Utilization Review Nurse

3 days ago


Pasadena, California, United States FutureCare Health and Management Corp Full time

FUTURECARE HEALTH AND MANAGEMENT CORP IS SEEKING A UTILIZATION REVIEW NURSE TO JOIN OUR TEAM

Job Summary

This role is responsible for reviewing and utilizing medical information to ensure accurate reimbursement for residents in our long-term care facilities.

Responsibilities:

  • Review and utilize medical information to ensure accurate reimbursement
  • Communicate effectively with interdisciplinary teams
  • Maintain accurate and up-to-date electronic health records

Requirements:

  • Bachelor's degree in Nursing or related field
  • Current Maryland or Multistate Registered or Licensed Practical nursing license
  • Experience with electronic health records and Medicaid guidelines

Compensation:

$75,000 - $100,000 per year, depending on experience

Benefits:

  • Competitive salary
  • Excellent benefits package
  • Tuition reimbursement
  • Employee assistance program


  • Pasadena, California, United States FutureCare Health and Management Corp Full time

    ResponsibilitiesAs a Clinical Reimbursement Review Nurse, you will play a vital role in the care continuum. Your key responsibilities will include:Data collection and entry into the utilization software.Reviewing electronic health records and relevant documentation to ensure accuracy and completeness.Identifying active diagnosis codes and relevant...


  • Pasadena, California, United States FutureCare Health and Management Corp Full time

    Job Description: Medical Records ReviewerEstimated Salary: $60,000 - $75,000 per yearFUTURECARE HEALTH AND MANAGEMENT CORP is seeking a detail-oriented and organized Medical Records Reviewer to join our team. As a Medical Records Reviewer, you will be responsible for reviewing and updating medical records to ensure accuracy and...


  • Pasadena, California, United States FutureCare Health and Management Corp Full time

    FutureCare Health and Management Corp is seeking a Clinical Reimbursement Review Specialist to join our team. This role is responsible for ensuring accurate and timely reimbursement for residents in our long-term care facilities.Job SummaryThis position requires the ability to collect and analyze data, as well as communicate effectively with...


  • Pasadena, California, United States FutureCare Health and Management Corp Full time

    Job DescriptionThe Clinical Reimbursement Review Nurse plays a vital role in ensuring that residents receive the necessary care and services to meet their needs. This position requires strong analytical and communication skills, as well as the ability to work effectively in a team environment.**Responsibilities:**Review resident care plans to identify...


  • Pasadena, California, United States HCA Houston Healthcare Southeast Full time

    Unlock Your Career Potential in NursingWe are seeking a highly skilled Registered Nurse Case Manager to join our team at HCA Houston Healthcare Southeast. As a member of our healthcare organization, you will have the opportunity to make a meaningful difference in the lives of our patients and their families.About Our TeamHCA Houston Healthcare Southeast is...

  • Nurse Practitioner

    4 weeks ago


    Pasadena, California, United States Martin Luther King, Jr. Community Hospital Full time

    Job SummaryThe Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for delivering high-quality, patient-centered care while managing diverse patient needs on the Med/Surg Telemetry unit at Martin Luther King, Jr. Community Hospital.We are seeking a dedicated and compassionate nurse to join our team as a Clinical...


  • Pasadena, California, United States Memorial Hermann Health System Full time

    At Memorial Hermann Health System, we are committed to delivering high-quality patient care and creating exceptional experiences for every member of our community. We pursue a common goal of providing efficient care while fostering a culture of supportive teamwork.Job OverviewWe are seeking a highly skilled Critical Care Nurse Specialist to join our team. As...


  • Pasadena, California, United States FutureCare Health and Management Corp Full time

    Job SummaryThe Clinical Reimbursement Review Nurse will be responsible for collecting and entering data into the utilization software to support Maryland Medicaid applications or continued stays in long-term care facilities. The ideal candidate will possess strong clinical skills, computer literacy, and excellent communication abilities.Key responsibilities...


  • Pasadena, California, United States Huntington Hospital Full time

    Job OverviewHuntington Hospital is a nationally recognized healthcare leader with a commitment to compassionate community care.Salary and BenefitsThe anticipated base compensation rate for this position is between $46.97 and $69.86 per hour, depending on qualifications and experience. This role is overtime-based, meaning employees will be paid their base...


