Utilization review nurse jobs in Richmond, CA

A company is looking for a Utilization Review Nurse. Key Responsibilities. Review and document prior.. Associate's or Bachelor's degree in Nursing 5. years of clinical experience Previous utilization..

Job Description Job Description Vivo HealthStaff is searching for a Utilization Review RN for a hybrid.. Collaborates with the physician, nurse case manager, social worker, and other members of the health care..

POSITION SUMMARY. Our client hospital organization is in search of a Sr. Utilization Mgt. RN Coordinator.. This Mgt. RN Coordinator will monitor adherence to the hospital's utilization review plan to ensure the..

Job Summary. Conducts utilization review for in house patients and or those members at contracted.. License, Certification, Registration Driver's License (California) Registered Nurse License (California..

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..

Description. Job Summary Conducts utilization review for in house patients and or those members at.. Registration Registered Nurse License (California) Additional Requirements. Demonstrated knowledge of..

HCT is seeking an Interim Utilization Review Discharge Planning Subject Matter Expert for a 300.. Conducts utilization data analysis (avoidable days, readmissions, one day stays, DRGs, LOS, PDR, etc..

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..

You must reside in the state of California. About Your Work The Supervisor, Utilization Management will.. You will focus on. Supervises and coordinates activities of utilization review staff in maintenance of..

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..

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..

Perform Utilization Review activities prospectively or post service (retrospective) for elective urgent.. Recent MCG or InterQual experience highly desired. RN Registered Nurse of California Licensure required..

THE POSITION Under general direction, supervises Clinical Review Specialists in Alameda County.. utilization management, or quality assurance unit. Ideal candidates will also be an experienced..

Your RoleThe Utilization Management team reviews the inpatient stays for our members and correctly.. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role..

Adams and Martin Group works with variety of firms in California who have Document Review Projects coming up. The ideal candidate would be. a CA barred attorney. experience with relaitivity..

Job Number. 6669 Workplace Type. Fully Remote Position Title. Inpatient Review Nurse External.. Monitor for any over utilization or under utilization activities. Generate referrals as appropriate to..

Guides clinical staff with review of assessments and care plans, evaluates utilization reviews or.. Required Licenses Certifications. Active licensure as a Registered Nurse in the State of California or..

Job Title. Prior Authorizations Registered Nurse (RN) Summary. The UM Prior Authorization Nurse is.. Essential Duties. Review prior authorization referrals for medical necessity, exercising independent..

Role OverviewThe Rewards Review aims to develop a new rewards framework for the whole MSF global.. The review is done one time per year after which decisions are taken on whether the employee's pay..

Research Billing Charge Review Analyst. Remote. 127813 Click Here to Apply Online Job Description.. The Clinical Research Charge Review Analyst will promote and facilitate a culture of financial solvency..