Utilization review nurse jobs in Yucaipa, CA

Description. Job Summary The ICD Nurse Specialist role at Kaiser Permanente Southern California Region.. Clinical Practice, Research, Education, Leadership, and Consultation. The ICD Nurse Specialist functions..

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..

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..

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..

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..

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..

The Director, eData Managed Review provides administrative oversight to assigned eData managed review.. ensuring managed review legal staff meet all administrative requirements for managed reviews, and..

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..

The UR Case Manager follows the UR process as defined in the Utilization Review Plan in accordance with.. Bachelors Degree in Nurse preferred.California RN License required.Experience. Minimum of 2 years..

Acentra seeks a Utilization Clinical Reviewer to join our growing team in California. Job Summary As a.. This full time Clinical Reviewer Remote position based in the state of California. This provides an..

Assistant Professor. Coastal or Marine Ecologist Salary range. The proposed academic year (9 month) salary range for this position is. 101,800. 115,000. A salary within this range ..