State Licensed Utilization Review Nurse

VirtualVocationsNorth Hollywood, California, United States

30+ days ago

Job type

Full-time

Job description

A company is looking for a Utilization Review Nurse (PRN).

Key Responsibilities

Review and evaluate electronic medical records for emergency admissions to assess medical necessity

Apply clinical guidelines to ensure proper utilization of healthcare resources and participate in discussions with physicians

Enter clinical review information for insurance authorization and analyze utilization patterns

Required Qualifications

Current and unrestricted RN license

At least 3 years of clinical experience in an acute care setting

Minimum of 2 years of utilization management experience

Intermediate experience with InterQual and / or MCG criteria

Proficiency in medical record review in an electronic medical record (EMR) system

Create a job alert for this search

Utilization Review Nurse • North Hollywood, California, United States

Related jobs

Utilization Review Nurse - Denials

Astrana Health, Inc.Monterey Park, CA, US

Full-time

Quick Apply

Astrana Health is looking for a Utilization Review Nurse to assist our Health Services Department in reviewing referral / authorization denials and ensuring patients do not meet medical necessity cri...Show moreLast updated: 7 days ago

Promoted

RN Utilization Review - Lakewood - PT Days Exempt

University of California - Irvine HealthLakewood, CA, United States

Full-time

University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,. UCI Health Community Network in Orange and Los Angeles count...Show moreLast updated: 30+ days ago

Promoted

Medical Assistant / Scribe

HEP ENTERPRISES INCGlendale, CA, US

Full-time

At Caremark Healthcare, we are dedicated to providing high-quality, compassionate care to individuals in need.We specialize in home healthcare, skilled nursing, and personalized care services desig...Show moreLast updated: 30+ days ago

Promoted

Per Diem-Medical Records Technician Assistant-Medical Records-Days

University of California - Irvine HealthPlacentia, CA, United States

Full-time

Promoted

Medical Scribe

Back2 Health Physical Therapy IncLos Angeles, CA, US

Full-time

Back 2 Health Physical Therapy is.In this role, you will gather and document information about patients for their doctors visits. Responsibilities include completing summaries of treatment sessions,...Show moreLast updated: 6 days ago

Promoted

Medical Scribe

Beverly Hills Oncology MeBeverly Hills, CA, US

Full-time

At Beverly Hills Cancer Center, we vigorously pursue total health and wellness by delivering leading-edge medicine in a truly compassionate manner. By combining breakthrough research with advanced d...Show moreLast updated: 30+ days ago

Promoted

A Facility in CA Is Searching for a Locums Telehealth Family Practice Physician

HealthEcareers - ClientBurbank, California, United States

Full-time

To get this new telehealth adventure started, pick up the phone and call us today.Multiple scheduling options ‐‐ 40, 32, or 20 hours per week with weekend rotations.Shifts available 5 am ...Show moreLast updated: 30+ days ago

Promoted

Patient Navigator I

Tarzana Treatment Centers, IncLos Angeles, CA, US

Full-time

As assigned by Program Director.Full Time Patient Navigator / Housing Navigator for Justice involved adult re-entry program. Patient / Housing Navigator will provide service to the homeless / at risk of h...Show moreLast updated: 30+ days ago

Promoted

PATIENT MONITORING NAVIGATOR

Comprehensive Community Health Centers Inc.North Hollywood, California, United States, 91601

Full-time

Quick Apply

Time will be split between North Hollywood and Sunland clinics •.PATIENT MONITORING NAVIGATOR JOB SUMMARY.In coordination with the healthcare team, is responsible for the duties related to CCHC's re...Show moreLast updated: 30+ days ago

Promoted

Medical Scribe - Ophthalmology, Westwood

University of California - Los Angeles HealthLos Angeles, CA, United States

Full-time

Join our dynamic team in the Department of Ophthalmology, supporting the Retina Division in Westwood.We're looking for a Medical Scribe who thrives in a fast-paced clinical setting and is passionat...Show moreLast updated: 30+ days ago

Promoted

Medical Scribe

SEMEL VISION CAREEl Segundo, CA, US

Full-time

Semel Vision Care & Aesthetics El Segundo, CA.Semel Vision Care & Aesthetics.Ophthalmology and Optometry practice located in beautiful. Our team is passionate about delivering top-tier eye c...Show moreLast updated: 30+ days ago

Clinical Review Nurse - Prior Authorization

MediabistroLos Angeles, CA, United States

Full-time

Position Title : Clinical Review Nurse - Prior Authorization.Work Location : California (Remote).Assignment Duration : 12 months (Possibility to convert. Work Schedule : Training 8-5PM PST - 4-6 week co...Show moreLast updated: 6 days ago

Promoted

LVN Discharge Planner - Transitional Care Per Diem Days

ProvidenceTorrance, CA, United States

Full-time

The Care Management Assistant (CMA) collaborates with the patient / family, the acute multidisciplinary team, and post-acute providers to implement the patients discharge plan.The CMA also proactivel...Show moreLast updated: 13 days ago

Promoted

Clinical Liaison - Nursing

BrightSpring Health ServicesCulver City, CA, United States

Full-time

Rehab Without Walls Neuro Rehabilitation.Rehab Without Walls Neuro Rehabilitation.The Clinical Liaison will generate patient referrals and coordinate pre-screens, admissions, and serving as the pri...Show moreLast updated: 23 days ago

Promoted

LVN- Intake Coordinator - Full Time

Ameri Hospice Care IncLos Angeles, CA, US

Full-time

Ameri Hospice is seeking an experienced and caring.The ideal candidate for this position is tech savvy, extremely organized, patient, and flexible, with great interpersonal skills.The Hospice LVN I...Show moreLast updated: 30+ days ago

Promoted

Medical Scribe - Remote

TradeJobsWorkForce90040 Commerce, CA, US

Remote

Full-time

Medical Scribe Job Duties : Prepares and assembles medical record documentation / charts for ph...Show moreLast updated: 30+ days ago

Promoted

Nurse Practitioner (NP) - Nurse Practitioner in Palmdale, CA

LocumJobsOnlinePalmdale, CA, US

Full-time +1

LocumJobsOnline is working with The Inline Group to find a qualified Nurse Practitioner NP in Palmdale, California, 93550!. Average Patients seen : 18 to 22 patients daily.Compensation : - Salary st...Show moreLast updated: 30+ days ago

Promoted

Licensed Vocational Nurses Needed!

Aveanna HealthcareSanta Clarita, CA, US

Full-time

Licensed Vocational Nurses (LVN) to provide skilled nursing care to patients in the home setting.We are the hearts of over 40,000 caregivers and trusted by over 33,000 families.Acton / Agua Dulce, Sa...Show moreLast updated: 30+ days ago

Promoted

Patient Support Spec

BioMatrix Specialty PharmLos Angeles, CA, US

Full-time

BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often...Show moreLast updated: 30+ days ago

Promoted

Registered Nurse, Clinical Liaison

Regal Medical Group, Inc.Northridge, CA, United States

Full-time

This position offers a $10,000 sign-on bonus per our company policy.The Clinical Liaison RN, whose role is to assist the VP of clinical operations and network management to further development of t...Show moreLast updated: 30+ days ago