Search Results: 19,185 vacancies
...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
...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
...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
$90k - $140k
...providing technical support to critical Utilities areas, you may also perform the following... ...be known as SME for related areas.
Review process and support equipment and systems... ...disciplines.
Must know how to run projects, coordinate contractors, and direct the activities...
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Minimum wage
Holiday work
Full time
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For contractors
Local area
Shift work
...authorizations and reimbursement regulations pertaining to Medi-Cal, CCS and other government programs required.
4. Prior experience in utilization management processing authorization referrals also required.
5. Prefer prior Lead position experience.
Benefits & Career...
Suggested
Hourly pay
Holiday work
Flexible hours
...passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Position Overview
As a Utilization Reviewer, you involves reviewing medical records against appropriate criteria and employing critical thinking and decision-making...
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Remote job
Part time
Local area
...medical groups.
Key Responsibilities:
1. Supervise licensed and non-licensed denial unit staff, managing daily tasks, performance reviews, and disciplinary actions.
2. Collaborate effectively with physician reviewers, medical directors, and other departments.
3....
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...passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Acentra seeks a Utilization Clinical Reviewer to join our growing team.
Job Summary
As a Utilization Clinical Reviewer, you'll harness your expertise to meticulously...
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Remote job
Hourly pay
Full time
Local area
...of network and appropriateness of treatment setting reviews within scope of licensure by utilizing appropriate medical policies and clinical guidelines... ...knowledge to work with facilities and providers for care coordination. May access and consult with peer clinical reviewers...
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Daily paid
Holiday work
Full time
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Flexible hours
$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... ...with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an...
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Full time
...partnered with a prominent healthcare organization based in Montebello, CA to fill a UM Coordinator position. Please consider applying if you come with a minimum of 2 years of Utilization Management and Prior Authorization experience.
Job Details
Title: UM...
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Temporary work
Monday to Friday
...Description
Job Description Job Description: Manager of Clinical Utilization Management - Denial Compliance
Location: Burbank, CA... ...licensed denial unit staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.
2. Foster effective...
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Permanent employment
Full time
Temporary work
Remote job
Flexible hours
...ranked company in the country.
Job Summary
The Manager Utilization Review/MediCal Specialist will develop and maintain a full Medi-... ...all Medi-Cal patients while maximizing reimbursement through coordination of services. Key responsibilities also include development...
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Full time
....
We seek a marriage and licensed marriage and family therapist, registered nurse, or a clinical social worker to perform utilization reviews at our corporate office in Pasadena, California. We believe offering an attractive benefits package is crucial for attracting...
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Holiday work
...Job Description
The Utilization Management Coordinator is responsible for production of administrative and clinical materials and correspondence, coordinating day-to-day activities and other duties and projects as assigned. Coordinates the transfer of information to...
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Full time
Immediate start
The RN Float Case Manager and Utilization Review Nurse provides coverage for an RN Case Manager or RN Utilization Review Nurse. The RN Float... ...with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an...
Hourly pay
Full time
Work experience placement
Local area
Night shift
...Description: Job Summary:Coordinates and supervises data management, analyses and reporting for KFH utilization management and Continuing Care Services, SCPMG, KFHP Outside Services... ...facilities, and the Emergency Prospective Review Program and Air & Ground Transportation...
Contract work
Shift work
Weekend work
Afternoon shift
...for overseeing and managing the day-to-day operations of the Utilization Management Department, health plan delegated activities, and... ...and monitor medical appropriateness determinations and care coordination activities. This position is responsible for developing and implementing...
Holiday work
Remote job
Flexible hours
...Under the direction of the HVAC Supervisor, the Utility Plant Operator performs skilled-level work related to the operation, installation... ..., power management systems, fire or safety systems.
3. Reviews and updates all plant logs, both paper and electronic, according...
Holiday work
Immediate start
Flexible hours
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...specifications, and drawings.
Duties:
Performs technical review of proposed electrical plans and specifications submitted by... ...quality of development and documentation of electrical design, coordination with other disciplines, and other technical issues as required...
Holiday work
Full time
Contract work
Local area
Flexible hours
