Utilization Review Jobs in California
1 - 15 of 152
Search Results - Utilization Review Jobs in California
Kaiser Permanente-Oakland
Job Summary:
Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in the discharge planning process.
Essential Responsibilities:
• Conducts utilization review for in-house patients...
Medical Solutions-Palo Alto (CA)
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Palo Alto, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 13 weeks
• 40 hours per...
Pyramid Consulting, Inc-Los Angeles
Immediate need for a talented Supervisor - Case Manager/Utilization Review. This is a 03+ Months Contract opportunity with long-term potential and is located in Los Angeles, CA(Onsite). Please review the job description below and contact me ASAP...
mindmatch.ai -
HexaQuEST Global - Healthcare-Greenbrae (CA)
Job Description:
RN Case Manager with experience as follows:
Must have strong Utilization Review experience.
Conducting patient initial assessments
Acute Care hospital experience
EPIC EMR documentation experience
Active CA RN License
Monday...
resume-library.com -
RN Case Manager/Utilization Review (Float) - Case Management - Full Time 8 Hour Days (Non-Exempt)...
University of Southern California-Los Angeles
Utilization Management Specialist facilitates timely transmission of admission, concurrent and discharge reviews to the appropriate payer to ensure all days are authorized and documented. Clinical reviews and continued stay authorizations will be documented...
Tekfortune Inc.-Chico (CA)
Job Description:
Remote UR Nurse for level II Trauma Center. Schedule will be Monday through Friday and expected need until November.
Must Have:
• Recent experience in Utilization Review 2 years or more.
• Proficient in MCG, InterQual...
resume-library.com -
Medical Solutions-Glendale (CA)
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 13 weeks
• 40 hours per...
Smart IT Frame-Chico (CA)
Remote UR Nurse for level II Trauma Center. Schedule will be Monday through Friday and expected need until November.
Must Have:
• Recent experience in Utilization Review 2 years or more.
• Proficient in MCG, InterQual, and experienced with Epic...
resume-library.com -
Mission Regional Medical center-Lynwood (CA)
delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical...
Ontario
Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Responsibilities:
The Utilization review tech essentially works to coordinate the utilization review and appeals...
icims.com -
Pyramid Consulting, Inc-Los Angeles
Immediate need for a talented Supervisor - Case Manager/Utilization Review. This is a 03+ Months Contract opportunity with long-term potential and is located in Los Angeles, CA(Onsite). Please review the job description below and contact me ASAP...
resume-library.com -
Tenet Healthcare-Modesto
and management of medical staff affairs, liaison with medical staff, assistance in quality/process improvement and utilization review programs. The PA will also develop and coordinate the appropriate medical education and hospital-based research to the case...
APN Consulting-Santa Rosa
All RTO submitted upfrontFacility Name:
Unit:
Shift:Day 5x8-Hour (08:00 - 16:30)
Overtime Multiplier: 8 regular hours in a day OR 40 regular hours in 1 week : 1.3%
Double Time Multiplier: None
Charge Nurse:
On Call:
Call Back: 1.3%
Vacation:...
resume-library.com -
Kaiser Permanente-San Francisco
for alternative levels of care as required.
Essential Responsibilities:
• Utilization Management: Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine...
Kaiser Permanente-Santa Clara
for alternative levels of care as required.
Essential Responsibilities:
• Utilization Management: Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine...
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