Healthcare Utilization Review Nurse, Senior

Job Summary:The Utilization Management team at Blue Shield of California reviews inpatient stays for our members and applies nationally recognized levels of care guidelines. As a Utilization Management Nurse, Senior, you will report to the Utilization Management Nurse Manager and be responsible for reviewing clinical information provided by facilities to...

About the RoleWe are seeking a highly skilled Senior Utilization Management Nurse to join our team at Blue Shield of California. As a key member of our Utilization Management team, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key ResponsibilitiesPerform prospective, concurrent, and retrospective...

Position Overview:As a Clinical Nurse Specialist specializing in Utilization Review, you will play a crucial role in ensuring the delivery of high-quality patient care through effective resource management.Professional Type: Registered NurseSpecialty: Utilization ReviewContract Type: Full-time, ContractShift: Days, 8:00 AM - 5:00 PMCompensation: $65.00 per...

About Our OrganizationAt Altais, Inc., we're a leading healthcare services company dedicated to revolutionizing the healthcare system for physicians, advanced care providers, patients, and the clinical community. Our mission is to enable better healthcare experiences and promote health, wellness, and patient satisfaction.About Your TeamWe're a...

About the RoleWe are seeking a highly skilled and experienced Licensed Clinician, Senior to join our Behavioral Health Utilization Management team at Blue Shield of California. In this critical role, you will play a key part in ensuring that our members receive the highest quality care and support.Key ResponsibilitiesConduct Clinical Reviews: Perform...

Job OverviewCompany BackgroundAt Altais, we are on a mission to transform healthcare by empowering clinicians and innovators who are passionate about enhancing healthcare experiences. Our goal is to revolutionize the healthcare system for physicians, advanced care providers, patients, and the clinical community. We are developing innovative clinical support...

Job SummaryCenter for Elders Independence is seeking a highly experienced and skilled Executive Director of Clinical Operations and Process Improvement to lead our clinical care and direct participant service programs. This senior leadership role will be responsible for providing strategic direction and oversight to ensure the delivery of high-quality,...

Position Overview:TRS Healthcare is currently seeking a travel nurse specializing in correctional healthcare for an exciting opportunity within the healthcare sector.Role Specifications:Specialty: Correctional NursingDiscipline: Registered Nurse (RN)Employment Type: Travel NursingWork Schedule:This position typically involves 8-hour shifts during the day,...

About the RoleThe Behavioral Health Utilization Management team at Blue Shield of California performs prospective, concurrent, and retrospective utilization reviews and first-level determination approvals for members using evidence-based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business.The Senior Licensed...

Wellspring Nurse Source is seeking a skilled Physical Therapist for a travel job in a dynamic healthcare setting.Job Description and Requirements:Specialty: Physical TherapyDiscipline: HealthcareWork Schedule: Full-timeShift: 8 hours, daysEmployment Type: TravelWellspring Nurse Source is a nurse-owned and operated company that prioritizes the needs of its...

Job Title: Travel Physical TherapistWe are seeking a skilled and dedicated Physical Therapist to join our team as a travel healthcare professional. As a travel Physical Therapist, you will have the opportunity to work in a variety of settings and locations, gaining valuable experience and skills.Job Summary:This travel Physical Therapist position is a...

Job Summary:Piedmont Gardens - a HumanGood community is seeking a skilled Registered Nurse to join our team. As a key member of our healthcare staff, you will be responsible for providing high-quality patient care and ensuring the well-being of our residents.Responsibilities:Conduct comprehensive nursing evaluations and assessments to identify individualized...

Position Overview:The Senior Medical Equipment Strategist plays a crucial role in delivering comprehensive medical equipment planning services tailored for architectural design and construction projects, both standard and specialized. This position involves close collaboration with multidisciplinary teams to produce detailed equipment planning documentation...

Position OverviewCompany BackgroundAt Altais Health Solutions, we are on a mission to transform healthcare experiences and enhance the healthcare system for providers, patients, and the clinical community. Our innovative approach focuses on developing advanced clinical support tools, technology, and services that empower healthcare professionals to...

Job Title: Clinical Educator for Travel NursingJob Type: Full-time, Travel NursingCompany: ALOIS HealthcareLocation: Oakland, CaliforniaJob Description:We are seeking a highly skilled and experienced Clinical Educator to join our team as a Travel Nurse. As a Clinical Educator, you will be responsible for providing education and training to nursing staff on...

Job Opportunity: We are seeking a skilled Registered Nurse to join our team at Host Healthcare. As a leading travel healthcare company, we offer a unique opportunity for healthcare professionals to explore new destinations and experiences while continuing to provide exceptional patient care.About the Role: As a Registered Nurse with Host Healthcare, you will...

About RotechRotech Healthcare Inc. is a leading provider in the field of home medical solutions, specializing in ventilators, oxygen therapy, sleep apnea management, wound care products, diabetic supplies, and other essential medical equipment. Our mission is to enhance the quality of life for patients by keeping them actively involved in their healthcare...

About the RoleWe are seeking a highly skilled Healthcare Reimbursement Consultant II to join our team at Wipfli LLP. As a key member of our healthcare team, you will be responsible for providing expert reimbursement consulting services to our clients.Key ResponsibilitiesPrepare and submit Medicare/Medicaid/Medi-Cal cost reports and payment reconciliations...

Job SummaryLHH Recruitment Solutions is seeking a dedicated and compassionate Case Manager to join our team in the healthcare industry. As a Case Manager, you will play a vital role in assisting patients with their care plans and healthcare needs, providing support in areas such as housing, behavioral health, and documentation.Key ResponsibilitiesDevelop and...

Job Title: Traveling Healthcare Professional RNJob Type: Travel NursingSpecialty: OncologyDiscipline: Registered NursingShift: 8 hours, daysDuration: 13 weeksEmployment Type: TravelRequirements:1 year of experience in Oncology RNChemo Certified RNAbout Genie Healthcare:Genie Healthcare is a leading provider of travel nursing services, offering a...