Search Results: 29,675 vacancies
...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
...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...
Suggested
Permanent employment
Full time
Temporary work
Remote job
Flexible hours
...Description
I. Job Purpose and Core Tasks
The Customer Success Utilization Manager plays a critical role in managing overall success,... ...also be responsible for developing individualized strategic review plans to ensure continued growth of the network. The CSUM will...
Suggested
Hourly pay
Holiday work
Temporary work
Part time
Work experience placement
Internship
Local area
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Flexible hours
...solutions in the public sector.
Position Overview
As a Utilization Reviewer, you involves reviewing medical records against appropriate... ...expand to include additional duties deemed necessary by management.
Required Qualifications, Skills, Knowledge and Experience...
Suggested
Remote job
Part time
Local area
...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...
Suggested
Permanent employment
Temporary work
Remote job
$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...
Suggested
Full time
...Description
Job Title: Utilization Management Coordinator - Hybrid
Department: Health Services - UM
About the Role:
The Utilization... ...all UM processes such as pre-authorizations, retro reviews, Division of Financial Responsibilities and Health Plan contracts...
Suggested
Hourly pay
Immediate start
Work from home
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Santa Monica, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 2 weeks
~40 hours per week
~...
Suggested
Weekly pay
Holiday work
Shift work
...health solutions in the public sector.
Acentra seeks a Utilization Clinical Reviewer to join our growing team.
Job Summary
As a... ...inclusive and may be expanded to include other duties that management may deem necessary.
Required Qualifications, Skills, Knowledge...
Suggested
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... ...quality, cost effective care throughout the medical management process.
Educates the member about plan benefits and...
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Daily paid
Holiday work
Full time
Contract work
Temporary work
Remote job
Flexible hours
...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...
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Full time
Work experience placement
Local area
Shift work
...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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Holiday work
...plays a critical role in our participant's journey and our Utilization Management team ensures we can provide timely, quality, compliant, and... ...operations within the designated UM team
Assist the team in reviewing prior-authorization requests for medical necessity and...
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Hourly pay
Holiday work
...Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient... ...Provides direction to staff regarding utilization review, care coordination, discharge planning, and other services...
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Local area
...Talent Group is excited to share this Direct Hire opportunity with you!
We are looking foran experienced RN Supervisor, Utilization Management seeking a permanent opportunity. Our client offers growth and an exciting workplace to join along with competitive salary rates...
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Permanent employment
Immediate start
Utilization Manager
Los Angeles, California
Is remote? No
APLA Health
Los Angeles, CA
Website: https://aplahealth.org/Posted: May... ...reliability tools and evidence-based criteria for utilization review.
~Develop, implement and maintain compliance, policies and...
Holiday work
Contract work
Remote job
Flexible hours
The Engineering Manager (Utility Scale Solar + Storage Development) will support the infrastructure development and operations team with energy modeling, design reviews, and technical support from early development phase through operations. Assignments shall also include...
Contract work
Work experience placement
Local area
...Job Description
Job Description We are seeking a Project Manager with Utility Network Implementation experience to join our team! You will be responsible for the management and delivery of Spatial Information Management Systems technology related projects across various...
Remote job
...Under the direction of the Utilization Supervisor/ Manager, this position is responsible for the distribution, review, accurate and timely processing of SJHH patient referrals requested from providers.
Providence caregivers are not simply valued – they’re invaluable...
Full time
Local area
Shift work
...Description
POSITION
Assistant Project Manager
Benefits:
Paid Sick Time, Medical,... ...assistance and technical support.
Review engineering deliverables and initiate appropriate... ...civil plans (required)
Underground utility construction experience (preferred)...
For contractors
Local area
Shift work
Monday to Friday
