Utilization review nurse jobs in Irvine, CA
Utilization Review Nurse
A company is looking for a Utilization Review Nurse Key Responsibilities. Review medical charts and issue pre authorizations for medical procedures based on patient needs, physician..
LVN Utilization Review
LVN Utilization Review (MEM007924)Title. LVN Utilization ReviewLocation. Fountain ValleyDepartment.. icrosoftExcelandMicrosoftOutlook preferred Education California Licensed Vocational Nurse..
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..
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..
CARE MANAGER I (RN) - PD - CARE MANAGEMENT (Utilization Review)
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..
CARE MANAGER I (RN) - PD - CARE MANAGEMENT (Utilization Review)
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..
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..
Manager Utilization Management
Provides direction to staff regarding utilization review, care coordination, discharge planning, and.. health services administration. License, Certification, Registration Registered Nurse License..
VP Credit Risk Review
POSITION OVERVIEW The Vice President of Credit Risk Review is part of Lendistry's Risk Management.. The Credit Risk Review ("CRR") team fulfills the responsibilities of the Credit Review (or Loan Review..
Clinical Review Clinician - Appeals
Position Purpose. Performs clinical reviews needed to resolve and process appeals by reviewing medical.. Knowledge of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management..
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 Attorney
Urgent Hiring!! Title. Document Review Attorney Work Setup. Remote Job Summary. We are seeking an experienced Document Review Attorney to join our legal team immediately. The firm specializes in..
Staff Review Appraiser
Overview Position. Staff Review AppraiserSalary range up to. 75k, remote OK Responsibilities Responsibilities Gathers, verifies and analyzes data on residential properties including, but not..
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..