Utilization review nurse jobs in Downey, CA
Utilization Review Nurse Reviewer
A company is looking for a Utilization Review Nurse Reviewer (Remote, RN Required). Key Responsibilities Conduct assessments of medical services to validate appropriateness and medical necessity..
Utilization Review Nurse Supervisor Ii
Under the direction of a physician member of the Utilization Review Committee, the incumbent is.. LICENSE(S) AND CERTIFICATE(S) REQUIRED. A current license to practice as a Registered Nurse issued by..
Denial Review Nurse - Utilization Management - Hybrid
Description Job Title. Denial Review Nurse Department. Health Services. Denials About the Role. We are.. priority levels and deadlines Utilization management experience with a Health Plan or MSO Proficient..
RN Case Manager - Utilization Review
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..
Psych Nurse Practitioner: Montare Neuro Clinic
Neuro Clinic, located in the Los Angeles area, is currently looking for a Nurse Practitioner or.. Education, Licenses & Experience. Must possess current Furnishing Nurse Practitioner License..
Utilization Review Specialist
Description. UTILIZATION REVIEW POSITION Centralized staff located at Innovation Center in Bossier.. Licensed (RN, LPN, MA) Positions Available The primary responsibility of Utilization Review is to review..
*RN Case Manager - Utilization Review
Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions serving Southeast Los Angeles. St. Francis is dedicated to providing vital healthcar..
Registered Nurse - Utilization Review / CDI
2. years of ambulatory care experience 2. BSN 3. Utilization review experience Job Duties. 1. Review.. Review occurrence reports and the related pertinent medical records to determine opportunities for..
Utilization Management Denial Review Nurse - LVN
You will review for appropriate care and setting while working closely with denial coordinators and.. Current CA LVN licensure required. Two or more years of utilization review utilization management..
Denial Review Nurse - Utilization Management - Hybrid
About the Role. We are currently seeking a highly motivated Denial Review Nurse. This role will report.. Responsible for managing all deferrals and or denials by conducting a comprehensive review of clinical..
Utilization Review Nurse - RN, LPN, or LCSW (Remote)
Job Summary. As a Utilization Management Nurse Social Worker, you'll play a crucial role in our.. Proficient in Utilization Review processes, you'll maintain effective procedures to meet regulatory and..
Manager Utilization Management
Description. Job Summary Manages the day to day operations of the Utilization Management Program in the.. health services administration.License, Certification, RegistrationRegistered Nurse License..
Utilization Management RN
By guiding this team, the Utilization Management RN Supervisor drives the continuous improvement of our.. and provide orientation and competency development for staff processing and or reviewing authorizations..
Utilization Management Nurse Specialist LVN II
Utilization Management Nurse Specialist LVN II Job Category. Clinical Department. Utilization Management.. Performs telephonic and or on site admission and concurrent review, and collaborates with onsite staff..
Plan Review Engineer
TRB and Associates. is seeking an experienced and motivated plan review engineer with current.. Review building plans and prepare written comment letters on building design submittals. Review plans..
Document Review Attorney
Document Review Attorney LHH is partnering with a highly regarded law firm in Downtown Los Angeles.. years of Document Review experience Start Date. Monday, June 24, 2024 The pay rate for this position is..