Utilization review nurse jobs in Rancho Cordova, CA
Utilization Review RN
And Knee. Replacement. Responsibilities The Utilization Review RN is responsible for the review of.. Works in collaboration with the attending physician consultants second level physician reviewer and the..
Utilization Review RN
And Knee. Replacement. Responsibilities The Utilization Review RN is responsible for the review of.. Works in collaboration with the attending physician consultants second level physician reviewer and the..
Utilization Review RN
And Knee. Replacement. Responsibilities. The Utilization Review RN is responsible for the review of.. Works in collaboration with the attending physician consultants second level physician reviewer and the..
Interim Case Management/Utilization Review Director
Rudish Health is currently seeking qualified candidates for an Interim Case Management Director for a client in Los Angeles, CA. The Interim Case Management Utilization Review Director will..
Utilization Review Nurse (RN), Care Coordination, Full-Time, Days
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 Management Nurse, Senior
Job Description Your Role The Utilization Management team reviews the inpatient stays for our members.. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role..
Utilization Management Nurse, Senior (Prior Auth)
The Utilization Management Nurse, Senior will report to the Manager, Utilization and Medical Review.. Successful RN candidate reviews prior auth requests for medical necessity, coding accuracy and medical..
Document Review Attorney
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..
Clinical Nurse Utilization Mngr: Stratacare - A MedRisk Company
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..
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..
Online Product Review
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..
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..
Medical Director, Utilization Management (Medi-Cal)
The Medical Director, Utilization Management functions as a key member of the BSC Promise utilization.. The Medical Director reviews and makes determinations regarding all member and provider requests for..
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..
Concurrent Review Nurse II Field Based
Concurrent Review Nurse II Field Based Rancho Cordova, USA California Sacramento, USA California CA.. Centene Corporation have an immediate need for Concurrent Review Nurse II Field Based. If you happen to..
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..
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..