Utilization review nurse jobs in Yuba City, 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..

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..

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..

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..

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..

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..

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..

Job Title. Care Review Clinician I Location. Remote (Must possess CA Nursing License) Duration. 3 Months.. Conducts inpatient reviews to determine financial responsibility for. and its members. May also perform..

Conducts daily clinical reviews for utilization quality management activities based on guidelines.. License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional..

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 Description Nurse First is seeking a travel Physical Therapist for a travel job in Marysville.. 3 weeks 40 hours per week Shift. 8 hours, days Employment Type. Travel Nurse First Job ID. 53264671..

Jackson Nurse Professionals is seeking a travel nurse RN Labor and Delivery for a travel nursing job in.. days Employment Type. Travel We're offering a rewarding LD position for Registered Nurses with..

Job Description Wellspring Nurse Source is seeking a travel Physical Therapist for a travel job in.. 3 weeks 36 hours per week Shift. 12 hours, days Employment Type. Travel Wellspring Nurse Source Job ID..

Job Description Job Description Position Title & Registered Nurse (RN). Operating Room (OR) Location.. 0. 55 per hour Job Summary. We are seeking a skilled and dedicated Registered Nurse (RN) to join our..