Search Results: 87,899 vacancies

 ...positions. C ompassion A cceptance R espect E mpowerment S incerity Job Summary The UR Coordinator is responsible for the utilization review process at BBHH. Administrative and clerical functions of the Department, including but not limited to,... 
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Bakersfield Behavioral Healthcare Hospital

Bakersfield, CA
20 hours ago
 ...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 health... 
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COLLABORATIVE NEUROSCIENCE NETWORK LLC

Long Beach, CA
16 days ago
 ...and Social Services, the Care Management Coordinator (CMC) serves as a liaison among all...  ...discharge planning, clinical documentation and utilization management functions. The CMC strives...  ..., environmental, and financial needs. Reviews patient medical records to assure... 
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Mee Memorial Hospital

King City, CA
1 day ago
 ...Title: LVN Utilization Review Location: Fountain Valley Department: Outpatient Utilization Management Status: Per-diem Shift...  ...with physician hospitalists / PCPs / Specialists, leads and coordinates activities of interdisciplinary treatment team required to... 
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MemorialCare Health System

Fountain Valley, CA
1 day ago

$100.05k - $141.3k

 ...up in your nurse leadership career? We have an exciting opportunity to join an award-winning medical center as a Lead Utilization Review Coordinator.  The Lead Utilization Review Coordinator will join a Central Valley area, award-winning community medical center. This... 
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Clinical Management Consultants

Tulare, CA
20 days ago
 ...Health Description Responsible for implementing the utilization management process for patients admitted to acute level of care. Conducts daily concurrent clinical reviews for utilization/quality management activities, based on acute care guidelines... 
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Palomar Health

Escondido, CA
9 hours ago
 ...Human Trafficking Medical Home. Responsibilities: Utilization Review RN - remote position Position Summary: The incumbent...  ...consultants, second level physician reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical thinking... 
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CommonSpirit Health

Sacramento, CA
1 day ago
 ...Job Description Job Description We're looking for experienced Utilization Review Specialist that has worked in substance abuse industry/mental health for years. Almost 90% of our authorizations are for in network policies so we prefer someone that has experience in... 
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NEW LIFE TREATMENT CENTER

Santa Ana, CA
3 days ago
 ...Job Description Job Description Salary: DOE Utilization Review Specialist and Intake Coordinator Job Description   Conduct thorough reviews of client treatment plans to ensure alignment with established clinical guidelines, insurance requirements, and regulatory... 
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My Time Recovery

Fresno, CA
1 day ago
 ...Job Summary: Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in the discharge...  ...Counsels on Medicare and health care plan coverage. Coordinates referrals to appropriate agencies/facilities. Kaiser Permanente... 
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Kaiser Permanente

Modesto, CA
25 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... 
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GQR Healthcare

Ontario, CA
18 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
16 days ago
 ...adverse organization determinations. You will review for appropriate care and setting while working closely with denial coordinators and other staff to ensure the accurate...  ...licensure required * Two or more years of utilization review/utilization management experience... 
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UCLA Health

Los Angeles, CA
2 days ago
 ...and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the...  ...administrative personnel, and other disciplines in the hospital to coordinate the work of the unit, obtain information, answer questions... 
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Los Angeles County (CA)

Los Angeles, 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,... 
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Bakersfield Behavioral Healthcare Hospital

Bakersfield, CA
15 days ago
Details: Job Description: The Utility Coordination Manager will be a key player in our efforts to streamline and enhance utility coordination across all projects. This position is central to ensuring that Motive Energy remains at the cutting edge of the renewables... 

Motive Companies

Tustin, CA
9 hours ago
 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Ontario, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 12 weeks ~40 hours per week ~ Shift... 
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Medical Solutions

Ontario, CA
1 day ago
 ...achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. Qualifications: EDUCATION, EXPERIENCE... 
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St. Francis Medical Center

Lynwood, CA
4 days ago
 ...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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Shift PRN

Montebello, CA
more than 2 months ago
 ...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... 
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Pyramid Consulting, Inc

Los Angeles, CA
1 day ago