Utilization review nurse jobs in Costa Mesa, CA
Behavioral Health - Utilization Review Representative
0 referral bonus. Position Overview. As a Utilization Review Representative, you will be a key member.. Role & Responsibilities. Successfully conduct pre authorizations and utilization reviews of behavioral..
Medical Oncology Medical Director - Utilization Review
Job Description. Clinical Operations Medical Director Utilization Management of Medical Oncology.. following initial nurse review, of Medical Oncology regimens and supportive care.Perform physician level..
Utilization Review Representative (LVN) - Per Diem
Shifts available to work fall within regular clinic hours (Mon Fri, 8 5). The Utilization Review.. years of pediatric nursing experience and prior experience as Utilization Review nurse.Education..
RN Utilization Management
Graduation from an accredited school of nursing Active, unrestricted Registered Nurse license through.. years of care management, utilization review or discharge planning experience Preferred Qualifications..
Plan Review Engineer
TRB and Associates. is seeking an experienced and motivated plan review engineer with current.. Review building plans and prepare written comment letters on building design submittals. Review plans..
Utilization Management Nurse, Senior
Your RoleThe Utilization Management team reviews the inpatient stays for our members and correctly.. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role..
RN - Utilization Mgmt
Specialty. Travel RN Utilization ManagementJob Description Consult and coordinate with health care team.. Provide direct nursing care to patient and review medical records Prepare clinical appeals (when..
Care Review Clinician, Inpatient Review (rn) - Must Live In Nebraska
Job DescriptionJOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who resides in.. Strong experience with appeals reviews and or utilization management working on the managed care side is..
QI Nurse Specialist (RN) (Utilization Management)
QI Nurse Specialist (RN) (Utilization Management) CalOptima CalOptima Health is seeking a highly.. Assists with reviewing and responding to Regulatory Affairs and Compliance (RAC) requests including but..
Case Management Utilization Rn Ft Night
Registration Registered Nurse License (California) Basic Life SupportAdditional Requirements.. techniques and methods of Utilization review management, discharge planning or case management. Working..
RN Utilization Management
Graduation from an accredited school of nursing Active, unrestricted Registered Nurse license through.. years of care management, utilization review or discharge planning experience Preferred Qualifications..
Associate Director, Clinical Trainer- Nurse Injector- AMI
Job Description Summary. The Associate Director, AMI Clinical Engagement will assist with development and deployment of AMI educational engagement training strategies, with main re..
Medical Review Manager (Full-time, Remote)
Large company perks.Small company feel! We are now seeking a Medical Review Manager to join our team.. Registered Nurse Licensure Certified Professional Coder (CPC) Certification or the ability to obtain..
Director, Skincare Medical Review Operations
Job Description Position Summary The Director of Skincare Medical Review leads and executes the.. safety surveillance. medical information. claims generation, advertising & promotional review of medical..
Document Review Paralegal
Job Posting. Document Review Paralegal. Mesothelioma CasesLocation. Huntington Beach, CASchedule.. Proven experience as a paralegal in document review, particularly in mesothelioma or construction defect..
Claims Review Specialist
920 Wilshire Blvd This will be 99. remote, only the orientation will be onsite and a few meetings when necessary DURATION. 24 week contract 5. yrs exp with hospital billing system..
Social Worker, Utilization Management
With us.Overview of the Role. Alignment Health is seeking a utilization management (UM) social worker to.. regional medical officers, concurrent review nurse(s), and hospital team in implementing solution..
Director of Specialty Bill Review Services - Remote
As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by.. and leading a team of experienced medical bill review auditors, nurse auditors, med legal nurse..