A company is looking for a Utilization Review Nurse Reviewer (Remote, RN Required). ...
Key Responsibilities:Provide assessment and review for medical necessity of treatment requests and plansReview outpatient and inpatient requests for medical appropriateness and necessityPrepare patients for discharge and ensure smooth transition to next level of careQualifications:Current RN license...
A company is looking for a Utilization Review NurseKey Responsibilities:Review medical charts and issue pre-authorizations for medical procedures based on patient needs, physician recommendations, and coverageRefer cases to necessary health care providers based on medical review findings that do not...
FlexCare Medical Staffing is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Fountain Valley, CA. FlexCare is a nationwide leader in the staffing of travel nurses and clinicians. FlexCare is a nationwide leader in the staffing of travel nurses, therap...
Cynet Health is seeking an experienced Oncology Registered Nurse for an exciting Travel Nursing job in Laguna Hills, CA. ...
Advantis Medical is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. ...
FlexCare Medical Staffing is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in Santa Ana, CA. FlexCare is a nationwide leader in the staffing of travel nurses and clinicians. FlexCare is a nationwide leader in the staffing of travel nurses, therapists, and allie...
Host Healthcare is an award-winning travel healthcare company with an immediate opening for this .Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home.Starting the day you apply, ...
A company is looking for a Part-Time RN Case Manager to work remotely. ...
A company is looking for an Enterprise Manager Utilization Review. ...
A company is looking for a Treatment Registered Nurse for a remote position in the PST/MST time zone. ...
Key Responsibilities:Telephonically manage cases on a long or short term basis per established Company guidelinesContact patients for thorough assessments and identify participation in appropriate programsAdvocate for patients by facilitating quality care and reducing costsRequired Qualifications:Gr...
A healthcare organization is seeking a Utilization Review RN for a remote full-time position. ...
A company is looking for a Utilization Management & Review Specialist. ...
Key Responsibilities:Makes outbound calls to assess members' current health statusCase manages members in the pre-operative and post-operative phasesCoordinates care for members and makes referrals to outside sourcesRequired Qualifications:Current, unrestricted RN license in the state of residence3+...
As part of the Case Management Team, the Care Manager provides Team Center Care in a collaborative setting in accordance with the standards and regulations for California Childrens Services (CCS), Genetically Handicapped Persons Program (GHPP) and all other State and Federally sponsored programs. Th...
Amada Concierge Care is seeking qualified and passionate Registered Nurses (RN) in Orange County CA, to assist with the skilled nursing needs of our patients. RN Shifts/Visits – Immediate Positions RN Visit ($100). Our nurses work within our patients' homes providing direct patient care (8...
Growing, fast-paced, Orange County law firm seeking a talented, hardworking, case manager. Use of software and digital tools for file setup and opening cases. Maintain workflow by assuring prompt and accurate handling of assigned cases. ...
Medica is excited to share this TEMP opportunity with you! Our client is looking for a Remote RN Inpatient Case Manager with UM experience and Prior Auths to join their team!. The RN Inpatient Case Manager will provide daily care coordination with concurrent review for patient in the hospital or Ski...
RESPONSIBILITIESAs an active duty Navy Nurse, you’ll provide high-quality nursing care, doing everything a typical nurse would do in a variety of settings:. Navy Nurses collaborate with physicians, surgeons, cardiologists and fellow nurses as colleagues and equals. ABOUTBy the very nature of their d...
Knowledge of government and non-government payor practices, regulations, standards and reimbursement. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Enhances the quality of patient managem...
Additional Info: Looking for an RN with acute care bedside experience from a clinical knowledge aspect as well as management experience to ensure understanding of the flow and need of what a case manager does. Must have 2 years of Case Management Experience. ...
The RN Case Manager plans, organizes and directs home health and palliative care, and plans and directs services to meet the needs of patients and their families within their homes and communities. ...
Knowledge of government and non-government payor practices, regulations, standards and reimbursement. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Enhances the quality of patient managem...