Utilization review nurse jobs in Bakersfield, CA

Starting April 1 2015. Minimum 5 years work experience post graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015..

Position. Utilization Review Nurse. Case Management Compensation The estimated pay for this position is.. Incumbents perform clinically oriented medical chart reviews and other administrative tasks to meet the..

Are you an experienced Registered Nurse (RN) with a passion for ensuring patients receive the highest.. Day 5x8 Hour (08 00. 16 30) Duration. 13 Week Contract Unit. Utilization. Review What You'll Do..

Epic Travel Staffing is hiring a Travel RN Case Management (Utilization Review)Shift. Days. 7a 3p, 8x5.. CA License2 years of experience or its equivalent as a registered nurse in an acute care hospital, at..

Prior authorization, concurrent review of hospitalized patients, discharge planning management.. Preferred Qualifications. Minimum of 10 years. of clinical experience in a Utilization Management..

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial.. Manages and monitors prior authorization and concurrent review to ensure that the patient is getting the..

We are seeking a detail oriented QA QC Technical Reviewer for electrical systems to perform technical.. Duties. Performs technical review of proposed electrical plans and specifications submitted by District..

Title. Director of Utilization Management Duration. Direct Placement Location. Bakersfield, CA Summary.. Assist in the review and updating of Policy and Procedures Coordinates with Health Services leadership..

Join a Prestigious San Francisco Law Firm as a Document Review Attorney for High Profile Litigation.. Bar Admission. Must be licensed to practice law in California. Document Review Experience. Previous..

Description Title. RN, Coordinator Quality Peer Review Location. Long Beach Department. Q uality.. Education Licensure Certification. Current Registered Nurse (RN) license in state of California required..

WHAT YOU'LL BE RESPONSIBLE FOR Perform concurrent or post service (retrospective) review of acute in.. Utilization Management, and or Case Management principles and practicesMedi Cal and related policies and..

Utilization Management is responsible to collaborate with healthcare providers and members to promote.. Licensed NursePlease be advised that Elevance Health only accepts resumes for compensation from agencies..

Coordinate the Medical, Legal, and Regulatory (MLR) Review process for all medical and commercial.. Maintain comprehensive records of MLR review activities, approvals, and changes to ensure proper..

You can do all this and more at UCLA Health. Under the direction of the Utilization Management.. Work directly with a nurse team lead. Review pending claims for approval or denial Salary Range. 34.37..

Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively,. Humana ) offers competitive benefits that support whole person well being. Associate benefits ar..

Job DescriptionA bit about this role. This position interacts with utilization management, clinical.. clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer to peer discussions..

Consilio LOD is seeking Legal Reviewers across legal practice areas for a remote, full time contract opening with our client, a state based healthcare program vital to over a million Tennesseans..

Forbes Best in State EmployerBill Review Trainer. Hearing SpecialistPRIMARY PURPOSE. To develop and.. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Reviews upcoming hearings and prepares necessary documentation..

The Director, eData Managed Review provides administrative oversight to assigned eData managed review.. ensuring managed review legal staff meet all administrative requirements for managed reviews, and..