Utilization Review Nurse

Job Summary:We are seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our clinical team, you will be responsible for reviewing patient cases to ensure appropriate care and resource utilization.Key Responsibilities:• Conduct thorough reviews of patient cases to identify areas for improvement in care...

Job Title: Utilization Review RNWe are seeking a skilled Utilization Review RN to join our team in Oakland, CA.About the Role:This is a 13-week contract position with a schedule of Monday – Friday, with 1-2 weekends a month.Requirements:2 years of relevant experience in utilization reviewMust have experience with Careport/All ScriptsMust be available to...

Job Title: Registered Nurse - Utilization Review SpecialistWe are seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. This is a full-time, contract position with a competitive rate of $65.00 per hour.Job Summary:The successful candidate will have a minimum of 2 years of experience in utilization review and will be...

Job Title: Registered Nurse - Utilization Review SpecialistProfessional Type: Registered NurseSpecialty: Utilization ReviewContract Type: Full-time, ContractShift: Days, 8:00am - 5:00pmRate: $65.00Department: ClinicalRequirements:Minimum of 2 years of experience within specialtyRequired BLS (AHA only) and ACLS (AHA only)Epic health system

Your RoleThe Utilization Management team at Blue Shield of CA 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 determine...

Job SummaryWe are seeking a highly skilled Inpatient Utilization Management Reviewer to join our team at the Alliance. As a key member of our Utilization Management department, you will play a critical role in ensuring that our members receive the most appropriate and cost-effective care possible.Key ResponsibilitiesConduct thorough reviews of inpatient...

Job DescriptionAECOM is seeking a skilled Transportation Utility Engineer to join our team in San Jose, Oakland, or Seattle. As a key member of our team, you will be responsible for preparing utility plans, specifications, and estimates to support project needs. You will also develop water and sanitary sewer relocation plans, request and obtain utility maps...

Job Title: Transportation Utility EngineerAECOM is seeking a skilled Transportation Utility Engineer to join our team in San Jose or Oakland, CA, or Seattle. As a key member of our team, you will be responsible for preparing utility plans, specifications, and estimates to support project needs.Key Responsibilities:Develop water and sanitary sewer relocation...

Your RoleThe Commercial Post Service Review team at Blue Shield of California is responsible for clinically reviewing claims that are the result of either a preservice or claim denial.In this role, you will perform accurate and timely clinical review of post service claims for the CalPERS population.Your ResponsibilitiesPrepares and submits clinical case...

Job Summary:We are seeking a highly skilled Utilization Management Program Manager to join our team at KORE1 Technologies. As a key member of our healthcare operations team, you will be responsible for managing the day-to-day operations of our Utilization Management Program, ensuring cost-effective and quality patient care through the appropriate utilization...

About the RoleYour OpportunityThe Behavioral Health Utilization Management team at Blue Shield of California is seeking a highly skilled Licensed Clinician, Senior to join our team. As a key member of our team, you will play a critical role in conducting clinical reviews of mental health and substance use authorization requests to ensure that our members...

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...

Pediatric Emergency Department Nurse OpportunityWe are seeking a qualified Pediatric Emergency Department Nurse to join our team at a top-rated hospital in Oakland, California. As a Pediatric ER Nurse, you will be responsible for providing high-quality patient care to children and adolescents in a fast-paced emergency department environment.About the...

Job Title: Travel Nurse RN Case ManagerTact Staff is seeking a skilled Travel Nurse RN Case Manager to join our team. As a Travel Nurse RN Case Manager, you will be responsible for coordinating the utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation for patients in acute care settings.Job...

About the PositionWe are seeking a qualified Oncology RN for a 13-week contract in the Oakland, California area.Job DetailsContract Length: 13 weeksLocation: Oakland, CaliforniaJob Type: Travel HealthcareBenefitsEvery job with Atlas MedStaff offers a rich benefits package that includes:Comprehensive Health, Dental and Vision insurance401k with matching after...

About the RoleThe Sub-Acute Nurse is a key member of the multidisciplinary team at Seneca Family of Agencies, providing high-quality nursing care to youth ages 12-17 in a Partial Hospitalization setting. As a Sub-Acute Nurse, you will be responsible for assessing, planning, implementing, and evaluating the nursing care delivered within your shift, utilizing...

Job Title: Travel Nurse RNWe are seeking a skilled Travel Nurse RN to join our team at Cynet Health. As a Travel Nurse RN, you will play a critical role in coordinating patient care and ensuring seamless transitions between healthcare settings.Key Responsibilities:Coordinate utilization management, resource management, and discharge planning to ensure...

Job SummaryWe are seeking a skilled Registered Nurse to join our team at WVU Medicine. As a Registered Nurse, you will be responsible for providing high-quality patient care and collaborating with our interdisciplinary team to achieve exceptional patient outcomes.Key ResponsibilitiesModify patient care plans based on data collection and individual patient...

Job Summary:Serves as the Clinical Manager responsible for overseeing the day-to-day clinical operations of the home health and hospice agency. Ensures compliance with federal, state, and local regulations, and supervises the activities of the agency. Monitors quality, service, and utilization standards.Key Responsibilities:Manages the day-to-day clinical...

Job SummaryWe are seeking a highly skilled and compassionate Registered Nurse to join our team at Garrett Regional Medical Center. As a Registered Nurse, you will be responsible for providing high-quality patient care in an inpatient hospital setting.Key ResponsibilitiesModify patient plans of care based on data collection and individual needs.Utilize...