Utilization review nurse jobs in Chula Vista, CA

Job Description Job Description Work as member of multi disciplinary treatment team reviewing patient.. Maintains appropriate records of the Utilization Review Department Training. Provide staff in service..

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job.. Job Description & Requirements Specialty. Utilization Review Discipline. RN Duration. 13 weeks 40 hours..

have been with Scripps Health for over 10 years As a Licensed Vocational Nurse, you will be.. Responsible for review and management of assigned cases for members enrolled to Scripps Clinic Health..

Vivo HealthStaff is hiring Nurse Practitioners with active licensure in California to work for a.. California licensed Nurse..

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..

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..

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..

Cetera Financial Group is currently seeking a Compliance Analyst for Ad Review. This is a great.. This is a hybrid role. What you will do. Review retail communication against applicable laws, firm..

Summary As a Medical Review Nurse Advisor. at Gainwell, you can contribute your skills as we harness the.. Must be a Registered Nurse licensed to practice in the State of California. Training and or..

Description. Job Summary Manages the day to day operations of the Utilization Management Program in the.. Registered Nurse License (California) Additional Requirements. Demonstrated knowledge of operations and..

Our client is looking for a Utilization Management (UM) Administrative Support team member to join their.. Responsibilities Assist with data entry and communications within the Utilization Management (UM..

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..

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..

EDUCATION, EXPERIENCE, TRAINING. 1. 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..

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..

The PA position has part time inpatient responsibilities in utilization management and care coordination.. Conducts clinical reviews on cases referred by care management staff and or other health care..

The Research Billing Quality Review Analyst oversees comprehensive audits of accounts with research.. In addition to conducting audits, the Research Billing Quality Review Analyst synthesizes regulations..

The Quality Systems Specialist is responsible for reviewing records to comply with QSR and ISO.. Reviewing the batch records online, if necessary. Review records and documents, for completeness and..

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..

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..