We have other current jobs related to this field that you can find below
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Utilization Review RN
4 days ago
Mission Hills, United States Providence Service Full timeDescription Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care...
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Utilization Review RN
5 days ago
Mission Hills, United States Providence Service Full timeDescription Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care...
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Utilization Review RN
5 days ago
Mission Hills, United States Providence Health & Service Full timeDescription Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to the members. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built...
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Utilization Review RN Per Diem/Days
2 weeks ago
Mission Hills, United States Providence Full timeDescription Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans. This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management,...
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Registered Nurse
2 days ago
Hills, United States Avera Health Plans Full timeJoin the team at Avera! Award Winning Health Care: Avera has been named among the nation's 15 Top Health Systems, Forbes list of America's Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME. Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you...
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Utilization Review RN Per Diem/Days
2 weeks ago
Mission Hills, California, 91346, Los Angeles County, CA, United States Providence Full timeDescription Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans. This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management,...
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LPN for Utilization Review
5 days ago
Fontana, CA, United States Pyramid Consulting Full timePyramid Consulting is currently looking for a dedicated Licensed Practical Nurse (LPN) to fill a Utilization Review role on a local contract basis.Position OverviewThe selected candidate will be responsible for:Specialty: Utilization ReviewDiscipline: LPNEmployment Type: Local ContractKey ResponsibilitiesThe LPN will engage in:Coordinating...
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Travel Nurse RN
3 weeks ago
West Hills, CA, United States Medical Solutions Full timeMedical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in West Hills, California. Shift: 12 hours, days ~ Employment Type: Travel We’re seeking talented healthcare professionals whose adventure game is as strong as their clinical game. Some of the industry-leading benefits enjoyed by Medical...
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Travel Nurse RN
1 month ago
Salinas, CA, United States Uniti Med Full timeUniti Med is seeking a travel nurse RN Utilization Review for a travel nursing job in Salinas, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 08/19/2024 Duration: 12 weeks 40 hours per week Shift: 10 hours, days, flexible Employment Type: Travel UnitiMed Job ID #1866909. Pay package is based on...
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Travel Nurse RN
3 weeks ago
West Hills, CA, United States Medical Solutions Full timeMedical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in West Hills, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Travel We’re seeking talented healthcare professionals whose...
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Physician Review/Utilization Review Physician
2 months ago
San Diego, CA, United States Vivo HealthStaff Full timeVivo HealthStaff is searching for a Physician for a health plan based in San Diego, CA. This is a full-time position with competitive benefits. The Physician Reviewer will perform all reasonably necessary functions to ensure the quality of care and appropriate utilization in the most cost-effective, appropriate, and professional manner, which meets the...
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Local Contract Nurse RN
1 month ago
Modesto, CA, United States Trusted Resource Associates (TRA) Full timeTrusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Modesto, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 08/15/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Local Contract TRA Case...
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Local Contract Nurse RN
3 weeks ago
Modesto, CA, United States Trusted Resource Associates (TRA) Full timeTrusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Modesto, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Local Contract TRA Case Manager ...
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Local Contract Nurse RN
1 month ago
Modesto, CA, United States Trusted Resource Associates (TRA) Full timeTrusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Modesto, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 08/15/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Local Contract TRA Case...
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Local Contract Nurse RN
3 weeks ago
Modesto, CA, United States Trusted Resource Associates (TRA) Full timeTrusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Modesto, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Local Contract TRA Case Manager ...
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Travel Nurse RN
3 weeks ago
West Hills, CA, United States Medical Solutions Full timeMedical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in West Hills, California.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, daysEmployment Type: Travel We’re seeking talented healthcare professionals whose...
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Licensed Practical Nurse
5 days ago
Fontana, CA, United States Pyramid Consulting Full timePyramid Consulting is looking for a dedicated Licensed Practical Nurse (LPN) / Licensed Vocational Nurse (LVN) to join our team for a local contract role focused on Utilization Review.Position OverviewThe successful candidate will be responsible for:Specialty: Utilization ReviewDiscipline: LPN / LVNWork Schedule: 40 hours per weekShift: 8 hours,...
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Local Contract Nurse RN
1 month ago
Palm Springs, CA, United States Trusted Resource Associates (TRA) Full timeTrusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Palm Springs, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 08/15/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Local Contract TRA Case...
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Local Contract Nurse RN
1 month ago
Palm Springs, CA, United States Trusted Resource Associates (TRA) Full timeTrusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Palm Springs, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 08/15/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Local Contract TRA Case...
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Local Contract Nurse RN
3 weeks ago
Palm Springs, CA, United States Trusted Resource Associates (TRA) Full timeTrusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Palm Springs, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Local Contract TRA Case...
Utilization Review RN
2 months ago
Description Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans. This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management, medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment, demonstrating excellent negotiation, communication, problem-solving, and decision-making skills. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence California Regional Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Associate's Degree - Nursing. California Registered Nurse License upon hire. 2 years - Experience working in a remote UR environment or working as an acute hospital case manager. Preferred Qualifications: Bachelor's Degree - Nursing. Master's Degree - Nursing. Experience working with Interqual guidelines. Experience in a multi-hospital and/or integrated healthcare system. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Check out our benefits page for more information about our Benefits and Rewards. About the Team The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 289945 Company: Providence Jobs Job Category: Health Information Management Job Function: Revenue Cycle Job Schedule: Part time Job Shift: Career Track: Nursing Department: 7000 UTILIZATION MGMT CA SOCAL Address: CA Mission Hills 15031 Rinaldi St Work Location: Providence Holy Cross Medical Ctr-Mission Hills Pay Range: $52.46 - $83.05 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Check out our benefits page for more information about our Benefits and Rewards. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits PandoLogic. Category:Healthcare, Keywords:Utilization Review Nurse, Location:Mission Hills, CA-91346
