Average salary: $88,460 /yearly
More statsSearch Results: 12,961 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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...Job Description
Job Description The Utilization Management Nurse Specialist LVN promotes the quality and cost effectiveness of medical... ...policies and guidelines to emergent/urgent and continued stay reviews. Complete medical necessity and level of care reviews for...
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Holiday work
Immediate start
...Job Description
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: ASAP...
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Job Description: Manager of Clinical Utilization Management - Denial Compliance
Location: Burbank, CA
Position Type: Hybrid (85% remote... ...licensed denial unit staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.
2. Foster effective...
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Full time
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...Responsibilities
Utilization Review (UR) Coordinator Opportunity.
Position: PRN (as needed)
This position is on-site and cannot be done remotely.
For nearly 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction...
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Relief
Local area
Remote job
...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...
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Daily paid
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Full time
Contract work
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Flexible hours
$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
...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 departments.
3....
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...office/clinic setting.2
Preferred qualifications:
~ Bachelor’s Degree in Healthcare related field.
~3 years' Experience in utilization management or case management.
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and...
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...Job Summary:
Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures... ....
Provides direction to staff regarding utilization review, care coordination, discharge planning, and other services across...
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Local area
...today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose.
Position Overview
As a Utilization Clinical Reviewer, you'll harness your expertise to meticulously evaluate medical records against precise criteria, wielding critical...
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Full time
Local area
...Management
Job Function: Revenue Cycle
Job Schedule: Part time
Job Shift:
Career Track: Nursing
Department: 7000 UTILIZATION MGMT CA SOCAL
Address: CA Mission Hills 15031 Rinaldi St
Work Location: Providence Holy Cross Medical Ctr-Mission Hills...
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...is responsible for the management of the daily operations of Utilization Management (UM) at APLA Health and Wellness (APLAHW). This position... ...reliability tools and evidence-based criteria for utilization review.
Develop, implement and maintain compliance, policies and...
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...family/caregivers, staff and appropriate community agencies.
Reviews, monitors, evaluates and coordinates the patients hospital... ...interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and...
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Local area
..., MediCal, USDOL, State Workers Compensation, Third Party Lien, Self-pay, and DHMO.Utilizes expert knowledge of coding based on AMAs CPT, ICD-9-CM, HCPCS II, and OMFS guidelines.Reviews claim fields in accordance with the Gold Standards set forth by each payer and mandated...
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...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...
Full time
Shift work
...team plays a critical role in our participant's journey and our Utilization Management team ensures we can provide timely, quality,... ...operations within the designated UM team
Assist the team in reviewing prior-authorization requests for medical necessity and appropriateness...
Hourly pay
Holiday work
Job Details
Job Location
Le Parc Suite Hotel - West Hollywood, CA
Salary Range
$19.08 - $21.00 Hourly
Description
About our company:
Springboard Hospitality is a premier third-party hotel management company with a 30+ year history transforming lifestyle...
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Full time
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Local area
Monday to Friday
...mxdwn is an online music and entertainment magazine with news, reviews and features about the latest and best in modern entertainment.
Job Description
mxdwn is a news site bringing “all that matters in entertainment” to its readers. In the mxdwn Television...
Internship
Work alone
Marriott Hotels - 5855 West Century Boulevard [Attendant / Team Member / Steward] It's time to explore new opportunities - and with more than 6,000 properties globally - Marriott has opportunities abound! Marriott gets to know thousands of people every day, but they want...
Immediate start
