We have other current jobs related to this field that you can find below


  • Mission Hills, United States Providence Service Full time

    Description 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...


  • Mission Hills, United States Providence Service Full time

    Description 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...


  • Mission Hills, United States Providence Health & Service Full time

    Description 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...


  • Mission Hills, United States Providence Full time

    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,...


  • Mission Hills, California, 91346, Los Angeles County, CA, United States Providence Full time

    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,...

  • Registered Nurse

    2 days ago


    Hills, United States Avera Health Plans Full time

    Join 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...


  • Woodland Hills, United States Axelon Full time

    Location: Remote-needs to live in C SHIFT: Monday through Friday 8am to 5pm (PST) Duration:5+ month, This is a TEMP contract for a FTE on leave Walk me through the day to day responsibilities of this the role and a description of the project: Summary: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate...

  • Travel Nurse RN

    3 weeks ago


    West Hills, CA, United States Medical Solutions Full time

    Medical 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...


  • Vernon Hills, United States Actalent Full time

    Data ReviewerJob Description Routinely communicate with various individuals or groups on data review, corrections, issues, and solutions. Ensure documentation of experiments are in accordance with company policies and procedures. Work collaboratively with Quality Assurance staff to develop procedures that support quality activities. Assist in quality...

  • Travel Nurse RN

    3 weeks ago


    West Hills, CA, United States Medical Solutions Full time

    Medical 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...

  • LPN - Day Shift

    11 hours ago


    Rochester Hills, United States Maxim Healthcare Services Full time

    Maxim Healthcare in Rochester Hills, MI is hiring for a Licensed Practical Nurse (LPN) to work with Pediatric and/or Adult patients in their own homes.Why Join Maxim:Competitive Pay & Weekly PaychecksHealth, Dental, Vision, HSA and Life InsurancePaid Time Off401(k) Savings PlanMaxcares Awards ProgramResponsibilities:Utilize the nursing process to assess,...


  • Highland Hills, United States CareerStaff Unlimited Full time

    Licensed Practical Nurse - LPN - Developmental Experience success from day one as a Licensed Practical Nurse at a Highland Hills, OH facility that will equip you to succeed! On top of an $25.50 pay rate, you will also enjoy a welcome orientation with a personal shadowing experience to help you acclimate to the facility. Enjoy a top-of-the-line EMR system to...

  • Travel Nurse RN

    3 weeks ago


    West Hills, CA, United States Medical Solutions Full time

    Medical 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...

  • LPN Home Health

    3 days ago


    Crestview Hills, United States Amedisys Full time

    OverviewUp to $10,000 Sign on BonusKenton CountyFull - time daysAre you a highly skilled and compassionate licensed practical nurse (LPN) looking for a rewarding career in homecare? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U . S.Attractive pay$23.00 -$30.00Enjoy many perks...


  • Beverly Hills, United States HealthEcareers - Client Full time

    Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a...

  • Private Duty Nurse

    3 weeks ago


    Mission, United States Phoenix Home Care and Hospice Full time

    Job DescriptionJob DescriptionCome work for a company that cares for you beyond your nursing license!Children and young adults with specialized health care needs are searching for a Nurse to bring a New Beginning, a fresh start on a journey that is ever-changing. With optimism and a brave heart, you walk in the door of a home as a daily difference-maker… a...

  • Private Duty Nurse

    3 months ago


    Mission, United States Phoenix Home Care and Hospice Full time

    Job DescriptionJob DescriptionCome work for a company that cares for you beyond your nursing license!Children and young adults with specialized health care needs are searching for a Nurse to bring a New Beginning, a fresh start on a journey that is ever-changing. With optimism and a brave heart, you walk in the door of a home as a daily difference-maker… a...

  • Private Duty Nurse

    1 month ago


    Mission, United States Phoenix Home Care & Hospice Full time

    Come work for a company that cares for you beyond your nursing license! Children and young adults with specialized health care needs are searching for a Nurse to bring a New Beginning, a fresh start on a journey that is ever-changing. With optimism and a brave heart, you walk in the door of a home as a daily difference-maker... a NURSE. We are looking for a...

  • LPN Home Health

    3 days ago


    Crestview Hills, United States Amedisys Full time

    OverviewUp to $10,000 sign-on bonusPendelton and Campbell CountyFull - time daysAre you a highly skilled and compassionate licensed practical nurse (LPN) looking for a rewarding career in homecare? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U . S.Attractive pay$24.00 -...

  • LPN Home Health

    11 hours ago


    Crestview Hills, United States Amedisys Full time

    OverviewUp to $10,000 sign-on bonusPendelton and Campbell CountyFull - time daysAre you a highly skilled and compassionate licensed practical nurse (LPN) looking for a rewarding career in homecare? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U . S.Attractive pay$24.00 -...

Utilization Review LPN LVN_

2 months ago


Mission Hills, United States Providence Service Full time

**Description** Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompasses excellent communication, both verbal and written, and facilitates care along a continuum through effective resource coordination. Providence caregivers are not simply valued – they’re invaluable. Join our team at 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 in Healthcare or equivalent education/experience or High school diploma or GED with graduation from an accredited nursing program from a college or vocational school with 2 years’ related work experience. + California Licensed Vocational Nurse upon hire + 2 years of Clinical experience in an HMO, medical group, affiliated model, hospital or medical office/clinic setting.2 **Preferred qualifications:** + Bachelor’s Degree in Healthcare related field. + 3 years of experience in utilization management or case management. **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:** 293217 **Company:** Providence Jobs **Job Category:** Health Information Management **Job Function:** Revenue Cycle **Job Schedule:** Full time **Job Shift:** **Career Track:** Nursing **Department:** 7520 UTIL MGMT CA HERITAGE **Address:** CA Mission Hills 15451 San Fernando Mission Blv **Work Location:** Facey Medical Foundation Admin Office-Mission Hills **Pay Range:** $36.09 - $57.13 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