Utilization review nurse jobs in San Clemente, 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..

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..

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..

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..

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..

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..

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..

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..

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..

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 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..

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..

Aureus. Nurse Leadership is seeking a travel nurse RN Director of Nursing for a travel nursing job in 24.. BLS, CA RN required. About Aureus. Nurse Leadership Rewarding Careers. Experiences of a Lifetime..

on July 1, 2025 Bargaining Unit. CNA. Registered Nurses Unit. Contra Costa County Health Services.. Assigns ancillary personnel. Orients, precepts and mentors new and entry level nurses for problem..

Every other weekend work is required. The Registered Nurse provides direct patient care to inpatients.. The Registered Nurse supervises activities of care, treatment and services of patient provided by LPN..

Registered Nurse Overview. Join a leader in the home health care industry. Each independently owned.. If providing compassionate, high quality care as a Registered Nurse is your passion, BrightStar has an..

Privacy Notice for California Applicants. Responsibilities The Registered Nurse is directly responsible.. Must have current and valid license as a Registered Nurse issued by the State of California. 2..