Utilization review nurse jobs in Redlands, CA

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..

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..

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..

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..

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..

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..

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..

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..

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..

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..

Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively,. Humana ) offers competitive benefits that support whole person well being. Associate benefits ar..

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..

Forbes Best in State EmployerBill Review Trainer. Hearing SpecialistPRIMARY PURPOSE. To develop and.. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Reviews upcoming hearings and prepares necessary documentation..

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..

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..

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..

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..