Senior Utilization Review Nurse Specialist

About the JobEstimated salary: $75,000 - $90,000 per year. As a Healthcare Utilization Specialist at Equiliem Healthcare, you will play a crucial role in ensuring the quality and cost-effectiveness of healthcare services.Job DescriptionCase Management Intervention: Provide intervention on behalf of members with short-term, stable, and predictable courses of...

We are seeking a highly motivated and experienced Clinical Appeals Specialist to join our team at Equiliem Healthcare. This role involves participating in managing medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests.The ideal candidate will ensure appeals and state hearing requests are...

About the JobUC Irvine Medical Center is currently seeking a skilled Nursing - Case Manager to join our team. This is a unique opportunity to work in a fast-paced environment and make a meaningful impact on patient outcomes.Job SummaryThe successful candidate will be responsible for coordinating patient care and developing effective care plans to ensure...

About the Role">This is an exciting opportunity to join AppleOne as an Acquisition Specialist, supporting the construction of electric utility infrastructure. As a key member of our team, you will be responsible for analyzing design packages, preparing easement documents, and negotiating with landowners.">Key Responsibilities">Analyze electric utility design...

About the RoleThis position involves providing personalized care and support to elderly clients in their homes or residential settings. As a Senior Companion Specialist, you will be responsible for creating a safe, comfortable, and engaging environment that promotes independence and dignity.Your duties will include assisting with daily living activities,...

Job DescriptionThe Midtown Group is seeking a highly motivated and experienced Senior Clinical Appeals Specialist to join our team.This role requires strong clinical knowledge, excellent communication skills, and the ability to work independently in a fast-paced environment.Key Responsibilities:Participate in managing medical appeals and state hearing...

Looking for a rewarding career opportunity in the field of electric utility easement acquisition? AppleOne is seeking an experienced and motivated Acquisition Agent to join our team in Southern California.About the RoleThis non-supervisory position involves analyzing electric utility design packages and preparing right-of-way easement documents to support...

We're an established Architecture-Design firm based in Southern California with a national presence and studios across the U.S. We have diverse teams working on projects ranging from commercial to industrial, healthcare, and retail. Our firm is consistently ranked as a top workplace and receives design and culture awards year after year.As an Architectural...

Key ResponsibilitiesConduct thorough medical assessments for elderly patients in various settings, including home care, assisted living, and nursing homes.Prescribe medications and develop tailored treatment plans to address the complex medical needs of seniors.Foster strong relationships with patients, families, and caregivers to ensure exceptional patient...

Job Title: Travel Nurse RN Labor and Delivery SpecialistNurse First is seeking a travel nurse RN Labor and Delivery Specialist for a rewarding career opportunity in the field of healthcare.About Nurse FirstNurse First Travel Agency is committed to providing exceptional experiences for our travel nurses. As a company founded by a nurse, we understand the...

About the RoleThe Director of Government Programs at Sonrava Health will oversee the utilization review processes for all states and facilities, ensuring success based on metrics outlined within each program. This leader will produce quarterly dashboards for the Ops team, reflecting utilization and metric success within all offices and government programs....

We are seeking a skilled Mobile Ultrasound Specialist to join our team at Nurse First in Orange, California. This travel assignment offers an exciting opportunity to work as an allied health professional and contribute to the well-being of patients in this beautiful region.About Nurse FirstNurse First Travel Agency is dedicated to providing exceptional...

At DrBalcony, we are seeking a highly skilled Senior Process Optimization Specialist to join our team and play a pivotal role in defining and improving our systems and procedures. The ideal candidate will excel at developing streamlined processes that enhance productivity, reduce costs, and ensure consistent quality throughout our operations.Key...

Nurse First is seeking a highly skilled Mobile Ultrasound Imaging Specialist to join our team for a 13-week assignment in California.Job OverviewWe are committed to providing exceptional patient care and unforgettable travel experiences. As a Mobile Ultrasound Imaging Specialist, you will have the opportunity to work with diverse patients and gain valuable...

Job SummaryThe Comprehensive Senior Care Specialist is a critical role at SCAN Group, responsible for providing and coordinating primary care to SCAN members in their place of residence. This includes conducting physical examinations, administering vaccines, ordering diagnostic tests, initiating care conversations with patients and their loved ones, and...

Job OverviewWe are a leading provider of innovative prosthetic and orthotic solutions, committed to delivering exceptional patient care. Our team is seeking a highly skilled and motivated Senior Orthotist Prosthetist Specialist to join our dynamic team.

We are seeking a highly skilled Senior Pharmaceutical Operations Specialist to join our team at BioPhase Solutions. As a leading recruitment agency, we specialize in recruiting top talent for Southern California's scientific community.Job Summary:The Sr. Pharmaceutical Operations Specialist will be responsible for overseeing drug product manufacturing...

**Role Description:**The Personal Care Specialist will be responsible for providing high-quality care and support to seniors in their own homes. This includes assisting with daily living tasks, providing companionship and emotional support, and accompanying clients to appointments.**Key Skills and Qualifications:**Experience working in home care or a related...

About JB Cakes Bakery and BistroWe are an upscale bakery and sandwich shop committed to serving high-quality desserts and sandwiches made with Boar's Head meats.Ambitious candidates will thrive in this role, as we offer opportunities for growth and development in a dynamic environment.As a Senior Pastry Specialist, you will be responsible for maintaining our...

About the OpportunityWe are seeking a skilled Ultrasound Technologist to join our team as a travel specialist. This exciting opportunity allows you to work in Orange, California, and experience the unique benefits of travel nursing.Job RequirementsSpecialty: Ultrasound TechnologistDiscipline: Allied Health ProfessionalHours: 40 hours per weekShift: 8 hours,...