Utilization Management Review Nurse

About the Role:Astrana Health is seeking a skilled Utilization Review Nurse to join our Health Services Department. This role will involve working closely with our team to ensure efficient and effective utilization of healthcare resources.Key Responsibilities:Conduct thorough reviews of elective inpatient admissions, outpatient procedures, and durable...

About the RoleThe Utilization Management Coordinator plays a vital role in supporting clinical, management, and client activities within the Health Services department. This position requires a strong understanding of UM processes, including pre-authorizations, retro reviews, Division of Financial Responsibilities, and Health Plan...

About the RoleWe are seeking a highly motivated Case Manager to join our team at Astrana Health. This role will report to a Manager - Case Management and enable us to continue to scale in the healthcare industry, focusing on SNF, SA, ARU, LTAC level of care.Key ResponsibilitiesComply with Case Management Department's policies and procedures.Ensure %...

About the RoleWe are seeking a highly motivated Case Manager to join our team at Astrana Health. As a Case Manager, you will play a critical role in ensuring the highest quality of care for our patients.Key ResponsibilitiesComply with Case Management Department's policies and procedures.Utilize Milliman Care Guidelines, CMS, Title 22 guidelines and criteria...

About the RoleWe are seeking a highly motivated Case Manager to join our team. This role will report to the Supervisor - Inpatient Case Management and enable us to continue to scale in the healthcare industry.Key ResponsibilitiesComply with Case Management Department's policies and procedures95 - 100% compliance with Utilization Management health plan...

About the RoleWe are seeking a highly motivated Case Manager to join our team at Astrana Health. As a Case Manager, you will play a critical role in ensuring that our patients receive the highest quality of care in a cost-effective manner.Key ResponsibilitiesComply with Case Management Department's policies and procedures.Utilize Milliman Care Guidelines,...

We are seeking a skilled and compassionate Registered Nurse to join our team as a Case Manager at our senior living center in Monterey, CA. This is a full-time opportunity offering a competitive benefits package and salary. **Job Summary:** As a Registered Nurse Case Manager, you will work closely with physicians to identify and coordinate...

Job SummaryWe are seeking a highly skilled and compassionate Registered Nurse Case Manager to join our team at our senior living center in Monterey, CA. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and support to our residents and their families.Key ResponsibilitiesCollaborate with physicians to...

Job SummaryWe are seeking a skilled Registered Nurse to join our team at Duarte Management LLC's gastroenterology clinic. As a Registered Nurse in our clinic, you will play a crucial role in delivering high-quality patient care, from pre-procedure assessments to post-procedure recovery.ResponsibilitiesConduct thorough patient assessments, including reviewing...

Job SummaryWe are seeking a skilled Registered Nurse to join our team at Duarte Management LLC's gastroenterology clinic. As a Registered Nurse in our clinic, you will play a crucial role in delivering high-quality patient care, from pre-procedure assessments to post-procedure recovery.ResponsibilitiesConduct thorough patient assessments, including reviewing...

Job SummaryWe are seeking a skilled Registered Nurse to join our team at Duarte Management LLC. As a Registered Nurse in our gastroenterology clinic, you will play a crucial role in delivering high-quality patient care, from pre-procedure assessments to post-procedure recovery.ResponsibilitiesConduct thorough patient assessments, including reviewing medical...

Job Title: Registered NurseWe are seeking a skilled and compassionate Registered Nurse to join our team at Duarte Management LLC's fast-paced outpatient ambulatory surgical center in Monterey Park, CA.Job Summary:The ideal candidate will be responsible for providing exceptional patient care, working collaboratively with the healthcare team, and ensuring a...

About the RoleAstrana Health is seeking a highly skilled and compassionate ACM Case Manager LVN to join our team. As a Disease Management Case Manager, you will play a critical role in providing exceptional care to our patients with chronic health conditions.Key ResponsibilitiesComply with company and department policies & procedures to ensure all...

Job Title: Registered NurseWe are seeking a skilled and compassionate Registered Nurse to join our team at Duarte Management LLC's fast-paced outpatient ambulatory surgical center in Monterey Park, CA.Job SummaryThe ideal candidate will be a fast-paced, professional, and patient-focused individual who can provide exceptional care to our patients. As a...

Job Title:Asset Move Project Manager - Community College ProjectsJob Summary:DACM Project Management, Inc. is seeking a highly skilled Asset Move Project Manager to join our team. As a key member of our Community College Projects team, you will be responsible for managing the relocation of assets, including furniture, fixtures, and equipment, for various...

Home Health Nursing Job in Monterey, CaliforniaTotalMed Case Management Staffing is seeking a travel nurse RN for a home health nursing job in Monterey, California.Job DetailsSpecialty: Home HealthDiscipline: RNStart Date: ASAPDuration: 13 weeksHours: 42.5 hours per weekShift: 9 hours, daysEmployment Type: TravelTotalMed Case Management Staffing offers a...

Travel Nursing Opportunity with TotalMed Case Management StaffingWe are seeking a skilled Registered Nurse-Home Health to join our team for a travel assignment in California. As a travel nurse with TotalMed Case Management Staffing, you will have the opportunity to work with a dynamic team and gain valuable experience in home health care.Job...

Job Title: Travel Nurse RN Home HealthTotalMed Case Management Staffing is seeking a skilled travel nurse RN for a home health position in Monterey, California.Job Details:Specialty: Home HealthDiscipline: RNDuration: 13 weeksHours: 42.5 hours per weekShift: 9 hours, daysThe ideal candidate will have experience in home health nursing and be able to work...

Job SummaryPM2CM, Inc. is seeking a highly experienced Construction Manager to join our team. As a key member of our project management team, you will be responsible for overseeing the construction of electric utility projects, ensuring that they are completed on time, within budget, and to the highest quality standards.Key ResponsibilitiesParticipate in...

Join Our Team as a RN Case ManagerAt Central Coast Community VNA, we are dedicated to providing exceptional healthcare services to the residents of the Central Coast. Our Home Health services focus on rehabilitation, restoration of independence, and management of chronic diseases. As a skilled team member, you will assist patients, families, and caregivers...