Utilization review nurse jobs in El Monte, CA
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..
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..
Document Review Attorney
Document Review Attorney Location. Downtown Los Angeles Salary. Up to. 35 per hour, and benefits may.. In this role, you will be instrumental in reviewing and analyzing legal documents and electronic data..
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..
Concurrent Review Nurse (Temporary)
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..
RN - Utilization Mgmt
Specialty. Travel RN Utilization ManagementJob Description Consult and coordinate with health care team.. Provide direct nursing care to patient and review medical records Prepare clinical appeals (when..
Nurse, (LVN) Utilization Mngmt
Job Search Results Nurse, (LVN) Utilization Mngmt Position Type. Full time Location. Montebello.. Responsible for reviewing proposed hospitalization, home care, and inpatient outpatient treatment plans..
Utilization Management Nurse, Senior
Your RoleThe Utilization Management team reviews the inpatient stays for our members and correctly.. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role..
Case Management Utilization Rn-pd
RegistrationRegistered Nurse License (California)Basic Life Support Additional Requirements Demonstrated.. techniques and methods of Utilization review management, discharge planning or case management.Working..
AVP, Loan Review Officer
May act as Examiner In Charge of assigned lending unit reviews and prepare comprehensive reports for.. Assist in the loan sampling process for lending unit reviews and in other departmental functions as..
Clinical Review Clinician - Appeals
Position Purpose. Performs clinical reviews needed to resolve and process appeals by reviewing medical.. Knowledge of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management..
Document Review Attorney (Freshly Barred)
Unlock Your Potential with Prestigious Document Review Projects as a newly licensed attorney. Embark on.. Embark on a transformative journey into the realm of llitigation and document review with our esteemed..
Licensed Vocational Nurse (LVN) - Utilization Managment
The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests.. Responsible for reviewing proposed hospitalization, home care, and inpatient outpatient treatment plans..
Document Review Attorney
Urgent Hiring!! Title. Document Review Attorney Work Setup. Remote Job Summary. We are seeking an experienced Document Review Attorney to join our legal team immediately. The firm specializes in..
Utilization Management License Vocational Nurse (LVN)
The Utilization Management (UM) LVN performs utilization review activities, including, but not limited.. In addition, the UM LVN delegates to UM RN initial reviews and determines the medical necessity of..
Care Review Clinician, Inpatient Review (RN) REMOTE / CALIFORNIA PACIFIC HOURS
JOB TITLE. CARE REVIEW CLINICIAN INPATIENT REVIEW. REGISTERED NURSEFor this position we are seeking a.. Utilization Review. Utilization Management and knowledge of Interqual. MCG guidelines. CALIFORNIA..