Search Results: 29,764 vacancies
...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 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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...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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...although it can be done remote.
We are an experienced Utility Design Reviewer on a direct hire basis with our clients team of professionals... ...services contract to provide program delivery and program management services to support one of the largest planned...
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...their journeys of recovery.
We are actively seeking a utilization review specialist to work in our corporate office in Pasadena, CA.... ...abuse benefits, community treatment resources, mental health managed care programs and company policies and procedures and criteria...
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...case, and creating a clinical impression to present to all managed care representatives.
Establish and maintain positive effective... ...working in a psychiatric or chemical dependency setting, with two years of utilization review experience preferred.
Registered Nurse...
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...Pyramid Consulting is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California.... ...are looking for Charge / Supervisor Nurse with experience in managing Case managers/utilization review nurse team and insurance...
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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... ...before applying, please contact Loretta Gaspar , HR Manager at: ****@*****.***
What do our current employees...
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...of network and appropriateness of treatment setting reviews within scope of licensure by utilizing appropriate medical policies and clinical guidelines... ...quality, cost effective care throughout the medical management process.
Educates the member about plan benefits and...
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...function is responsible for all activities associated with Utilization Management (UM) programs.Ensures all UM activities are efficient, effective... ...in UM- appropriate use, interpretation of clinical criteria review process such as National Coverage
Determination, Local...
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...POSITION SUMMARY:
This position is responsible for the management of the daily operations of Utilization Management (UM) at APLA Health and Wellness (APLAHW).... ...tools and evidence-based criteria for utilization review.
Develop, implement and maintain compliance,...
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...Job Description
Job Description Job Description: Manager of Clinical Utilization Management - Denial Compliance
Location: Burbank, CA
Position... ...denial unit staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.
2. Foster...
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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
Work experience placement
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Night shift
...Description
Job Title: Director, Utilization Management
Department: Health Services - UM
About the Role:
Leads and shapes the Utilization... ...functions, including prior authorizations, concurrent review, medical claims review, and appeals and grievances. Directs...
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...Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners,... ...Degree in Healthcare related field.
~3 years' Experience in utilization management or case management.
Why Join Providence?
Our...
Full time
Work experience placement
Local area
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...position is responsible for providing support to the Medical Management department to ensure timeliness of outpatient or inpatient referral... .../health care specialty call center.
Prefer experience in utilization management processing authorization referrals.
Salary...
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...Angeles, CADevelopment - Development /Full Time /On-siteThe Engineering Manager (Solar+BESS Utility Scale) will support the infrastructure development and operations team with energy modeling, design reviews, and technical support from early development phase through...
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...therapist, registered nurse, or a clinical social worker to perform utilization reviews at our corporate office in Pasadena, California. We believe... ...benefits, community treatment resources, mental health managed care programs, and company policies and procedures and...
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...for associated 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...
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