Search Results: 149,253 vacancies
...Responsibilities:
Responsible for the quality and resource management of all patients that are admitted to the facility from the point... ...perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service...
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...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Santa Rosa, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~40 hours per week
~...
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...Description
Title: Utilization Review Assistant
Location: Long Beach
Department: Utilization Management MCH OP
Status: Full-time
Shift: Days, Weekends
Pay Range*: $22.41/hour - $32.50/hour
At MemorialCare...
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Overview:
Utilization Review Supervisor
Pay: $27 - $30 per hour
The Utilization Review Supervisor will oversee a Utilization... ...effective UR team to ensure that they are successfully managing the timely and accurate submission of authorizations to respective...
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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 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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...Privacy Notice for California Applicants:
Responsibilities:
The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. This position will also serve as a liaison and own the...
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Remote job
Job Description: Manager of Clinical Utilization Management - Denial Compliance
Location: Burbank, CA
Position Type: Hybrid (85% remote, 15%... ...licensed denial unit staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.
2. Foster...
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...current CA LVN license.
The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a... ...current CA LVN license.
Position Summary:
The Utilization Review LVN uses clinical judgement in providing utilization management...
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...hours (weekends rotating)
Travel Registered Nurse Utilization Review
San Diego, California, United States - 91911
Job... ...for the Service Area or Medical Centre related to Utilization Management.
Collaborates with the multi-disciplinary teams to plan...
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...Description
Title: LVN Utilization Review
Location: Fountain Valley
Department: Outpatient Utilization Management
Status: Per-diem
Shift: Days
Pay Range*: $40.00/hour
At MemorialCare Health System, we believe in providing extraordinary healthcare...
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...Trauma Center. Schedule will be Monday through Friday and expected need until November.
Must Have:
-Recent experience in Utilization Review 2 years or more.
-Proficient in MCG, InterQual, and experienced with Epic.
-Current Active California RN license
-...
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Monday to Friday
...level II Trauma Center. Schedule will be Monday through Friday and expected need until November. Must Have:-Recent experience in Utilization Review 2 years or more.-Proficient in MCG, InterQual, and experienced with Epic.-Current Active California RN license-Current CPR...
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Shift work
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Monday to Friday
...Trauma Center. Schedule will be Monday through Friday and expected need until November.
Must Have:
-Recent experience in Utilization Review 2 years or more.
-Proficient in MCG, InterQual, and experienced with Epic.
-Current Active California RN license
-...
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Monday to Friday
...is currently accepting applications for the position of
Utilization Review Quality Improvement Specialist
(RN, LCSW, MFT, LPCC, Clinical... ...has two options where focus is on either the quality management of mental health programs OR substance use disorders (SUD) programs...
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Full time
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Immediate start
...Rancho Cucamonga, CA 91730
The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length...
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...Job Description
Job Description Salary: DOE
Utilization Review Specialist and Intake Coordinator Job Description
Conduct thorough... ...to admit to MTR to their care being handled by their case manager.
Maintain resident Electronic Health Records (EHR)...
...Description
Job Description Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San Francisco.... ...required.
Collaborates with the physician, nurse case manager, social worker, and other members of the health care team to...
2 days per week
1 day per week
...Description: Job Summary:
Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in... ...knowledge of diagnostic codes.
Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:...
Hourly pay
Shift work
Overview:
Utilization Review Representative
Pay: $20.00 - 22.00 per hour
The primary responsibility for the Utilization Review... ...will include monitoring provider documentation performance, manage daily utilization review, episodes with payors and research...
Hourly pay
Holiday work
...Clinical Operations Medical Director
Utilization Management of Medical Oncology Benefits
Carelon Benefits Management
$20,000 Sign On Bonus... ....
Job Summary:
Perform physician-level case review, following initial nurse review, of Medical Oncology regimens...
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Local area
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Relocation bonus
