Utilization review nurse jobs in Modesto, CA

Are you a RN in the Bay Area looking for a managment level position with Utilization Management.. Qualifications. An active CA Registered Nurse license with a minimum of a Bachelor's degree or..

Position. Outpatient Utilization Review Nurse 100. Remote Duration. 6 month rolling contract Hours.. 530 (In time zone you reside in) Our client is looking for a Utilization Review Nurse to provide first..

CA, LANCASTER KAISER PERMANENTE URGENT CARE PA or NP Start date upon credentialing ( 45 days). ongoing need. Prefer a 6 month commitment but will consider 3 with options to extend ..

Clinical Utilization Review Nurse (RN) Full time. Remote. Permanent Managed Resources is a leading.. Our Clinical Utilization Review services consists of supporting the utilization review component of the..

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..

Your RoleThe Utilization Management team facilitates the review of requests for medical necessity to.. The Utilization Management Nurse Consultant will report to the Utilization Management Manager. In this..

The UM Nurse Specialist provides organizational support in the Utilization Management Department. efficiently processes Pre Service Authorization Requests. Works with UM Coordinators. PIH Health..

Job DescriptionA bit about this role. This position interacts with utilization management, clinical.. clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer to peer discussions..

Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively,. Humana ) offers competitive benefits that support whole person well being. Associate benefits ar..

Create and deliver training for new technology. Continuously educate agency staff about how to use the technology we have provided while being aware of security risks. Review Help Desk..

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..

Direct Counsel. is seeking. two diligent Document Review Attorneys. to join an excellent legal.. As a Document Review Attorney, you will be an integral part of the Complaint Review Unit (CRU..

Adams & Martin Group is currently working with a firm on long term document review opportunities.. This will be a training opportunity for those who have not handled document review in the past. Company..

May also perform prior authorization reviews and or related duties as needed.Processes requests within.. unrestricted Utilization Management Certification (CPHM).To all current Molina employees. If you are..

Forbes Best in State EmployerBill Review Trainer. Hearing SpecialistPRIMARY PURPOSE. To develop and.. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Reviews upcoming hearings and prepares necessary documentation..

Job Number. 6652 Workplace Type. Fully Remote Position Title. Inpatient Review Nurse External.. Monitor for any over utilization or under utilization activities. Generate referrals as appropriate to..

Ready to work for a company with PURPOSE? A company that takes the success of its customers and employees seriously? A company that wants you to be able to grow indefinitely? At Review Wave, we..

About The Princeton Review. The Princeton Review is a leading tutoring, test prep and college admission.. The Princeton Review is headquartered in New York, NY. The Princeton Review is not affiliated with..