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...this is more than a job. It's the calling of our lives and it compels us to keep moving forward.
Job Overview
The Physician Reviewer of Utilization Management will provide routine review of authorization requests from all lines of business using respective national/...
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Flexible hours
...Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every... ...and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the...
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...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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...the issuance of adverse organization determinations. You will review for appropriate care and setting while working closely with denial... ...* Current CA LVN licensure required
* Two or more years of utilization review/utilization management experience in an HMO, MSO, IPA,...
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Remote job
Flexible hours
Monday to Friday
...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 start
...Pyramid Consulting is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 05/06/2024
~ Duration: 13...
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Contract work
Local area
Shift work
The RN Float Case Manager and Utilization Review Nurse provides coverage for an RN Case Manager or RN Utilization Review Nurse. The RN Float... ...Utilization Management Specialist confers and reviews with physicians on medical admitting information to assess medical necessity...
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Hourly pay
Full time
Work experience placement
Local area
Night shift
...Description Job Description: Manager of Clinical Utilization Management - Denial Compliance... ...staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.... ...communication and collaboration with physician reviewers, medical directors, and other...
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...of network and appropriateness of treatment setting reviews within scope of licensure by utilizing appropriate medical policies and clinical guidelines... ...benefits and contract.
Develops relationships with physicians, healthcare service providers, and internal and external...
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Full time
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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
**Job Description**
**Job Summary: Key Job Responsibilities**
The Utilization Review Case Manager validates the patient's placement to be at the most appropriate level of care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity...
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Shift work
...Responsibilities
Utilization Review (UR) Coordinator Opportunity.
Position: PRN (as needed)
This position is on-site and cannot... ...and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S....
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...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.
EDUCATION, EXPERIENCE, TRAINING...
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Part time
Work experience placement
...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. Ensure prompt responses to requests and...
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...Acentra seeks aUtilization Clinical Reviewer - LCSW/LMFT/LPCC/LCPC (Remote within California... ...our growing team.
Job Summary
Utilizing clinical expertise, this role involves... ...Determine approval or initiate referrals to the physician consultant, processing decisions and...
Remote job
Local area
...AA) and Equal Opportunity Employers (EOE) inclusive of veterans and those with disabilities.
California residents click here to review your privacy rights.
By applying to this position, you consent to receive an initial text message to collect your communication...
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Sizzler - 1145 Hollywood Way - [Food Prep / Kitchen Staff / Dishwasher / Busser] Assist in food preparation. Clean and put away all plates; glassware; utensils; and kitchen equipment. Operate and maintain dish machine. Take out trash; mop restaurant floors and maintain...
...technologies. In addition to providing technical support to critical Utilities areas, you may also perform the following responsibilities:... ...Utilities, and to be known as SME for related areas.
Review process and support equipment and systems design drawings and documents...
Minimum wage
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For contractors
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...Description
Job Summary: ??Key Job Responsibilities
The Utilization Review Case Manager validates the patient's placement to be at the... ...for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional...
Full time
Shift work
