Utilization review nurse jobs in Mountain View, CA
Utilization Review Nurse
A company is looking for a Utilization Review Registered Nurse to join their Clinical Review team.. Key Responsibilities Complete medical necessity and level of care reviews using clinical judgment and..
Continuing Care Utilization Review Coordinator Registered Nurse
Description. Job Summary Conducts utilization review for in house patients and or those members at.. License, Certification, Registration Driver's License (California) Registered Nurse License (California..
Travel Nurse RN - Case Manager, Utilization Review - $3,044 per week
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..
Nurse Practitioner - Disability Review
Vivo HealthStaff is hiring Nurse Practitioners with active licensure in California to work for a disability determination clinic in Berkeley, CA.Details Choose your own hours and..
Director, eData Managed Review Operations
Guided by practice group objectives and priorities, the Director, eData Managed Review is responsible.. The Director, eData Managed Review provides administrative oversight to assigned eData managed review..
Temporary Concurrent Review Nurse
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, Coordinator Quality Peer Review
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..
Utilization Management Nurse, Senior (Transplant)
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..
Review and Publications Manager (Medical, Legal, Regulatory)
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..
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..
Document Review Attorney - Fully Remote, Generous Pay!
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..
Nurse Medical Management II - Utilization Management
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..
Medical Director, Utilization Management
Job DescriptionA bit about this role. This position interacts with utilization management, clinical.. clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer to peer discussions..
Utilization Behavioral Health Professional
Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively,. Humana ) offers competitive benefits that support whole person well being. Associate benefits ar..
Marketing Coordinator, Stanford Social Innovation Review (SSIR)
Marketing Coordinator, Stanford Social Innovation Review (SSIR) School of Humanities and Sciences.. Since its inception in 2003, Stanford Social Innovation Review (SSIR)has grown to become the leading..
Bill Review Trainer - Hearing Specialist
Forbes Best in State EmployerBill Review Trainer. Hearing SpecialistPRIMARY PURPOSE. To develop and.. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Reviews upcoming hearings and prepares necessary documentation..
Transfer DRG Revenue Review Specialist
JOB SUMMARY The Transfer DRG Revenue Review Specialist performs work to capture lost revenue for.. The company has reviewed this job description to ensure that the essential functions and basic duties..