Utilization review nurse jobs in Costa Mesa, CA

Advancement opportunities within the organization. Job Description The Utilization Review Case Manager.. The Utilization Review Case Manager will submit accurate utilization reviews on an extremely tight..

This position has an expected start date of November 15, 2024. Position Overview. As a Utilization.. Role & Responsibilities. Successfully conduct pre authorizations and utilization reviews of behavioral..

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job.. Job Description & Requirements Specialty. Utilization Review Discipline. RN Duration. 24 weeks 40 hours..

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job.. Job Description & Requirements Specialty. Utilization Review Discipline. RN Duration. 24 weeks 40 hours..

Clinical Review Nurse Job Locations US CA Irvine Requisition ID 2024 17781 Category Managed Care.. These responsibilities may include utilization review, pharmacy oversight and care coordination..

The Utilization Review Management Nurse is accountable for planning, directing, and overseeing aspects.. The Utilization Review Management Nurse is also responsible in performing and completing medical..

Case Manager. RN (Utilization Review). Do you thrive on supporting the professional face of a hospital.. Being a Care Manager RN means working in collaboration with physicians, nurses, ancillary staff, and..

Job Title. Utilization Management (UM) Coordinator Target Compensation Range. 26.00. 36.00 hour.. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Understands and follows Utilization..

Years of nursing experience required, 1 year of which must be as a nurse reviewer. An equivalent.. Preferred Qualifications. 1 year of Concurrent Review (in patient) experience. Required Licensure..

The Utilization Review Management Nurse is accountable for planning, directing, and overseeing aspects.. The Utilization Review Management Nurse is also responsible in performing and completing medical..

REQUIREMENTS Minimum 3 4 years of medical management experience, especially in the area of Utilization Management and Health Plan audits Experience in EPIC Tapestry required. Experience with..

Engages appraisals from the pre selected vendor list and reviews commercial appraisals with.. Identify, request, and manage all commercial real estate appraisals Review and approve real estate..

Our client, a major corporation, seeks law graduates (attorneys, JDs, LLMs) for a hard copy document review project. Project is expected to last at least 2 months. Onsite in Century City..

Authorizes requested services according to Concurrent Review team guidelines. Contacts the health.. Certified Medical Assistant (CMA) Certification Concurrent review and utilization management experience..

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..

The PA position has part time inpatient responsibilities in utilization management and care coordination.. Conducts clinical reviews on cases referred by care management staff and or other health care..

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..

Qualifications Associates Degree or Bachelor's Degree in nursing or related field. Active Registered Nurse (RN) license required. Must be in good standing. 2. years clinical practice preferred..

Day to Day ResponsibilitiesThis position will be in support of the HEDIS Medical Record Review (MRR.. Primary responsibility will be to perform medical record review, & enter findings into abstraction tool..

Unlock Your Potential with Prestigious Litigation and Document Review Projects as a Newly Licensed.. Embark on a transformative journey into the world of litigation and document review with our esteemed..