Utilization review nurse jobs in Bakersfield, CA

Position summary Responsible to provide professional nurse case management coordination for claimants.. utilization criteria), medical coding mechanisms( ICD 9 CM, CPT 4, DSM IV), case management standards of..

ESSENTIAL RESPONSIBILITIESMonitor FDA approvals, drug manufacturer pipelines, assess drug utilization reports, and write drug monographs for Committee review to develop the Organization's Drug..

The Medical Authorization Assistant (Concurrent Review) will provide office and referral management.. Certified medical assistant (CMA) certification. Concurrent review and utilization management experience..

Two (2) years of acute nursing, discharge planning and HMO, previous case management experience, utilization review, and knowledge of medical nursing standards of care preferred..

This is an ideal position for a registered nurse who seeks an opportunity to contribute to the health.. Identify and verify appropriate utilization of resources across the continuum of care. Actively..

Review records and logs to stay abreast of changes in service plans. maintain confidentiality. On call.. monitor utilization between authorization, provision of service, and billing. Monitor purchasing to..

Duties include. Provides operational, environmental, and information management expertise and support (onsite) at range complex Monitoring range utilization Coordinate the electronic Range..

Review, verify, and process invoices for payment. Match purchase orders to invoices and resolve.. Assist with month end closing procedures, including journal entries. Review and process employee expense..

Dane Street is an Independent Review Organization and a national provider of Utilization Review services.. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per case..

POSITION SUMMARY. Under the supervision of the Nursing Supervisor, the Registered Nurse will provide.. Experience in chronic disease management, case management, utilization management and quality..

And Software Developer to review project database implementation schedules, database utilization.. Willingness to both lead studies as data manager and complete ongoing data management review from start..

Including revenue recognition and job cost review Oversee the assignment of projects to staff members to obtain most effective utilization of resources to meet the Company's commitments to..

At the direction of the Medical Director, review outcomes and utilization data, including.. QUALIFICATIONS. Graduation from an Accredited School of Nursing. Certificate as a Nurse Practitioner..

Reviews and evaluates accounting and financial activity reports for the purpose of medical management review and evaluation, medical costs utilization, and explaining budget variances..

Preferred Licenses Certifications. Registered Nurse (RN) licensure in the state of practice. Required.. utilization review and other personnel as appropriate. Supervises professional and ancillary personnel..

2,000 per year Location. Mountain View, CA. Hybrid Role Requirements and Qualifications. Able to gather network utilization and other critical metrics from lab network devices, including WiFi..

BGP, DMVPN. He she will troubleshoot down devices or down network and bring data back from cloud to data center. Experience with VMWare routing on Azure and managing monitoring utilization and..

Performs and ensures proper training in usage, proper utilization, and minor maintenance of a variety of.. Creates, updates and maintains Department Policies & Procedures with review. approval from Division..