A company is looking for a Utilization Review NurseKey Responsibilities:Review medical charts and issue pre-authorizations for medical procedures based on patient needs, physician recommendations, and coverageRefer cases to necessary health care providers based on medical review findings that do not...
Job Title: Denial Review Nurse. We are currently seeking a highly motivated Denial Review Nurse. Possession of an active, unrestricted, and current California Registered Nurse (RN) or Licensed Vocational Nurse (LVN) license. Responsible for managing all deferrals and or denials by conducting a compr...
A company is looking for a Utilization Review Nurse Reviewer (Remote, RN Required). ...
Utilization review experienceJob Duties: 1. Perform clinical site reviews and/or medical record reviews as directed in support of health plan and/or other regulatory/accreditation/compliance requirements6. Review occurrence reports and the related pertinent medical records to determine opportunities...
We are currently seeking a highly motivated Denial Review Nurse. Possession of an active, unrestricted, and current California Registered Nurse (RN) or Licensed Vocational Nurse (LVN) license. Responsible for managing all deferrals and or denials by conducting a comprehensive review of clinical docu...
We’re seeking an exceptionally gifted, self-motivated leader with: * Current CA LVN licensure required * Two or more years of utilization review/utilization management experience in an HMO, MSO, IPA, or health plan environment * Previous clinical experience * Experience drafting and issuing complian...
As a Utilization Management Nurse/Social Worker, you'll play a crucial role in our multidisciplinary team, ensuring that patients progress seamlessly through their care journey according to appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedur...
Licensed as a Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN) in the State of Florida. The Registered Nurse Women’s & Children’s Pavilion independently plans, implements, and evaluates nursing care in patient care situations using standards of care and policy and procedure. Progre...
Must have licensure as Registered Nurse in the State of Florida. Timely Nurse Triage: Assesses patient needs and provides educational resources to patient and family answering questions and addressing concerns during the pregnancy. Nurse Educator: to other clinical personnel to understand high-risk ...
KPG Healthcare Nursing is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in West Hollywood, CA. Travel Case Management Registered Nurse (RN) - $2,843 per week in taxable pay and non-taxable stipend amount. Requirements for a Travel Case Management Registered ...
Advantis Medical is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. ...
KPG Healthcare Nursing is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in West Hollywood, CA. Travel Case Management Registered Nurse (RN) - $2,843 per week in taxable pay and non-taxable stipend amount. KPG Healthcare is currently seeking an experienced Ca...
Uniti Med is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in West Hollywood, CA. ...
Standard Healthcare is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. We are seeking a Registered Nurse to join our team for a 13 week Rapid Response Travel contract!. A current Registered Nursing License. ...
Ventura MedStaff is seeking an experienced Cardiovascular Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. ...
Standard Healthcare is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Downey, CA. We are seeking a Registered Nurse to join our team for a 13 week Rapid Response Travel contract!. A current Registered Nursing License. ...
Advantis Medical is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. ...
Advantis Medical is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. ...
Host Healthcare is an award-winning travel healthcare company with an immediate opening for this .Registered Nurse - Clinical Documentation Specialist.Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities fa...
Case managers work to facilitate patient care by assessing patient needs, evaluating treatment options, creating treatment plans, coordinating care, and gauging progress. The overall goal for case managers is to improve clinical outcomes, increase patient satisfaction, and promote cost-effectiveness...
TravelNurseSource is working with Core Medical Group to find a qualified Case Manager RN in Sacramento, California, 95833!. Client in CA seeking Case Manager Registered Nurse (RN) to work Day 5x8-Hour (07:00 - 15:30). Aside from the many museums that showcase California's history, there are also m...
Host Healthcare is an award-winning travel healthcare company with an immediate opening for this .Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home.Starting the day you apply, ...
TravelNurseSource is working with LRS Healthcare to find a qualified Case Manager RN in San Francisco, California, 94114!. ...
Assured Nursing is currently seeking a .The ideal candidate will possess a current state license as a ....
TravelNurseSource is working with TRS Healthcare to find a qualified Case Manager RN in Los Angeles, California, 90048!. Registered Nurse - Case Management. TRS Healthcare is seeking a Registered Nurse who is licensed to work in CA, and has Case Management experience. ...