Utilization Review Jobs in Roseville
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Search Results - Utilization Review Jobs in Roseville
GQR HealthcareRoseville
per week
• Shift: 12 hours, days
• Employment Type: Travel
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Roseville, California
Start Date: September 28, 2026
Profession: Registered Nurse (RN)
Facility: Short...
Child and Adult Empower Mental Clinic ServicesRoseville
families, and children, utilizing techniques such as cognitive-behavioral therapy and solution-focused therapy.
/n
• Collaborate closely with the Utilization Review Department to ensure proper authorization and streamline billing processes for your services...
Care CareerRoseville
Management / Utilization Review
Knowledge of levels of care and observation status
Knowledge of healthcare reimbursement systems preferred
Knowledge of CMS, Title 22, CDPH, TJC, and other applicable regulations
Knowledge of post-acute levels of care preferred...
Child and Adult Empower Mental Clinic ServicesRoseville
documentation of services provided and submit necessary paperwork in a timely manner to meet compliance standards.
/n
• Collaborate with the Utilization Review Department to manage client care authorizations and payment processes.
/n
• Engage with parents...
Prime StaffingRoseville
AHA
Must-Have: Strong assessment, discharge planning, and utilization review skills
Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external...
Humane Empowerment Mental Health Services, LLCRoseville
while adhering to facility standards and state licensure regulations.
/n
• Performing regular wellness checks and follow-up sessions to monitor client progress and adjust treatment plans as needed.
/n
• Collaborating with the Utilization Review...
American TravelerCarmichael (CA), 10 mi from Roseville
of the hospital, excluding outpatient and home care
• Handles 15-20 patients/consults per day across all payer types, including uninsured and homeless populations
• Uses Cerner EMR and Interqual criteria for utilization review
• 8-hour day shifts, scheduled...
Silver Head Psychiatry ClinicOakland, 85 mi from Roseville
including regular updates for case management and utilization review.
• Coordinate support services for clients and their families, ensuring comprehensive care delivery.
• Engage with external referral sources, including legal entities, schools...
GQR HealthcareCarmichael (CA), 10 mi from Roseville
per week
• Shift: 8 hours, days
• Employment Type: Travel
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Carmichael, California
Start Date: September 15, 2026
Profession: Registered Nurse (RN)
Facility: Short...
MedlivoCarmichael (CA), 10 mi from Roseville
Hospitalist In-House, Respiratory Therapy Available 24/7, Pharmacy Not Available 24/7 / Shift Hours: Typically Between 8:00 AM – 5:00 PM Depending on Department / Additional: Both Utilization Review and Discharge Planning Required; InterQual Experience...
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