- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're working in… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center,...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Ventura County (Ventura, CA)
- Per Diem Registered Nurse II/III - Utilization Management VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply Per Diem ... Registered Nurse II/III - Utilization Management VCMC Salary $109,727.64 - $184,627.89 Annually Location Ventura and Santa Paula, CA Job Type Per-Diem Job Number… more
- CVS Health (Sacramento, CA)
- …AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in a… more
- CVS Health (Sacramento, CA)
- …Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners or vendors to include initial and ongoing mentoring, ... meet quality and metric expectations. **Required Qualifications** + Registered Nurse (RN) - active license. + 3+ Years of...3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must… more
- CenterWell (Sacramento, CA)
- …Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid… more
- Emanate Health (Covina, CA)
- …States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity ... or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and level of care reviews for requested… more
- Sutter Health (Sacramento, CA)
- …Health! **Organization:** SCP-Sutter Center for Psychiatry **Position Overview:** The Utilization Review/Discharge Planner (UR/DP) performs chart review to determine ... manner to insurance case management providers to assure continued and discharge utilization management appeals to patient care needs. *This is a hybrid position… more
- HCA Healthcare (Riverside, CA)
- …throughput while supporting a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse (RN) with current California license ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...required, Case Management Certification or utilization review preferred + Associate's Degree minimum required +… more
- HCA Healthcare (Riverside, CA)
- …throughput while supporting a balance of optimal care and appropriate resource utilization . Requirements: + Registered Nurse (RN) with current California license ... required, Case Management Certification or utilization review preferred + Associate's Degree minimum required + Bachelor's Degree preferred + Three years of… more