A company is looking for a Utilization Review Nurse Reviewer (Remote, RN Required). ...
Job Title: Denial Review Nurse. We are currently seeking a highly motivated Denial Review Nurse. Possession of an active, unrestricted, and current California Registered Nurse (RN) or Licensed Vocational Nurse (LVN) license. Responsible for managing all deferrals and or denials by conducting a compr...
The position allocated to this class is responsible for directing, through subordinate supervisors, the activities of the Utilization Review Nurses engaged in utilization review activities, in accordance with the Professional Standards Review Organization guidelines and the Joint Commission on Accre...
As a Utilization Management Nurse/Social Worker, you'll play a crucial role in our multidisciplinary team, ensuring that patients progress seamlessly through their care journey according to appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedur...
We are currently seeking a highly motivated Denial Review Nurse. Possession of an active, unrestricted, and current California Registered Nurse (RN) or Licensed Vocational Nurse (LVN) license. Responsible for managing all deferrals and or denials by conducting a comprehensive review of clinical docu...
We’re seeking an exceptionally gifted, self-motivated leader with: * Current CA LVN licensure required * Two or more years of utilization review/utilization management experience in an HMO, MSO, IPA, or health plan environment * Previous clinical experience * Experience drafting and issuing complian...
Utilization review experienceJob Duties: 1. Perform clinical site reviews and/or medical record reviews as directed in support of health plan and/or other regulatory/accreditation/compliance requirements6. Review occurrence reports and the related pertinent medical records to determine opportunities...
This Case Management (Utilization Review) in LPN/LVN (License Practical Nurse) job in Los Angeles, CA could be the next chapter in your story of personal and professional growth. ...
A Certified Registered Nurse Anesthetist (CRNA) in an advanced practice registered nurse (APRN) who practices both autonomously and in collaboration with a variety of health providers on the interprofessional team to deliver high-quality, holistic, evidence-based anesthesia and pain care services. G...
Licensed as a Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN) in the State of Florida. The Registered Nurse Women’s & Children’s Pavilion independently plans, implements, and evaluates nursing care in patient care situations using standards of care and policy and procedure. Progre...
The Registered Nurse independently plans, implements, and evaluates nursing care in patient care situations using standards of care and policy and procedure. Licensed as a Registered Nurse (RN) in the State of Florida. ...
Licensed as a Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN) in the State of Florida. The Registered Nurse Coordinator Emergency Department Patient Flow Coordinator is responsible for efficient flow and throughput in the Emergency Department. The Emergency Department Registered N...
TotalMed Staffing is seeking an experienced Direct Observation Unit Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. Registered Nurse - Clinical Decision Unit | RN - CDU | Los Angeles, California | $2160. TotalMed is seeking a Registered Nurse - Clinical Decision Unit for a tr...
RNnetwork is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Tarzana, California. RNnetwork has an excellent travel opportunity for a provider experienced in the following specialty: RN-Case Manager. Posted job title: RN - Case Manager - Day 5x8-Hour (0...
The role of the UM Nurse is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, identifying member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member's receive services and resou...
A company is looking for a Utilization Management RN Case Manager Per Diem Remote. ...
A company is looking for a Utilization Review RN. ...
A company is looking for a Remote Utilization Management Registered Nurse. ...
A company is looking for an Enterprise Manager Utilization Review. ...
A company is looking for a Clinical Review Manager in Utilization Review. ...
A company is looking for a Utilization Management & Review Specialist. ...
A company is looking for a Utilization Review Specialist in Healthcare. ...
Currently licensed Registered Nurse (RN) in state of California. Our hospice team is looking for a Registered Nurse (RN) who operates with great attention to detail and a big heart. Our RNs take pride in creating personalized care plans for patients and are able to observe and communicate effectivel...
Medica is excited to share this temp opportunity with you! Our client is looking for a Remote RN Inpatient Case Manager with UM experience and Prior Auths to join their team!. The RN Inpatient Case Manager will provide daily care coordination with concurrent review for patient in the hospital or Ski...
We are seeking an RN LVN CNA to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients. ...