Utilization review nurse jobs in Sacramento, 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..

Overview Built in 1973 Dignity Health Methodist Hospital of Sacramento is committed to providing daily excellence in health care for residents of Sacramento's southern suburbs incl..

Responsibilities. Utilization Review RN. remote position Position Summary. The incumbent is responsible.. Minimum. Graduate of an accredited school of nursing Current California Registered Nurse License Minimum..

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..

Remote positionPosition Summary. The incumbent is responsible for the review of medical records for.. Abilities and Training Ability to pass annual Inter rater reliability test for Utilization Review..

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..

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 ..

Knowledge of mental health and substance abuse utilization review process preferred. Experience working.. Licensed Mental Health Professional (LMHP) required or. RN. Registered Nurse. State Licensure and or..

Nurses and other ancillary partners. Demonstrates ability to efficiently and independently manage own.. Maintain proficiency in conducting utilization reviews using ClientG InterQual by keeping up with..

The Quality Review Coordinator performs ocular and tissue donor record quality assurance review in.. Receives, compiles, and prepares the donor record for eligibility review and signature of donor records..

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 Rep II Job Family. CUS. Care Support Type. Full time Date Posted Apr 18, 2024.. Refers cases requiring clinical review to a nurse reviewer. and handles referrals for specialty care..

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

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..

We are recruiting for a Utilization Management Coordinator (UMC) for an established healthcare.. Pay. 18. 21 hour DOE. RESPONSIBILITIES. Compile daily inpatient log. review specified UM reports..