Utilization review nurse jobs in Visalia, CA

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..

Perform all functions of a UM nurse reviewer. Compose denial letter in a manner consistent with federal.. years of care management, utilization review or discharge planning experience Preferred..

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial.. Manages and monitors prior authorization and concurrent review to ensure that the patient is getting the..

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..

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..

Data Entry. Fully Remote. Anywhere in U.S. Up to. 22 per hour. Comprehensive health plans. PTO. Retirement savings. As a Review Clerk you'll. Prepare data to ensure seamless and efficient entry..

JOB RESPONSIBILITIES. Assist to oversee technical design for engineering plans, calculations, and reports, including performing a programmatic review of technical submittals to ensure product..

The Quality Systems Specialist is responsible for reviewing records to comply with QSR and ISO.. Reviewing the batch records online, if necessary. Review records and documents, for completeness and..

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..

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..

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

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..

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 DESCRIPTION. Opportunity for a US licensed RN to do prior authorization reviews with Molina.. Previous experience working in utilization management for another MCO is preferred. This position is..

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..

weeks 40 hours per week Shift. 8 hours, days Employment Type. Travel Nurse First Job ID. 52690824.. About Nurse First Nurse First Travel Agency is committed to giving travel nurses the best experience..

Jackson Nurse Professionals is seeking a travel nurse RN Med Surg for a travel nursing job in Tulare.. Travel Jackson is adding to our Med Surg team and needs Registered Nurses experienced at caring for..