Utilization Review LVN
3 weeks ago
- Coordinates and reviews all medical records, as assigned to caseload
- Actively participates in Case Management and Treatment Team meetings
- Serves as on-going educator to all departments
- Responsible for reviewing patient charts in order to assess whether the criteria for admission and continuation of treatment is being met; gathering data and responding to request for records from fiscal intermediary; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting
- Able to work independently and use sound judgment.
- Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care for the continuity of treatment.
- Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families.
- Performs other duties as assigned.
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Utilization Review Nurse
2 weeks ago
Corona, United States KPC Global MSO Full timeVictor Valley Global Medical Center Victorville, CA Coordinates and reviews all medical records, as assigned to caseload Actively participates in Case Management and Treatment Team meetings Serves as on-going educator to all departments Responsible for reviewing patient charts in order to assess whether the criteria for admission and continuation of...
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Utilization Review Nurse
4 weeks ago
Corona, United States KPC GLOBAL MEDICAL CENTERS INC Full timeJob DescriptionJob DescriptionVictor Valley Global Medical CenterVictorville, CACoordinates and reviews all medical records, as assigned to caseloadActively participates in Case Management and Treatment Team meetingsServes as on-going educator to all departmentsResponsible for reviewing patient charts in order to assess whether the criteria for admission and...
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UTILIZATION REVIEW NURSE
1 week ago
Corona, CA 92879, USA, United States KPC Global MSO Full timeVictor Valley Global Medical CenterVictorville, CACoordinates and reviews all medical records, as assigned to caseloadActively participates in Case Management and Treatment Team meetingsServes as on-going educator to all departmentsResponsible for reviewing patient charts in order to assess whether the criteria for admission and continuation of treatment is...
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Clinical Appeals Nurse
4 weeks ago
Corona, United States KPC GLOBAL MEDICAL CENTERS INC. Full timeJob DescriptionJob DescriptionLVN RANGE $38.91-$55.62RN RANGE $50-$85Job Description: Conduct and investigate member and provider medical necessity appealsReview prospective, inpatient, and retrospective medical records of denied services for medical necessityEnsures appeals and grievances are resolved in a timely mannerPrepare clinical reviews and provides...
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Chief Estimator
3 weeks ago
Corona, United States Boudreau Pipeline Corporation Full timeJob DescriptionJob DescriptionOverview:Since 1996, Boudreau Pipeline Corporation continues to be Southern California’s premier pipeline company that provides quality solutions and installations for wet utilities including sewer, water, storm drain systems and fire lines. We specialize in both conventional and highly complex pipeline projects for leading...
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Chief Estimator
3 days ago
Corona, United States Boudreau Pipeline Full timeOverview: Since 1996, Boudreau Pipeline Corporation continues to be Southern Californias premier pipeline company that provides quality solutions and installations for wet utilities including sewer, water, storm drain systems and fire lines. We specialize in both conventional and highly complex pipeline projects for leading commercial, industrial, and...
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Safety Manager
1 day ago
Corona, United States Boudreau Pipeline Corporation Full timeJob DescriptionJob DescriptionOverview:Since 1996, Boudreau Pipeline Corporation continues to be Southern California’s premier pipeline company that provides quality solutions and installations for wet utilities including sewer, water, storm drain systems and fire lines. We specialize in both conventional and highly complex pipeline projects for leading...
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Scheduling Clerk
4 days ago
Corona, United States Inland Respite Inc Full time**Position Scope**: Under general direction from the Respite Services Supervisor or their designee, will coordinate client and care provider schedules to ensure efficient and effective operation of the department. **Essential Duties**: - Review and access proper reporting and record keeping of open shift requests and status. - Maintain records of...
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Scheduling Clerk
3 days ago
Corona, United States Inland Respite Inc Full timeJob DescriptionJob DescriptionPosition Scope:Under general direction from the Respite Services Supervisor or their designee, will coordinate client and care provider schedules to ensure efficient and effective operation of the department. Essential Duties:Review and access proper reporting and record keeping of open shift requests and status.Maintain records...
