Utilization review nurse jobs in Jurupa Valley, CA

Assists the Manager of Case & Utilization Management and or the Regional Director of Quality Risk.. This role entails overseeing a team of utilization review nurses and coordinators, ensuring compliance..

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..

Utilization Review Specialist include ESSENTIAL FUNCTIONS. Act as liaison between managed care.. Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care..

Provides direction to staff regarding utilization review, care coordination, discharge planning, and.. health services administration. License, Certification, Registration Registered Nurse License..

Job description Position Summary Position. Under the general direction of the Utilization Management.. Responsible for concurrent hospital, SNF, and home health review. Receive regular care updates from..

Provides direction to staff regarding utilization review, care coordination, discharge planning, and.. health services administration. License, Certification, Registration Registered Nurse License..

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..

Remote LVN Utilization Management NurseHealthCare Support is actively seeking a Remote LVN Utilization.. Letter Review Nurse and Medical Director with decision of prospective pre service, concurrent, or..

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..

Responsible for review, auditing and data entry of medical bills for multiple states and lines of business.This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES. Responsible for auditing..

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..

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..

Unlock Your Potential with Prestigious Litigation and Document Review Projects as a Newly Licensed.. Familiarity with Document Review Discovery. Leverage your understanding of document review and discovery..

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..

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 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..

We would love to have you.ROLE OVERVIEW and PURPOSEThe Registered Nurse of Utilization Management will.. Concurrent reviews of hospital admissions with the Interdisciplinary Team driving efficient and timely..