Utilization review nurse jobs in Fountain Valley, CA

Job Description The Utilization Review Case Manager requires effective communication and coordination.. The Utilization Review Case Manager will submit accurate utilization reviews on an extremely tight..

This position has an expected start date of November 15, 2024. Position Overview. As a Utilization.. Role & Responsibilities. Successfully conduct pre authorizations and utilization reviews of behavioral..

JOB SUMMARY. The Utilization Review Nurse is responsible for completion of admission, concurrent and.. As appropriate, the UR nurse will assess for clinical stability and coordinate transfer back to Marin..

Job Description Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a.. Job Description & Requirements Specialty. Utilization Review Discipline. RN Duration. 24 weeks 40 hours..

Healthcare Support is seeking a travel nurse RN Utilization Review for a travel nursing job in Fountain.. Job Description & Requirements Specialty. Utilization Review Discipline. RN Start Date. 09 25 2024..

The Utilization Review Management Nurse is accountable for planning, directing, and overseeing aspects.. The Utilization Review Management Nurse is also responsible in performing and completing medical..

Case Manager. RN (Utilization Review). Do you thrive on supporting the professional face of a hospital.. Being a Care Manager RN means working in collaboration with physicians, nurses, ancillary staff, and..

This person will be in charge of a caseload of 150 daily administrative reports. reviewing simple.. Must Haves. LVN license in the state of CA. 1 2 years of UM experience OR reverse review experience and..

REQUIREMENTS Minimum 3 4 years of medical management experience, especially in the area of Utilization Management and Health Plan audits Experience in EPIC Tapestry required. Experience with..

Job Description Job Description Summary. The Registered Nursing Assistant is a non professional who, under the general supervision of a Registered Nurse, assists in providing direct patient care..

The Utilization Review Management Nurse is accountable for planning, directing, and overseeing aspects.. The Utilization Review Management Nurse is also responsible in performing and completing medical..

Authorizes requested services according to Concurrent Review team guidelines. Contacts the health.. Certified Medical Assistant (CMA) Certification Concurrent review and utilization management experience..

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..

Qualifications Associates Degree or Bachelor's Degree in nursing or related field. Active Registered Nurse (RN) license required. Must be in good standing. 2. years clinical practice preferred..

Your RoleThe Utilization Management team reviews the inpatient stays for our members and correctly.. The Utilization Management Nurse, Senior will report to the Utilization Management Nurse Manager..

Overview of the Role. Alignment Health is seeking a remote inpatient review nurse (must have California.. Monitor for any over utilization or underutilization activities. Generate referrals as appropriate to..

Conducts daily clinical reviews for utilization quality management activities based on guidelines.. License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional..

Job Posting. Document Review Paralegal. Mesothelioma CasesLocation. Huntington Beach, CASchedule.. Proven experience as a paralegal in document review, particularly in mesothelioma or construction defect..

We are looking for a Data Entry Specialist whose main function is providing excellent customer service by quickly and accurately processing submissions sent electronically by our m..