Search jobs > West Covina, CA > Utilization review nurse
A company is looking for a Utilization Review Nurse for a remote position with a weekend schedule.Key ResponsibilitiesPerform initial admission and continued stay reviews using InterQual or Milliman criteriaAbstract data from medical records to ensure accurate clinical dataAdhere to quality, timeliness, and productivity standards in nursing utilization reviewRequired QualificationsActive Registered Nurse licenseExperience in a clinical inpatient environmentHospital-based utilization or case management experienceProficiency in basic computer skillsAbility to work a compressed weekend schedule of four ten-hour shifts
Travel Nurse RN - Case Manager, Utilization Review - $2,723 per week
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Baldwin Park, California. Posted job title: Case Management (Utilization Review). Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and\n travel allied healthcar...
Utilization Review Nurse - RN
A company is looking for a Utilization Review Nurse to perform utilization review work for emergency admissions and continued stay reviews. ...
Utilization Review Nurse (RN), Care Coordination, Full-Time, Days
The Utilization Review Nurse is responsible for completion of admission, concurrent and retrospective reviews for designated health plans. The UR nurse is also responsible for initial RAC review prior to submission to Physician Advisor and will appeal medical necessity denials. Substantial recent ex...
Utilization Review Nurse
A company is looking for a Utilization Review Nurse for a remote position with a weekend schedule. ...
Utilization Review Registered Nurse- Behavioral Health Unit/Per Diem/Days
Job Title: Utilization Review Registered Nurse- Behavioral Health Unit/FT/Days . This Utilization Review (UR) Registered Nurse (RN) position supports the Mission of Pipeline Health through the provision of distinctive and compassionate care to our patients. This position is responsible for...
Utilization Review Nurse - GA
A company is looking for a Utilization Review Nurse Specialist for Georgia Workers' Compensation. ...
Utilization Review Registered Nurse- Behavioral Health Unit/FT/Days
Job Title: Utilization Review Registered Nurse- Behavioral Health Unit/FT/Days . This Utilization Review (UR) Registered Nurse (RN) position supports the Mission of Pipeline Health through the provision of distinctive and compassionate care to our patients. This position is responsible for utilizati...
Utilization Management Review Nurse - Hybrid
Astrana Health is looking for a Utilization Review Nurse to assist our Health Services Department. Complete prior authorization/retrospective review of elective inpatient admissions, outpatient procedures, post-homecare services, and durable medical equipment. ...
Travel Case Management (Utilization Review) RN (Registered Nurse) in Baldwin Park, CA - 790026
Are you ready to choose your next adventure in care? We’re seeking a hardworking, hard-playing RN (Registered Nurse) to fill a Case Management (Utilization Review) opening in Baldwin Park, CA. Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-l...
Travel Nurse - RN - Case Manager - $2775.29 / Week
FlexCare Medical Staffing is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Baldwin Park, CA. Additionally, the review may consider the potential impact on the nurse's ability to meet licensing and regulatory requirements as mandated by relevant healthcare...