Average salary: $132,653 /yearly
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- ...Job Description: Job Title: Clinical Review Nurse Concurrent Review Location: Remote Must hold CA License Schedule: Training... ...Clinical Review Nurse (Concurrent Review) to join a utilization management team responsible for reviewing inpatient cases, supporting...SuggestedRemote workMonday to Friday
$104k - $172k
...Company Description: Raftelis helps local governments and utilities thrive by providing management consulting expertise to help transform local governments and utilities. We've provided professional consulting services to more than 700 organizations in the last year...SuggestedFull timeLocal areaWork visaFlexible hoursNight shift$167k - $205k
...project bids Reports to Division Manager of Underground Utilities Key Communication Partners Takeoff Manager, Estimators, Area... ...Complete estimate in a timely manner with ample time to review with the assigned reviewer Post bid, schedule, and review entire...SuggestedFull timeFor subcontractorWork at office$88.7 - $110.87 per hour
...Responsibilities: Acentra Health is looking for a Physician Medical Reviewer-PRN to join our growing team. Job Summary: Acentra... ...of Medical Examiners. Demonstrated work experience in Utilization Review within Behavioral Health Services. Strong working knowledge...SuggestedPart timeWork experience placementReliefWork at officeLocal areaRemote work- ...This role is responsible for guiding projects through design and utility construction phases, ensuring technical feasibility,... ...Responsibilities: Drive feasibility and constructability reviews during early-stage project design, ensuring alignment with stakeholder...SuggestedFull timeFor contractorsWork experience placementLocal area
$21.21 - $31.82 per hour
...What To Expect Tesla is looking for a Utility Field Service Technician to work across the entire Tesla organization to problem solve and ensure the success of our large-scale utility energy assets. Tesla needs a diversely talented and skilled technician ready to move...SuggestedHourly payFull timeTemporary workWork at officeFlexible hoursWeekend work- ...Job Title: Professional - Employee File Retrieval & Review Specialist (Italy) Location (On-site, Remote, or Hybrid?): Italy (onsite) Contract Duration: 3 weeks Overview We are seeking detail-oriented professionals to support a global HR compliance...SuggestedContract workWork at officeRemote work
$2,000 per month
...Job Description HCT seeks an experienced nursing professional to serve as the Interim Assistant Manager of Utilization Review for a 140+ bed hospital in California. Requirements: Education: BSN required Experience: Minimum of three (3) years of clinical...SuggestedInterim roleHCT Healthcare Transformation
Fresno, CA7 days ago- ...Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Utilization Review Nurse Location(s): Los Angeles, CA Job Description: Ensuring appropriate, cost-effective, and high-quality care for New...SuggestedShift work
- ...through all levels of care in the substance abuse and mental health setting. Works with the UR Director and facility contacts on case reviews for pre-service, concurrent, and retrospective authorizations and appeals, looking for medical necessity and appropriateness of...SuggestedFull timePart timeRemote work
- Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective...Suggested
$25 - $37.47 per hour
...organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance... ...develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal...SuggestedHourly payReliefWork at office$55.56 - $85.96 per hour
A healthcare facility in California is seeking a Utilization Review Case Manager to validate patient admissions and levels of care. The role involves performing patient chart reviews, securing authorizations for clinical services, and collaborating with healthcare teams...SuggestedHourly pay- ...Glendale, Colorado. The RNs will assist in the coordination and review of healthcare services for veterans, including clinical... ...review consults/requests for completeness and appropriateness/utilization review. Dispositioning care in the community per utilization review...SuggestedLong term contractWork at office
- A leading health care organization is seeking an Associate Utilization Review Specialist. Responsibilities include overseeing prior authorizations, coordinating reviews, and assessing coverage requests. Applicants should have a Bachelor's degree in a health-related field...SuggestedRemote job
$29.62 - $45.31 per hour
Description Providence Health Plan is calling an Associate Utilization Review Specialist who will: Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department...Remote jobWork experience placementLocal area- .... DEFINITION Exercises, under medical direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the largest public hospitals in the country with 600 beds. CLASSIFICATION...Work at office
- A leading healthcare organization in California is seeking an RN Utilization Review professional for a full-time remote role. The position entails conducting utilization reviews and managing a varied workload in a fast-paced environment. Required qualifications include...Remote jobFull time
- A leading healthcare provider is seeking a Utilization Clerk in Torrance, California, to coordinate care during discharge and manage utilization review data. The ideal candidate will have a high school diploma and skills in typing, basic clerical work, and effective communication...
- A local health department in California is seeking a qualified individual for the role of Nursing Supervisor specializing in utilization review. This position involves overseeing nursing staff, developing review procedures, and ensuring compliance with medical standards...Local area
- ...third-party reimbursement processes. Your expertise in health care service delivery and managed care will be invaluable as you conduct reviews, prepare appeals, and maintain essential records. With a supportive environment that values compassion and teamwork, you will...
$25 - $37.47 per hour
A leading psychiatric treatment center in Riverside, California is seeking a Utilization Review Specialist to act as a liaison with managed care organizations and support clinical staff. Candidates must hold an Associate's degree in nursing and have experience in utilization...Hourly pay$50 per hour
A healthcare provider in California is seeking a full-time Assistant DON/Utilization Review Nurse. The role involves ensuring adherence to the hospital’s utilization review plan and overseeing nursing standards. Candidates must possess a State of Nevada Nursing License...Full time$25 - $37.47 per hour
...include monitoring patient stay, conducting medical necessity reviews, and providing training to staff. The ideal candidate must have an Associate's degree in nursing and relevant experience in utilization management. This position offers an hourly wage ranging from $2...Hourly pay$47.2 - $63.45 per hour
...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. Qualifications EDUCATION, EXPERIENCE...Full timePart timeWork experience placementLocal areaShift workAfternoon shift$20.25 - $30.39 per hour
...Job Title Provides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting... ...telephone, clerical and data entry support for the care review team. Provides computer entries of authorization request/...Hourly payWork experience placementWork at officeShift workNight shiftDay shift$32 - $60 per hour
Work as a member of a multi-disciplinary treatment team reviewing patient care and treatment options for both inpatient and outpatient... ...appeals to third-party payers Maintain appropriate records of the Utilization Review Department Provide staff in-service training and...Full timeTemporary workWork at officeMonday to Friday$64.88 - $83.91 per hour
A leading healthcare institution in Los Angeles seeks a Utilization Management Review Nurse to evaluate clinical documentation for prior authorization requests and provide guidance on medical necessity standards. Candidates must possess a BSN/MSN, California RN license,...Hourly pay- ...qualified Registered Nurses to provide essential services in Glendale, California. The RNs will be responsible for coordinating and reviewing healthcare services for veterans, ensuring quality care and effectiveness. Key responsibilities include clinical reviews,...Long term contract
- A leading healthcare staffing provider is seeking a talented Registered Nurse for Utilization Review and Discharge Planning. This is a contract opportunity based in San Jose, CA, with a duration of over 6 months. The ideal candidate should have at least 2 years of inpatient...Contract work
