Utilization review nurse jobs in Redlands, CA
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 Review RN (Remote - Must Be Licensed In CA)
Description. As a part of the Utilization Management team the Utilization Review RN is a member of the.. Experience working with health plan auditors preferred. Current CA Registered Nurse (RN) license..
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..
Utilization Management Physician Advisor Part-time
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..
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..
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..
Document Review Attorney - Entry Level, Fully Remote!
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..
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..
App Review Specialist
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..
Inpatient Review Nurse (RN/LVN) Must have California Licensure
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..
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..
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..
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..
Clinical Trial Education and Literature Review Specialist
Job Title. Clinical Trial Education and Literature Review SpecialistFully remote role. EST is.. This role is also responsible for conducting comprehensive literature reviews to assess the landscape of..
Rn - Er
Description We're looking for Emergency Room RNs for an immediate travel nurse opening in Loma Linda, CA.. Read below for more requirements. As an ER Travel Nurse, you will work with a diverse team of caregivers..
Nurse
Current California Registered Nurse. 2. Bachelor's Degree in Nursing (PHN desirable). 3. Possession of or eligible for a Health Services Credential authorizing service as a School Nurse. 4..
RN - Neo-Natal Intensive Care
We're offering NICU positions for Registered Nurses with experience caring for infants who may be.. Experience an incredibly supportive and ambitious team at Jackson Nurse Professionals where Traveling..