing Program; RN preferred.
2. Minimum of five years in prior-authorization,...
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Permanent employment
Temporary work
Remote job
...Job Summary:
Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures... ....
Provides direction to staff regarding utilization review, care coordination, discharge planning, and other services across...
Suggested
Local area
$40.1 - $46.88 per hour
...staff and appropriate community agencies.
Reviews, monitors, evaluates and coordinates the... ...providing continuity of care, including Utilization management, Transfer coordination,... ...Experience
~ Two (2) years combined RN experience in an acute care setting or case...
Full time
Local area
Shift work
...individuals dedicated to being a vital partner for health solutions in the public sector.
Position Overview
As a Utilization Clinical Reviewer, you'll harness your expertise to meticulously evaluate medical records against precise criteria, wielding critical...
Remote job
Full time
Local area
...valued and respected. This is a unique opportunity for accomplished attorneys to work on sophisticated matters primarily supervising Review Attorneys that are performing second-level review or quality control on high volumes of complex litigation documents. This is a...
Remote job
Flexible hours
...the management of the daily operations of Utilization Management (UM) at APLA Health and... ...evidence-based criteria for utilization review.
Develop, implement and maintain compliance... ...Requires either a Bachelor's degree in Nursing (RN with active California certification) or...
Contract work
...The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management (CM) staff’s responsibilities and activities. This includes, but not limited to, ensuring proper staffing and...
Full time