  • Pasadena, California, United States Hillsides Full time

    Job Description">Supervise and protect clients in their care, ensuring a safe and supportive environment.Represent the nursing office at weekly team meetings, fostering collaboration and open communication.Transcribe orders, receive verbal orders as needed, and send orders to the pharmacy according to department protocols.Administer medications as directed,...


  • Pasadena, California, United States NavitsPartners Full time

    Job Title: Pediatric Telemetry Nurse SpecialistWe are seeking a highly skilled Pediatric Telemetry Nurse Specialist to join our team at NavitsPartners in Houston, TX.Overview:As a Pediatric Telemetry Nurse Specialist, you will be responsible for providing high-quality acute care to patients in a fast-paced clinical setting. You will work collaboratively with...

  • Clinical Staff Nurse

    3 weeks ago


    Pasadena, California, United States Martin Luther King, Jr. Community Hospital Full time

    Job DescriptionWe are seeking a highly skilled and experienced Registered Nurse to join our Clinical Staff team at Martin Luther King, Jr. Community Hospital.About the RoleThis is a professional nursing position that involves delivering high-quality, patient-centered care in a telemetry setting. The successful candidate will be responsible for planning,...


  • Pasadena, California, United States Huntington Hospital Full time

    At Huntington Hospital, we are dedicated to delivering world-class care with kindness and dignity. As a Registered Nurse in our Cardiac Cath Lab, you will be empowered to enact change that continuously improves our ability to deliver high-quality care.We are seeking an experienced Registered Nurse to join our team. In this role, you will be responsible for...

  • Registered Nurse

    4 days ago


    Pasadena, California, United States Huntington Hospital Full time

    Uncover a Fulfilling Career as a PACU Nurse at Huntington HospitalHuntington Hospital is a renowned healthcare leader in the community, driven by a philosophy of compassionate care. With a rich history spanning 129 years, our organization has evolved into a nationally recognized institution with 619 beds.Competitive Compensation:The estimated base...


  • Pasadena, California, United States TotalMed Staffing Full time

    We are seeking an experienced and skilled Emergency Room Registered Nurse for a travel nursing position in the dynamic city of Pasadena, CA.Job OverviewTotalMed Staffing is a leading healthcare staffing agency providing flexible staffing solutions. Our team of recruitment experts will work closely with you to understand your requirements and preferences.This...

  • Nurse Professional

    2 weeks ago


    Pasadena, California, United States Hillsides Full time

    OverviewHillsides is seeking a skilled Nurse Professional - Clinical Development to join our team in Pasadena, CA. As a key member of our clinical staff, you will play a vital role in delivering exceptional patient care and contributing to the growth and development of our healthcare services.About the Role:Supervise healthcare services and protect clients...


  • Pasadena, California, United States Martin Luther King, Jr. Community Hospital Full time

    About Martin Luther King, Jr. Community HospitalAt Martin Luther King, Jr. Community Hospital, we are committed to providing high-quality patient-centered care in a busy clinical environment. Our hospital is dedicated to serving the healthcare needs of our community with compassion, respect, and excellence.Job SummaryWe are seeking an experienced Registered...


  • Pasadena, California, United States Huntington Hospital Full time

    About the RoleAt Huntington Hospital, we are committed to providing compassionate community care and empowering our team members to deliver world-class care with kindness and dignity.Salary InformationThe anticipated base compensation rate for this position is in the range of $45.60 - $67.83 per hour, depending on qualifications and experience.Job...


  • Pasadena, California, United States Private Clients First Team Care Full time

    Nursing Assistant Role at Private Clients First Team CareWe are seeking skilled and compassionate nursing assistants to join our team at Private Clients First Team Care. As a vital member of our healthcare team, you will play a crucial role in providing direct patient care and supporting medical staff to deliver exceptional patient outcomes.The successful...


  • Pasadena, California, United States Huntington Hospital Full time

    About the RoleWe are seeking an experienced and compassionate Surgical Nurse to join our team at Huntington Hospital. This is a challenging yet rewarding role that requires strong organizational skills, excellent communication abilities, and a passion for delivering high-quality patient care.Key Responsibilities:Coordinate patient care across the healthcare...