Utilization Review

Immediate need for a talented Supervisor - Case Manager/Utilization Review. This is a 03+ Months Contract opportunity with long-term potential and is located in Los Angeles, CA(Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID:24-20030 Pay Range: $90- $95/hour. Employee benefits include, but are not limited...

Job DescriptionJob DescriptionCNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace...

Renewal Health Group is currently looking for a UR Specialist for its Treatment Programs!The UR Specialist is responsible for working with healthcare providers to help ensure appropriate and consistent administration of plan benefits through collecting clinical information to preauthorize services, assess medical necessity, out of network services, and...

Renewal Health Group is currently looking for a UR Specialist for its Treatment Programs!The UR Specialist is responsible for working with healthcare providers to help ensure appropriate and consistent administration of plan benefits through collecting clinical information to preauthorize services, assess medical necessity, out of network services, and...

Job DescriptionJob DescriptionRenewal Health Group is currently looking for a UR Specialist for its Treatment Programs!The UR Specialist is responsible for working with healthcare providers to help ensure appropriate and consistent administration of plan benefits through collecting clinical information to preauthorize services, assess medical necessity, out...

Renewal Health Group is currently looking for a UR Specialist for its Treatment Programs!The UR Specialist is responsible for working with healthcare providers to help ensure appropriate and consistent administration of plan benefits through collecting clinical information to preauthorize services, assess medical necessity, out of network services, and...

Job DescriptionPyramid Consulting is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: ASAPDuration: 3 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Local ContractPerks: Contract to HireContract to...

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company's mission,...

Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today's complex healthcare challenges. Our culture is fueled by passion...

Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical information...

Job Opportunities Utility Locator/Designator Craft - Los Angeles, CA Newport Beach, CA San Diego, CA McCarthy Building Companies, Inc. is America's premier, 100% employee-owned commercial construction company. With offices nationwide, we specialize in a wide range of project types that are as diverse and wide-ranging as the communities in which we build....

Pyramid Consulting is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 3 weeks 40 hours per week Shift: 8 hours, days Employment Type: Local Contract Perks: Contract to Hire Contract to Hire...

Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation and others as...

Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation and others as...

Pyramid Consulting is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: ASAPDuration: 3 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Local ContractPerks: Contract to HireContract to HireManager or...

Job DescriptionJob DescriptionUnderground Utilities Contractor is currently looking to fill full time positions for our current workload of Excavation of Wet Utilities ( Sewer, Water, Storm Drain) and Dry Utilities(Edison, Att, Time Warner and Gas)We are seeking an Underground Utilities Pipelayer/Pipefitter to join our team! The selected individual will...

Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of either a preservice or claim denial. The Commercial Post Service Review RN will report to the Manager, Post Service. In this role you will perform accurate and timely clinical review of post service claims. The RNs perform reviews...

Job DescriptionJob DescriptionAt WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, functioning as both a care provider and care plan to those individuals we serve.Our Health Plan Services team plays a critical role in our participant's journey and our...

In order to be considered for this role, after clicking "Apply Now" above and being redirected, you must fully complete the application process on the follow-up screen. Title: Utility/Groundskeeper Department: Facilities Reports to: Manager, Facilities Status: Full-Time, Union Pay Rate: $29.43 - $36.52/hour Under the supervision of the Manager,...

Salary Range: $67, Min.) - $87, Mid.) - $107, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...