Average salary: $134,160 /yearly
More statsSearch Results: 18,122 vacancies
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Downey, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~40 hours per week
~ Shift...
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Weekly pay
Holiday work
Shift work
...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,...
Suggested
Remote job
Flexible hours
Monday to Friday
...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...
Suggested
...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 weeks...
Suggested
Hourly pay
Contract work
Local area
Shift work
...Job Description: Manager of Clinical Utilization Management - Denial Compliance
Location... ..., managing daily tasks, performance reviews, and any necessary disciplinary... ...Qualifications:
1. Graduate from an accredited Registered Nursing Program; RN preferred.
2. Minimum of...
Suggested
Permanent employment
Full time
Temporary work
Remote job
Flexible hours
...Summary: Key Job Responsibilities**
The Utilization Review Case Manager validates the patient's... ...Diploma Graduate of an accredited nursing program
Bachelor's Degree Nursing preferred... ...*Req ID** : 1262
**Working Title** : Registered Nurse - Utilization Management...
Suggested
Shift work
...licensed denial unit staff, managing daily tasks, performance reviews, and disciplinary actions.
2. Collaborate effectively with... ....
Qualifications:
1. Graduate from an accredited Registered Nursing Program; RN preferred.
2. Minimum of five years in prior-authorization...
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Permanent employment
Temporary work
Remote job
...perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,... ...work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
2. Grandfathered prior to April 1, 2015...
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Full time
Part time
Work experience placement
The RN Float Case Manager and Utilization Review Nurse provides coverage for an RN Case Manager or RN Utilization Review Nurse. The RN Float... ...years preferred.
Required Licenses/Certifications:
* Req Registered Nurse - RN (CA DCA)
* Req Basic Life Support (BLS) Healthcare...
Suggested
Hourly pay
Full time
Work experience placement
Local area
Night shift
$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... ...to multi-task.
Required Licenses/Certifications:
Req Registered Nurse - RN (CA DCA)
Req Basic Life Support (BLS) Healthcare...
Suggested
Full time
...The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate level of care and... ...requests by performing first level reviews. The UM nurse ensures a process that is efficient for providing care...
Suggested
Full time
...Summary: ??Key Job Responsibilities
The Utilization Review Case Manager validates the patient's... ...??????Graduate of an accredited nursing program??
Bachelor's Degree??Nursing... ...Req ID : 1262
Working Title : Registered Nurse - Utilization Management Utilization...
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Full time
Shift work
...Job Description
The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate... ...requests by performing first level reviews. The UM nurse ensures a process that is efficient for providing...
Suggested
Full time
...Duties and responsibilities
Conducts pre-certification, out of network and appropriateness of treatment setting reviews within scope of licensure by utilizing appropriate medical policies and clinical guidelines in compliance with department guidelines and consistent...
Suggested
Daily paid
Holiday work
Full time
Contract work
Temporary work
Remote job
Flexible hours
...us to keep moving forward.
Job Overview
The Physician Reviewer of Utilization Management will provide routine review of authorization requests... ...provide oversight, guidance, and training sessions to UM nurse reviewers and other UM staff where applicable. This position...
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Holiday work
Flexible hours
.... It's the calling of our lives and it compels us to keep moving forward.
Job Overview
The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests from all lines of business using respective national/state, health plan, nationally...
Hourly pay
Holiday work
Flexible hours
...Responsibilities
Utilization Review (UR) Coordinator Opportunity.
Position: PRN (as needed)
This position is on-site and cannot... ...college or university in social work, mental health, nursing, or related field, preferred.
Successful completion of BLS...
Relief
Local area
Remote job
...Job Description 2yrs Contract assignment in Montebello! Utilization Management Nurse, LVN Opportunity!
Schedule: M-F 8/5
Location: Montebello... ...Utilization Management Nurse (UM Nurse) will provide a routine review of authorization requests from all lines of business using...
Contract work
...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...
Holiday work
Full time
Part time
Local area
Immediate start
Saturday
Monday to Friday
...health solutions in the public sector.
Acentra seeks aUtilization Clinical Reviewer - LCSW/LMFT/LPCC/LCPC (Remote within California) to join our growing team.
Job Summary
Utilizing clinical expertise, this role involves reviewing medical records against appropriate...
Remote job
Local area
