Average salary: $96,843 /yearly
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...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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Immediate need for a talented Supervisor - Case Manager/Utilization Review . This is a 03+ Months Contract opportunity with long-term potential... ...with InterQual is preferred.
CCM is preferred.
RN license in CA required.
Case management, utilization review...
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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...
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...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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$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...
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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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...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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...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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...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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...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...
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...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...
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...complex healthcare challenges. Our culture is fueled by passion and driven by purpose.
Position Overview
Utilizing clinical expertise, this role involves reviewing medical records against appropriate criteria and employing critical thinking and decision-making skills...
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...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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Full time
Local area
...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...
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...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...
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As a Manager for Medicare Advantage Utilization Management, you'll provide direct management... .../Denial Letters
* Concurrent Review
* Continuity of Care
* Retro Claims... ...driven leader with:
* Current unrestricted RN licensure in CA required
* Bachelors of...
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Monday to Friday
...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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...Description
Job Title: Director, Utilization Management
Department: Health Services - UM
About the Role:
Leads and shapes... ...Department functions, including prior authorizations, concurrent review, medical claims review, and appeals and grievances. Directs...
...technology services. At E2, we value safety, innovation and collaboration, and we are dedicated to excellence.
Overview:
The Utility Inspector will be part of an inspection team that performs duties for inspecting line pipe, fittings, valves, or related...
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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...
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