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Project Manager
4 weeks ago
Corona, United States Lennar Homes Full timeOverview: **Welcome Home! Build your career with Lennar**: As one of the nation’s largest builders, Lennar has built over one million new homes for families across America. Since 1954, our communities have catered to all lifestyles and family dynamics, whether you are a first-time or move-up buyer, multigenerational family, or active adult. At Lennar,...
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Associate Engineer
3 weeks ago
Corona, United States City of Corona Full timeThe City of Corona is looking for two individuals for the CIP and Traffic division of the Public Works Department. The department offers many opportunities for you to showcase your talents on numerous exciting projects impacting our local vibrant, culturally diverse communities. The ideal candidate will be an effective communicator and exhibit...
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Store Sales Manager
6 days ago
Corona, United States LaserAway Full timeJob Title: Store Manager, Location DirectorLocation: Corona Hills, CADepartment: SalesReports to: Regional Sales ManagerJob Summary:The Store Manager, Location Director is a seasoned business leader who can manage all day-to-day aspects of a LaserAway location to create a world-class patient experience.Key Responsibilities: Inspire teamwork and collaboration...
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Assistant Superintendent
7 days ago
Corona, United States Woodside Homes Full timeJob OverviewAssistant Superintendent is responsible for managing the execution of the Woodside production system on-site, utilizing Theory of Constraints, Critical Chain Theory and Woodside Geographic Planned Production (GPP) as the core tenets of the system. Manages the quality of the daily construction work to ensure everything meets Woodside and Customer...
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Assistant Superintendent
1 week ago
Corona, United States Woodside Homes Full timeJob OverviewAssistant Superintendent is responsible for managing the execution of the Woodside production system on-site, utilizing Theory of Constraints, Critical Chain Theory and Woodside Geographic Planned Production (GPP) as the core tenets of the system. Manages the quality of the daily construction work to ensure everything meets Woodside and Customer...
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Assistant Superintendent
19 hours ago
Corona, United States Woodside Homes Full timeJob OverviewAssistant Superintendent is responsible for managing the execution of the Woodside production system on-site, utilizing Theory of Constraints, Critical Chain Theory and Woodside Geographic Planned Production (GPP) as the core tenets of the system. Manages the quality of the daily construction work to ensure everything meets Woodside and Customer...
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Lab Sales Representative
3 weeks ago
Corona, United States KPC GLOBAL MEDICAL CENTERS INC. Full timeJob DescriptionJob DescriptionROLE DESCRIPTION:KPC Biotech’s Lab Sales Rep (LSR) is responsible for business development including sales, market development, account maintenance, and client services in Southern California. The LSR’s primary function is to grow KPC Biotech’s laboratory outreach business and generate sales in the medical community in...
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Information System Security Specialist II
5 days ago
Corona, United States Watershed Security Full timeCOMPANY OVERVIEW Watershed Security is a Veteran Owned Small Business and a leader in providing quality Cyber Security Services to the Federal Government. Watershed is a great place to work, offering a challenging and respectful work environment. We are growing fast and strive to deliver our vision every day: “To inspire trust and respect with our...
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Engineering Designer/Civil Engineer
2 weeks ago
Corona, United States KWC Engineers Full timeJob DescriptionJob DescriptionAn Engineering Designer/Civil Engineer position in Corona, CA is available at KWC Engineers. You must have a bachelor’s degree in civil engineering, EIT Licensure, and a minimum of five years of design experience in the preparation of developing improvement plans for residential, commercial, and public works projects. This is...
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Associate Planner
2 days ago
Corona, United States City of Corona Full timeThe City of Corona has an exciting opportunity to join our Planning and Development Department as an Associate Planner. The Planning and Development Department is a high-functioning department that includes the Planning Division, Development Services Division, and Plan Check and Inspections Division. The Department uses advanced technology to perform daily...
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Store Sales Manager
3 weeks ago
Corona, United States LaserAway Full timeJob DescriptionJob DescriptionJob Title: Store Manager, Location DirectorLocation: Corona Hills, CADepartment: SalesReports to: Regional Sales ManagerJob Summary:The Store Manager, Location Director is a seasoned business leader who can manage all day-to-day aspects of a LaserAway location to create a world-class patient experience.Key...