Maine Licensed Utilization Management NurseVirtualVocations • Whittier, California, United States
Maine Licensed Utilization Management Nurse
VirtualVocations • Whittier, California, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Utilization Management Nurse RN - Remote.
Key Responsibilities
Validates authorization for procedures and manages concurrent cases to resolution
Conducts medical necessity reviews and collaborates with care teams to ensure compliance with regulations
Supports denials management and documentation processes according to departmental guidelines
Required Qualifications
Current, unrestricted RN Compact State Licensure or unrestricted RN license in state of residence
3+ years of acute clinical practice or related health care experience
1+ years of Utilization Management RN or Case Management experience
serp_jobs.job_alerts.create_a_job
Utilization Management Nurse • Whittier, California, United States
Job_description.internal_linking.related_jobs A company is looking for a Utilization Management Nurse to review and monitor healthcare service utilization for members.
Key Responsibilities Conducts concurrent and retrospective reviews of faci...serp_jobs.internal_linking.show_more A company is looking for a Care Manager, LPN.Key Responsibilities Deliver telephonic care management for patients enrolled in Value-Based Care Programs Review electronic health records to identi...serp_jobs.internal_linking.show_more 
For those who want to invent the future of health care, here's your opportunity.We're going beyond basic care to health programs integrated across the entire continuum of care.Put your skills and t...serp_jobs.internal_linking.show_more A company is looking for a Utilization Management Nurse RN - Remote.Key Responsibilities Validates authorization for procedures and manages concurrent cases to resolution Conducts medical necess...serp_jobs.internal_linking.show_more A company is looking for a Utilization Management RN.Key Responsibilities Monitor admissions and perform medical necessity reviews for initial and continued stays Collaborate with the multidisci...serp_jobs.internal_linking.show_more A company is looking for a Utilization Management Assistant to join their healthcare team.Key Responsibilities Answer first level calls in Utilization Review for HealthCheck360 participants Eval...serp_jobs.internal_linking.show_more 
The Utilization Management (UM) Nurse is responsible for conducting clinical reviews and assessing the medical necessity, appropriateness, and efficiency of healthcare services requested by provide...serp_jobs.internal_linking.show_more A company is looking for a Utilization Review Nurse.Key Responsibilities Perform prospective, concurrent, and retrospective utilization reviews using evidence-based guidelines Evaluate severity ...serp_jobs.internal_linking.show_more A company is looking for a Per Diem Utilization Management Registered Nurse - Remote.Key Responsibilities Review and extract pertinent case details from patient medical records and compose appeal...serp_jobs.internal_linking.show_more A company is looking for a Nurse Case Manager - NICU who must reside and be licensed in South Carolina.Key Responsibilities Assess the needs of members and develop individualized care plans Moni...serp_jobs.internal_linking.show_more A company is looking for a Utilization Review Nurse - Remote.Key Responsibilities : Review prior authorization requests for medical necessity and manage claims disputes Collaborate with healthcar...serp_jobs.internal_linking.show_more A company is looking for a Michigan Utilization Review Nurse - LPN (100% Remote).Key Responsibilities Perform Utilization Review to determine the medical necessity of services for Michigan Auto N...serp_jobs.internal_linking.show_more 
AMI Network is partnered with a large healthplan organization to find their next Utilization Management Director in Pasadena.
Our client is a leading Health Plan + IPA that offers full-service Medic...serp_jobs.internal_linking.show_more A company is looking for a Nurse Practitioner to provide integrated care for complex kidney patients in a remote setting.
Key Responsibilities Conduct comprehensive health assessments for patients...serp_jobs.internal_linking.show_more A company is looking for a Care Manager, LPN.Key Responsibilities Deliver telephonic care management and develop patient-centered care plans Support quality gap closure and coordinate patient vi...serp_jobs.internal_linking.show_more 
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better.
Our mission is to help people lead healthier, more fulfilling lives...serp_jobs.internal_linking.show_more A company is looking for a Utilization Management Supervisor (Remote within Arkansas).Key Responsibilities Manage and oversee Utilization Management activities Ensure clinical programs meet high...serp_jobs.internal_linking.show_more A company is looking for an Occupational Therapist Clinical Reviewer.Key Responsibilities Review medical records for accuracy and compliance with contract requirements Manage daily workload and ...serp_jobs.internal_linking.show_more A company is looking for a Telephonic Nurse Case Manager to manage medical claims and coordinate care for injured workers.
Key Responsibilities Provide telephonic case management in a Workers' Com...serp_jobs.internal_linking.show_more 
ALOIS Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements.
As a nurse case manager, your primary responsi...serp_jobs.internal_linking.show_more
Utilization Management Nurse
VirtualVocations • Pasadena, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Iowa Licensed Care Manager, LPN
VirtualVocations • Mission Viejo, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Pre-Service Review Nurse RN-Remote in PST or MST-California RN License
UnitedHealth Group • Ontario, CA, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Maine Licensed Utilization Management Nurse
VirtualVocations • Corona, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Florida Licensed Utilization Management RN
VirtualVocations • Corona, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Utilization Management Assistant
VirtualVocations • Torrance, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Utilization Management RN
Your IT Recruiter • Los Angeles, CA, us
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_variable_days
Licensed Utilization Review Nurse
VirtualVocations • Signal Hill, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Registered Nurse - Utilization Management
VirtualVocations • North Hollywood, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
South Carolina Licensed Nurse Case Manager
VirtualVocations • Signal Hill, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Maine Licensed Utilization Review Nurse
VirtualVocations • Huntington Beach, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Michigan Licensed Utilization Review Nurse
VirtualVocations • Garden Grove, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Utilization Management Director
Ami Network • Pasadena, CA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Utah Licensed Nurse Practitioner
VirtualVocations • Carson, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Missouri Licensed Care Manager
VirtualVocations • Carson, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Mental Health Therapist (LMFT, LCSW, LPCC) - Mt Baldy, CA
LifeStance Health • Mount Baldy, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Arkansas Licensed Utilization Supervisor
VirtualVocations • Whittier, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Minnesota Licensed Occupational Therapist
VirtualVocations • North Hollywood, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Florida Licensed Nurse Case Manager
VirtualVocations • Long Beach, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Nurse RN - Case Management
ALOIS Healthcare • Mission Viejo, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted