Search Results: 69,498 vacancies

 ...Bariatric Surgery along with Certificates of Excellence in Perinatal Care Hip- and Knee- Replacement. Responsibilities: Utilization Review RN - remote position Position Summary:  The incumbent is responsible for the review of medical records for appropriate admission... 
Suggested
Permanent employment
Remote job
Flexible hours

CommonSpirit Health

Carmichael, CA
2 days ago
 ...Job Description GQR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Ontario, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 04/29/2024 ~ Duration: 13 weeks... 
Suggested
Shift work

GQR Healthcare

Ontario, CA
7 days ago
 ...provide needed information on an account. Special Projects as needed. Required Education and Experience: Previous experience working in a psychiatric or chemical dependency setting, with two years of utilization review experience preferred. Registered Nurse... 
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Las Encinas Hospital

Pasadena, CA
5 days ago
 ...to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service...  ...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing experience... 
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Full time
Part time
Work experience placement

St. Francis Medical Center

Lynwood, CA
3 days ago
 ...Description The RN Case Manager is responsible for carrying out effective case...  ...RN Case Manager assists patients in the utilization of appropriate health care services. Position...  ...Nursing Department: 7810 UTILIZATION REVIEW Address: CA Napa 1000 Trancas St... 
Suggested
Full time
Local area
Shift work

Providence

Napa, CA
2 days ago
 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Palo Alto, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 35 weeks ~40 hours per week ~ Shift... 
Suggested
Weekly pay
Holiday work
Shift work

Medical Solutions

Palo Alto, CA
2 days ago
 ...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

Medical Solutions

Glendale, CA
1 day ago
 ...special accommodation for the application process, please contact Human Resources. Know Your Rights: Responsibilities: The Utilization Review Coordinator is responsible for the assisting with the implementation and ongoing management of the utilization review program... 
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Prime Healthcare Management Inc

Ontario, CA
4 days ago
 ...Job Title: RN-Case Management (Utilization Review) Job Location: Bakersfield, CA 93306 Job Duration: 3 Months+ (Possibilities of Extension) Shift: 5X8 (40 hrs./Week) Pay Range: $80/hr. on w2 (Negotiable). Job Description: · Utilization Review... 
Suggested
Shift work

Integrated Resources, Inc

Bakersfield, CA
1 day ago
 ...thinking, exceptional leadership, teamwork, and communication skills. ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical records and prepare clinical appeals (when appropriate) on medical necessity, level of care,... 
Suggested
Permanent employment
Full time
Temporary work
Part time
Work experience placement

Bakersfield Behavioral Healthcare Hospital

Bakersfield, CA
24 days ago
 ...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... 
Suggested
2 days per week
1 day per week

Vivo HealthStaff

Daly City, CA
23 days ago
 ...Center Victorville, CA ~ Coordinates and reviews all medical records, as assigned to...  ...and closed accounts for multiple levels of Utilization Review and Case Management reporting...  ...REQUIREMENTS: ~ CA LVN license required. CA RN license preferred. ~ Bachelor’s or... 
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KPC GLOBAL MEDICAL CENTERS INC

Corona, CA
23 days ago
 ...Department: Utilization Review Shift: Primarily Days (United States of America) Employee Type: Regular Per Diem Type (if applicable...  ...: POSITION SUMMARY The Utilization Review Nurse (UR RN) uses a collaborative process, which provides professional... 
Suggested
Shift work

Marshall Medical Center

Placerville, CA
1 day ago
 ...employer promoting diversity inclusion and equal opportunities for all qualified applicants.* Job Description: Position: RN Utilization Review Location: Oakland CA Shift: 17:00 7:30 Duration: 13 Weeks Responsibilities: Concurrent review of... 
Suggested
Shift work

United Health Systems

Oakland, CA
2 days ago
 ...*Position Purpose:** Performs a clinical review and assesses care related to mental health...  ...data to improve quality and appropriate utilization of services + Provides education to providers...  ...Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/... 
Suggested
Hourly pay
Holiday work
Remote job
Flexible hours

Centene Corporation

Sacramento, CA
3 days ago
 ...progressing rapidly, and we anticipate that our Colton Location in San Bernadino County, will be operational by Summer of 2024. Utilization Review Coordinator Position Overview Pay: $25 - $30 / Hour Ocean View Utilization Review Coordinator in our psychiatric... 
Summer work

COLLABORATIVE NEUROSCIENCE NETWORK LLC

Long Beach, CA
5 days ago
 ...Responsibilities Canyon Ridge Hospital is currently seeking a compassionate and talented Utilization Review Specialist to join our team. At Canyon Ridge Hospital we understand that not all wounds are visible. Depression, anxiety, trauma, PTSD, addiction, and... 
Local area

Universal Health Services

Chino, CA
4 days ago
 ...member of multi-disciplinary treatment team reviewing patient care and treatment options for...  ...: Maintains appropriate records of the Utilization Review Department Training: Provide...  ...Preferred; Current license as RN, LVN/LPT, LCSW Preferred; Master's... 
Holiday work
Full time
Temporary work

Aurora San Diego

San Diego, CA
4 days ago
 ...Description Under general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review...  ...this plan to the payer Collaborates with RN Case Managers and the Physician Advisors to facilitate... 
Contract work
Night shift

Torrance Memorial Medical Center

Torrance, CA
1 day ago
 ...laws JOB SUMMARY: The RN Case Manager, in collaboration with members...  ...concurrent and retrospective case review. This position functions as the key linkage...  ...care. Substantial recent experience in utilization review and/or discharge planning in an acute... 
Holiday work
Full time
Seasonal work
Local area
Immediate start

Marin General Hospital

Greenbrae, CA
3 days ago