- Cognizant (Sacramento, CA)
- …Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral,...Based on this role's business requirements, this is a remote position open to qualified applicants in United States.… more
- Providence (Mission Hills, CA)
- **Description** **RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Part- time and will work 8-hour, Day shifts.** ... of US hospitals are four times designated. Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and… more
- Actalent (Sacramento, CA)
- …Certified Case Manager (CCM), CPUR, or CPHM credential preferred. + Background in concurrent review or inpatient census oversight preferred. + Strong critical ... Remote Licensed Vocational Nurse (LVN) Fully...Conduct in-person hospital rounds 2-3 days per week, telephonic review and participate in interdisciplinary case reviews + Escalate… more
- Centene Corporation (San Diego, CA)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... Remote - TX** **Position Purpose:** Performs a clinical review and assesses care related to mental health and...+ Experience working with providers and healthcare teams to review care services, precertification, concurrent review… more
- Centene Corporation (Sacramento, CA)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse.… more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** Perform admission and concurrent review of patients, based upon needs regardless of payor ... patients.Interfaces with Business Office regarding ongoing certification of stay.Provides concurrent and retro UR reviews to Review Organizations.Identifies… more
- Oracle (Sacramento, CA)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... directly with clients at a prominent academic medical center in the Midwest. This remote role will act as the primary subject matter expert and point person for… more