Search Results: 15,593 vacancies
...Description
Title: Utilization Review Assistant
Location: Long Beach
Department: Utilization Management MCH OP
Status: Full-time
Shift: Days
Pay Range*: $22.41/hour - $32.50/hour
At MemorialCare Health System, we believe in providing extraordinary...
Suggested
Full time
Immediate start
Shift work
...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
~ Duration: 3 weeks...
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Hourly pay
Contract work
Local area
Immediate start
Shift work
...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...
Suggested
Summer work
...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
$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
...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
...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...
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Daily paid
Holiday work
Full time
Contract work
Temporary work
Remote job
Flexible hours
...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
...2024-05-31
Position Title:
Nurse Reviewer I
Job Description:
Nurse Reviewer I... ...reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department... ...background.
Current unrestricted RN CA license in applicable state(s) required...
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Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Weekend work
Day shift
...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
$72k - $90k
...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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Full time
Local area
Shift work
...DESCRIPTION
For this position we are seeking a (RN) Registered Nurse who resides in and is... ...position supports our Inpatient Medical review process with our Nebraska Medicaid Health... ...experience with appeals reviews and/or utilization management working on the managed care...
Suggested
Weekend work
Monday to Friday
...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...
Suggested
Remote job
Full time
Local area
...The City of La Habra is recruiting to fill the position of Utilities Supervisor in the Public Works Department. So if you have an interest... ...direction, plans, organizes, manages and supervises, and reviews the work of water and sewer technicians in the Water and Sewer...
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Price work
Holiday work
Full time
Contract work
For contractors
Local area
Gangs
...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...
Suggested
Contract work
Marriott Hotels - 5855 West Century Boulevard [Attendant / Team Member / Steward] It's time to explore new opportunities - and with more than 6,000 properties globally - Marriott has opportunities abound! Marriott gets to know thousands of people every day, but they want...
Immediate start
...direction of the Director, Medical Management this position is responsible for overseeing and managing the day-to-day operations of the Utilization Management Department, health plan delegated activities, and medical management initiatives. This position works closely with the...
Holiday work
Remote job
Flexible hours
...a Registered Nurse with UM and Inpatient Review experience. The Care Review Clinician must... ..., unrestricted State Registered Nursing (RN) license in good standing.
Must have... ...Certification, Association
Active, unrestricted Utilization Management Certification (CPHM).
To...
Remote job
Holiday work
Shift work
Weekend work
Monday to Friday
...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
...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...
Minimum wage
Holiday work
Full time
Temporary work
For contractors
Local area
Shift work
