Utilization Review Jobs in Rancho Cucamonga
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Search Results - Utilization Review Jobs in Rancho Cucamonga
Inland Empire Health Plans-Rancho Cucamonga
Current trends in health care and clinical operations
• Administrative practices and procedures including but not limited to quality assessment and improvement, care coordination, utilization review, peer review, credentialing and risk management
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appcast.io -
Rancho Cucamonga
procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
icims.com -
Inland Empire Health Plans-Rancho Cucamonga
management, utilization management (UM), and grievance and appeals and committee participation. The Medical Director of Behavioral Health oversees the inpatient/concurrent review process, care integration efforts, and all levels of behavioral health care...
appcast.io -
Rancho Cucamonga
assessment and improvement, care coordination, utilization review, peer review, credentialing and risk management
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location:
Hybrid
Pay Range: USD $118.44 - USD $165.82 /Hr....
icims.com -
RN Case Manager/Utilization Review (Float) - Case Management - Full Time 8 Hour Days (Non-Exempt)...
University of Southern California-Los Angeles, 38 mi from Rancho Cucamonga
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...
Rancho Cucamonga
excellence, navigate regulatory landscapes, and shape the future of efficient healthcare operations.
Major Functions (Duties and Responsibilities)
1. Conduct quality audits and review final recommendations provided by Utilization Management nurses...
icims.com -
Pyramid Consulting, Inc-Los Angeles, 38 mi from Rancho Cucamonga
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 -
Talent4Health-Los Angeles, 38 mi from Rancho Cucamonga
8 hours, days Employment Type: Travel 2 years of Acute Care experience (can consider 1.5 years) Experience with Utilization Review and Discharge Planning Experience with Inter Qual 1st-time travelers accepted Day shift 8 hours 8:30-5.
Some weekends...
Talent Software Services, Inc.-Burbank, 39 mi from Rancho Cucamonga
assessment, treatment or care for patients of all ages, including neonate, pediatric, adolescent, adult and geriatric, based on population focus.
Duties also include complex discharge planning and utilization review.
The Nurse Case Manager must be competent...
resume-library.com -
LanceSoft-Los Angeles, 38 mi from Rancho Cucamonga
bonus. Requirements: 2 years of Acute Care experience (can consider 1.5 years) Experience with Utilization Review and Discharge Planning Experience with InterQual. About LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned...
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