Average salary: $96,843 /yearly
More statsSearch Results: 15,702 vacancies
...provide needed information on an account.
Special Projects as needed.
Required Education and Experience:
Previous experience working in a psychiatric or chemical dependency setting, with two years of utilization review experience preferred.
Registered Nurse...
Suggested
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Downey, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~40 hours per week
~ Shift...
Suggested
Weekly pay
Holiday work
Shift work
...the issuance of adverse organization determinations. You will review for appropriate care and setting while working closely with denial... ...* Current CA LVN licensure required
* Two or more years of utilization review/utilization management experience in an HMO, MSO, IPA,...
Suggested
Remote job
Flexible hours
Monday to Friday
...Description
Under general supervision, the Utilization Review Case Manager (UR CM) performs review of patient referral and medical record for appropriateness for Skilled Home Health services. The UR CM validates the patient's admission and appropriate visits based...
Suggested
Contract work
$47.31 - $88 per hour
...The RN Float Case Manager and Utilization Review Nurse provides coverage for an RN Case Manager or RN Utilization Review Nurse. The RN Float Case Manager and Utilization Review Nurse is assigned to function in the role of either a RN Case Manager or RN Utilization Review...
Suggested
Full time
...Description Job Description: Manager of Clinical Utilization Management - Denial Compliance... ...staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.... ...an accredited Registered Nursing Program; RN preferred.
2. Minimum of five years in...
Suggested
Permanent employment
Full time
Temporary work
Remote job
Flexible hours
...Duties and responsibilities
Conducts pre-certification, out of network and appropriateness of treatment setting reviews within scope of licensure by utilizing appropriate medical policies and clinical guidelines in compliance with department guidelines and consistent...
Suggested
Daily paid
Holiday work
Full time
Contract work
Temporary work
Remote job
Flexible hours
...Description**
**Job Summary: Key Job Responsibilities**
The Utilization Review Case Manager validates the patient's placement to be at the... ...program
Bachelor's Degree Nursing preferred
**Licenses:**
RN State License
Basic Life Support (BLS)
**Experience:**
3...
Suggested
Shift work
...Responsibilities
Utilization Review (UR) Coordinator Opportunity.
Position: PRN (as needed)
This position is on-site and cannot be done remotely.
For nearly 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction...
Suggested
Relief
Local area
Remote job
...more than a job. It's the calling of our lives and it compels us to keep moving forward.
Job Overview
The Physician Reviewer of Utilization Management will provide routine review of authorization requests from all lines of business using respective national/state...
Suggested
Holiday work
Flexible hours
...communities and residents and to support the safety net required to achieve that purpose.
Job Summary
The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management (CM)...
Suggested
...non-licensed denial unit staff, managing daily tasks, performance reviews, and disciplinary actions.
2. Collaborate effectively with... ...Qualifications:
1. Graduate from an accredited Registered Nursing Program; RN preferred.
2. Minimum of five years in prior-authorization,...
Suggested
Permanent employment
Temporary work
Remote job
The RN Float Case Manager and Utilization Review Nurse provides coverage for an RN Case Manager or RN Utilization Review Nurse. The RN Float Case Manager and Utilization Review Nurse is assigned to function in the role of either a RN Case Manager or RN Utilization Review...
Suggested
Hourly pay
Full time
Work experience placement
Local area
Night shift
...health solutions in the public sector.
Acentra seeks aUtilization Clinical Reviewer - LCSW/LMFT/LPCC/LCPC (Remote within California) to join our growing team.
Job Summary
Utilizing clinical expertise, this role involves reviewing medical records against appropriate...
Suggested
Remote job
Local area
...AA) and Equal Opportunity Employers (EOE) inclusive of veterans and those with disabilities.
California residents click here to review your privacy rights.
By applying to this position, you consent to receive an initial text message to collect your communication...
Suggested
Holiday work
Full time
Part time
Local area
Immediate start
Saturday
Monday to Friday
...staff and appropriate community agencies.
Reviews, monitors, evaluates and coordinates the... ...providing continuity of care, including Utilization management, Transfer coordination,... ...Experience
~ Two (2) years combined RN experience in an acute care setting or case...
Full time
Local area
Relocation bonus
Shift work
Weekend work
...Description
Job Summary: ??Key Job Responsibilities
The Utilization Review Case Manager validates the patient's placement to be at the... ...nursing program??
Bachelor's Degree??????Nursing
Licenses:
RN State License
Basic Life Support (BLS)
Experience:
3...
Full time
Shift work
...technologies. In addition to providing technical support to critical Utilities areas, you may also perform the following responsibilities:... ...Utilities, and to be known as SME for related areas.
Review process and support equipment and systems design drawings and documents...
Minimum wage
Holiday work
Full time
Temporary work
For contractors
Local area
Shift work
...Superior Grocers - 250 N. La Brea Ave [Grocery Clerk / Cart Attendant] As an Utility Clerk at Superior Grocers, you'll: Be responsible for a variety of roles as assigned which include parking lot clerk, porter and jr clerk; Perform cashier duties as needed; Focus on delivering...
Immediate start
Sizzler - 831 E Manchester - [Food Prep / Kitchen Staff / Dishwasher / Busser] Assist in food preparation. Clean and put away all plates; glassware; utensils; and kitchen equipment. Operate and maintain dish machine. Take out trash; mop restaurant floors and maintain general...
