Utilization review nurse jobs in Glendale, CA
Registered Nurse Utilization Review OPIS
Visit nchjobs.org to learn more.JOB SUMMARYThe RN Utilization Review coordinates care for OPIS patients.. Collaborate with nurses, physicians, case managers and social workers when potential payer concerns will..
Utilization Management Review Nurse (LVN)
Description The Utilization Management Nurse Specialist LVN promotes the quality and cost effectiveness.. Complete medical necessity and level of care reviews for requested services using clinical judgment and..
Utilization Review Clinical Supervisor - Denials (Registered Nurse)
Collaborate effectively with physician reviewers, medical directors, and other departments. 3. Ensure.. 1. Review performance reports, identify deficiencies, and implement corrective action plans. 12. Report..
Denial Review Nurse - Utilization Management - Hybrid
Description Job Title. Denial Review Nurse Department. Health Services. Denials About the Role. We are.. priority levels and deadlines Utilization management experience with a Health Plan or MSO Proficient..
Supervisor - Case Manager/Utilization Review
Immediate need for a talented Supervisor. Case Manager Utilization Review. This is a 03. Months Contract.. Experience as charge supervisor to Case managers Utilization Review Nurse. Need to work with insurance..
Utilization Review Specialist
Description. UTILIZATION REVIEW POSITION Centralized staff located at Innovation Center in Bossier.. Licensed (RN, LPN, MA) Positions Available The primary responsibility of Utilization Review is to review..
Utilization Review Specialist
Utilization Review Specialist Utilization Management Dept. PRNAM PM Shift A P Consistently named best.. None.Required Certifications Licensure. Registered Nurse currently licensed in the State of South..
Utilization Review (UR) Specialist - Addiction Treatment Program
May access and consult with peer clinical reviewers, Medical Directors and or delegated clinical.. Qualifications. 1 2 years of clinical or utilization review experience. or any combination of education..
Registered Nurse - Utilization Review / CDI
2. years of ambulatory care experience 2. BSN 3. Utilization review experience Job Duties. 1. Review.. Review occurrence reports and the related pertinent medical records to determine opportunities for..
Utilization Management Review Nurse - Hybrid
About the Role. Astrana Health is looking for an LVN Utilization Review Nurse to assist our Health.. What You'll Do. Complete prior authorization retrospective review of elective inpatient admissions..
Utilization Review Nurse - RN, LPN, or LCSW (Remote)
Job Summary. As a Utilization Management Nurse Social Worker, you'll play a crucial role in our.. Proficient in Utilization Review processes, you'll maintain effective procedures to meet regulatory and..
Travel Nurse RN - Case Manager, Utilization Review - $2,479 per week
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job.. Job Description & Requirements Specialty. Utilization Review Discipline. RN Duration. 13 weeks 40 hours..
Utilization Management Denial Review Nurse - LVN
You will review for appropriate care and setting while working closely with denial coordinators and.. Current CA LVN licensure required. Two or more years of utilization review utilization management..
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..
Utilization Management RN
By guiding this team, the Utilization Management RN Supervisor drives the continuous improvement of our.. and provide orientation and competency development for staff processing and or reviewing authorizations..
Supervisor, RN
And Utilization Management (PACE) programs strategies. Participates as an active member of the inter or.. Accurately assesses and documents patient status to support the regulatory review and approvals of..
Manager Utilization Management
Provides direction to staff regarding utilization review, care coordination, discharge planning, and.. health services administration. License, Certification, Registration Registered Nurse License..
Director Utilization Management
Case Management program, Outside Utilization Review program, Transportation coordination and Extended.. License, Certification, Registration Registered Nurse License (California) Additional Requirements..
Nurse, (LVN) Utilization Mngmt
Job Search Results Nurse, (LVN) Utilization Mngmt Position Type. Full time Location. Montebello.. Responsible for reviewing proposed hospitalization, home care, and inpatient outpatient treatment plans..
LVN, Utilization Management
Job Overview The LVN Utilization Management Nurse (UM Nurse) will provide routine review of.. Responsible for reviewing proposed hospitalization, home care, and inpatient outpatient treatment plans..