Utilization review nurse jobs in Menifee, CA

The Medical Director provides physician support responsible for the initial clinical review of service.. West coast license Experience in utilization and clinical coverage review Proven excellent oral..

00. 0.00 Palm Health Resources is hiring experienced Nurse Practitioners who specialize in Emergency.. Participates in appropriate department quality improvement and utilization review activities as directed..

Supports utilization management team to document authorization requests and obtain accurate and timely.. Aids the utilization management team and maintains ongoing tracking and appropriate documentation on..

Two (2) years' experience clinical Case Management or Utilization Review preferred Completion of an.. REQUIRED LICENSURE. CERTIFICATIONS Current California Registered Nurse license CCM and or CPUR..

This position will also have an overall responsibility for VPH admission reviews are conducted onsite 24.. Critical Care experience desirable. Previous experience in Case Management, Utilization Management or..

Job title. Registered Nurse Case Manager Location. Riverside, CA 92505 Contract Duration. Initially 13.. Start Time 08 00 to End Time 16 30 Facility is a Utilization Management. Medical Center in Riverside CA..

efficiencies of current customers by monitoring and improving mapping utilization and outcomes.. Oversees travel expenses for Mapping team members including the timely review and approval of expense..

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..

Plan and perform more complex engineering design duties for cathodic protection system projects for Department of Defense projects Review preliminary data, discuss objectives and expectations..

Generous holiday, vacation and sick leave. Essential Duties and Responsibilities CM Nurse's.. Conduct clinical review for inpatient, out patient and ancillary services requests for medical..

Document activity and report progress on an ongoing basis with CRM systems. Review performance against.. This includes the prioritization of accounts, identification of decision makers, utilization of sales..

Implementing strategies to optimize workforce and material utilization, and leading the production team.. Review manufacturing performance, evaluate strengths and weaknesses, and ensure goals and objectives..

Qualifications Minimum three (3) years of acute care clinical experience.Two (2) years' experience clinical Case Management or Utilization Review preferredCompletion of an accredited Registered..

Will share in reviews of utilization management (PA) criteria and clinical policy revisions reviews.. Directors will spend a portion of most days completing assigned medication utilization reviews (PA) and..

Manages implementation and ongoing utilization of the Computerized Maintenance Management System (CMMS.. Analyze and resolve problems with process and or equipment. Review lab tests and interpret data. Perform..

Current working knowledge of Milliman Care Guidelines in review determination processMedi Cal and.. which included a minimum of one year of experience in Utilization Management or Case Management..

Two years' experience clinical Case Management or Utilization Review preferred Completion of an.. REQUIRED LICENSURE. CERTIFICATIONS Current California Registered Nurse license CCM and or CPUR..

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..

Years of experience in Case Management, Utilization Review in Behavioral Health within a Managed Care Organization,1 3. years of progressive leadership experience in a healthcare..