Utilization review nurse jobs in Riverside, CA

Assists the Manager of Case & Utilization Management and or the Regional Director of Quality Risk.. This role entails overseeing a team of utilization review nurses and coordinators, ensuring compliance..

Assists the Manager of Case & Utilization Management and or the Regional Director of Quality Risk.. This role entails overseeing a team of utilization review nurses and coordinators, ensuring compliance..

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..

Provides direction to staff regarding utilization review, care coordination, discharge planning, and.. License, Certification, Registration Registered Nurse License (California) or Licensed Vocational Nurse..

Provides direction to staff regarding utilization review, care coordination, discharge planning, and.. health services administration. License, Certification, Registration Registered Nurse License..

Provides direction to staff regarding utilization review, care coordination, discharge planning, and.. health services administration. License, Certification, Registration Registered Nurse License..

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..

APPLICANTS ARE ENCOURAGED TO APPLY TO THE FOLLOWING RELATED RECRUITMENT(S) Plan Review Specialist I.. Plan Review Specialist II. Plan Review Specialist III pos Specialist, International, Technology..

We are seeking a detail oriented QA QC Technical Reviewer for electrical systems to perform technical.. Duties. Performs technical review of proposed electrical plans and specifications submitted by District..

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..

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..

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..

Development Review Stormwater Manager position GENERAL PURPOSE Under general direction, performs a wide.. General. Supervises and participates in the review of plans, maps, calculations, reports, and studies..

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..

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..

We would love to have you.ROLE OVERVIEW and PURPOSEThe Registered Nurse of Utilization Management will.. Concurrent reviews of hospital admissions with the Interdisciplinary Team driving efficient and timely..

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..

EMERGENCY ROOM ADMISSIONS REVIEW NURSE. PERMANENT SHIFT WILL BE. 12 hour NIGHT SHIFT. 7 30PM (in the.. Previous experience with Emergency Room Utilization Management. Utilization Review is required for this..

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

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