Average salary: $96,843 /yearly
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...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...
Suggested
...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...
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Weekly pay
Holiday work
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: 05/06/2024
~ Duration: 13 weeks...
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Hourly pay
Contract work
Local area
Shift work
...DEFINITION:
Exercises, under medical direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the largest public hospitals in the country with 600-beds....
Suggested
Holiday work
Part time
Second job
Local area
Shift work
Night shift
Afternoon shift
...the issuance of adverse organization determinations. You will review for appropriate care and setting while working closely with denial... ...* Current CA LVN licensure required
* Two or more years of utilization review/utilization management experience in an HMO, MSO, IPA,...
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Remote job
Flexible hours
Monday to Friday
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
Hourly pay
Full time
Work experience placement
Local area
Night shift
...Immediate need for a talented Supervisor - Case Manager/Utilization Review . This is a 03+ Months Contract opportunity with long-term potential and is located in Los Angeles, CA(Onsite) . Please review the job description below and contact me ASAP if you are interested...
Suggested
Contract 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
...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...
Suggested
Full time
Part time
Work experience placement
...Immediate need for a talented Supervisor - Case Manager/Utilization Review . This is a 03+ Months Contract opportunity with long-term potential and is located in Los Angeles, CA(Onsite) . Please review the job description below and contact me ASAP if you are interested...
Suggested
Contract work
Immediate start
...Description Job Description: Manager of Clinical Utilization Management - Denial Compliance... ...staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.... ...an accredited Registered Nursing Program; RN preferred.
2. Minimum of five years in...
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Full time
Temporary work
Remote job
Flexible hours
...Description**
**Job Summary: Key Job Responsibilities**
The Utilization Review Case Manager validates the patient's placement to be at the... ...program
Bachelor's Degree Nursing preferred
**Licenses:**
RN State License
Basic Life Support (BLS)
**Experience:**
3...
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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...
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Daily paid
Holiday work
Full time
Contract work
Temporary work
Remote job
Flexible hours
...more than a job. It's the calling of our lives and it compels us to keep moving forward.
Job Overview
The Physician Reviewer of Utilization Management will provide routine review of authorization requests from all lines of business using respective national/state...
Suggested
Holiday work
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
...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,...
Permanent employment
Temporary work
Remote job
...AA) and Equal Opportunity Employers (EOE) inclusive of veterans and those with disabilities.
California residents click here to review your privacy rights.
By applying to this position, you consent to receive an initial text message to collect your communication...
Holiday work
Full time
Part time
Local area
Immediate start
Saturday
Monday to Friday
...health solutions in the public sector.
Acentra seeks aUtilization Clinical Reviewer - LCSW/LMFT/LPCC/LCPC (Remote within California) to join our growing team.
Job Summary
Utilizing clinical expertise, this role involves reviewing medical records against appropriate...
Remote job
Local area
...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
Relocation bonus
Shift work
Weekend work
...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