Utilization review nurse jobs in San Leandro, CA

Professional Type. Registered Nurse. Specialty. Utilization Review. Contract Type. Full time, Contract. Shift. Days, 8 00am. 5 00pm. Rate. 60.00. 65.00 Department. Clinical Note. Min of 2 years..

Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San.. Collaborates with the physician, nurse case manager, social worker, and other members of the health care..

Clinical experience as a Registered Nurse, Social Worker or related field in an acute care, intermediate.. Experience in Utilization Review and compliance with the rules and regulations of the Medicare and..

Job Summary. The Nurse Practitioner (NP) is responsible for the assessment of selected patients in the.. medical record for follow up or ordering of diagnostic studies under established protocols..

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 36 hours..

About Your Work. As a Nurse Practitioner, you will assess and evaluate the health care needs of patients.. Collaborates with HCC Coders on clinical documentation review before submission of chart for claim and..

Your Role The Facility Compliance Review team reviews post service prepayment facility claims for.. The Utilization Management Nurse, Senior will report to the Senior Manager, Facility Compliance Review..

Are you an experienced Registered Nurse (RN) with a passion for ensuring patients receive the highest.. Day 5x8 Hour (08 00. 16 30) Duration. 13 Week Contract Unit. Utilization. Review What You'll Do..

Your Role The 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..

Our retrospective claims review is contingency based with no upfront costs to our clients and utilizes.. Position Summary. As the Supervisor of our Zero Balance Review team, you will lead 3 5 client..

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..

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..

As a QA Manager of DHR Review, you will play a pivotal role in overseeing the team of Quality.. The QA Manager. DHR Review drives improvements and efficiencies in the area and ensures compliance with..

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..

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..

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..