Utilization review nurse jobs in Orange, CA
Behavioral Health - Utilization Review Representative
0 referral bonus. Position Overview. As a Utilization Review Representative, you will be a key member.. Role & Responsibilities. Successfully conduct pre authorizations and utilization reviews of behavioral..
Nurse Specialist - Clinical Review
Job Summary The Nurse Specialist. Clinical Review is responsible for utilizing their nursing knowledge.. Responsibilities Provide professional nursing review of occupational records for client employee medical..
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..
RN Utilization Management - Hybrid
Graduation from an accredited school of nursing Active, unrestricted Registered Nurse license through.. years of care management, utilization review or discharge planning experience Preferred Qualifications..
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..
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..
Professional Review Specialist I
Medical bill auditingKnowledge of worker's compensation claims processProspective, concurrent and retrospective utilization review PAY RANGE CorVel uses a market based approach to pay and our..
VP Credit Risk Review
POSITION OVERVIEW The Vice President of Credit Risk Review is part of Lendistry's Risk Management.. The Credit Risk Review ("CRR") team fulfills the responsibilities of the Credit Review (or Loan Review..
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..
Utilization Management Nurse RN - Remote
Graduation from an accredited school of nursingActive, unrestricted Registered Nurse license through the.. years of care management, utilization review or discharge planning experience Preferred Qualifications..
QI Nurse Specialist (RN) (Utilization Management)
QI Nurse Specialist (RN) (Utilization Management) CalOptima CalOptima Health is seeking a highly.. Assists with reviewing and responding to Regulatory Affairs and Compliance (RAC) requests including but..
Director, Skincare Medical Review Operations
Job Description Position Summary The Director of Skincare Medical Review leads and executes the.. safety surveillance. medical information. claims generation, advertising & promotional review of medical..
Staff Review Appraiser
Overview Position. Staff Review AppraiserSalary range up to. 75k, remote OK Responsibilities Responsibilities Gathers, verifies and analyzes data on residential properties including, but not..
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..
VP, Senior Credit Review Examiner
The program will include desk reviews of newly originated credits and credits portfolios reflecting.. Ensure Credit Review risk rating changes have been updated on the loan system of record timely and..
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..
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..