Utilization Review Nurse
2 days ago
Job Summary
The Utilization Review Nurse is a key member of the Cottage Health team, responsible for ensuring the highest level of patient care and quality outcomes. This role involves utilization review, utilization management, and quality assurance activities for assigned services/areas/patients within the Cottage Health System.
Key Responsibilities
- Maintain a working knowledge of regulations and provider contracts governing coverage of inpatient services.
- Collaborate with medical staff, nursing staff, and other disciplines to support and achieve the goals of the collaborative care process.
- Develop and maintain interpersonal skills and productive relationships with stakeholders.
- Consistently demonstrate professionalism and compassion in interactions with patients, families, and colleagues.
- Contribute to an overall value-oriented experience of stakeholders and persons served in a manner compliant with The Joint Commission, HIPAA, and Title 9 Regulations (DHCS).
Qualifications
- Minimum education to allow candidate to achieve California RN license.
- Current California Registered Nurse license in good standing.
- Preferred: Bachelor's Degree in Nursing (BSN), Certification in Case Management.
About Us
Cottage Health is a leading acute care hospital system, committed to serving the central coast communities with excellence, integrity, and compassion. Our mission is to put patients first and provide a superior patient care experience.
-
Utilization Review Nurse
2 weeks ago
Goleta, California, United States Cottage Health Full timeJob SummaryCottage Health is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will be responsible for ensuring that patients receive the most appropriate and cost-effective care possible. This will involve working closely with healthcare providers, patients, and families to identify and address any barriers to...
-
Utilization Review Nurse Specialist
5 days ago
Goleta, California, United States Cottage Health System Full timeJob SummaryThe Utilization Review Nurse is a critical member of the Cottage Health System team, responsible for ensuring the highest quality patient care while optimizing resource utilization. This role requires a strong clinical background, excellent communication skills, and the ability to work collaboratively with various stakeholders.Key...
-
Utilization Review Nurse Specialist
4 weeks ago
Goleta, California, United States Cottage Health System Full timeJob SummaryThe Utilization Review Nurse is a key member of the Cottage Health System team, responsible for ensuring the efficient and effective use of healthcare resources. This role involves conducting thorough reviews of patient care to identify opportunities for improvement and implementing strategies to optimize resource utilization.Key...
-
Clinical Utilization Specialist
4 weeks ago
Goleta, California, United States Cottage Health System Full timeJob SummaryThe Cottage Health System is seeking a skilled Utilization Review Nurse to join our team. As a key member of our healthcare team, you will be responsible for ensuring the highest quality patient care while optimizing resource utilization.Key ResponsibilitiesConduct thorough utilization reviews to ensure compliance with regulatory requirements and...
-
Utilization Management Specialist
1 week ago
Goleta, California, United States Cottage Health Full timeJob SummaryCottage Health is seeking a skilled Utilization Management Case Manager to join our team. As a key member of our healthcare team, you will be responsible for ensuring the optimal care and cost management of services and procedures for assigned patients.Key ResponsibilitiesConduct thorough utilization reviews to ensure quality outcomes and optimal...
-
RN Case Manager, Managed Care Referrals Specialist
13 hours ago
Goleta, California, United States Sutter Health Full timeJob SummaryWe are seeking a skilled RN Case Manager to join our team at Sutter Health. This role will coordinate the utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation for our patients.Key ResponsibilitiesCoordinates the utilization management, resource management, discharge planning, post-acute...
-
Goleta, California, United States Sutter Health Full timeJob SummaryWe are seeking a skilled RN Case Manager to join our team at Sutter Health. As a key member of our healthcare team, you will play a vital role in coordinating patient care and ensuring seamless transitions between healthcare settings.Key ResponsibilitiesCoordinate utilization management, resource management, discharge planning, post-acute care...
-
Goleta, California, United States Sutter Health Full timeJob SummaryWe are seeking a highly skilled RN Case Manager to join our team at Sutter Health. As a key member of our healthcare team, you will play a critical role in coordinating patient care and ensuring seamless transitions between acute and post-acute settings.Key ResponsibilitiesCoordinate utilization management, resource management, and discharge...
-
Goleta, California, United States Sutter Health Full timeJob SummaryWe are seeking a highly skilled RN Case Manager to join our team at Sutter Health. As a key member of our healthcare team, you will play a critical role in coordinating the utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation for our patients.Key ResponsibilitiesCoordinate the...
-
Goleta, California, United States Sutter Health Full timeJob Summary:As a RN Case Manager, Managed Care Referrals Specialist at Sutter Health, you will play a critical role in coordinating the utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation for our patients. You will oversee the management of acute patient populations across the care continuum,...
-
Goleta, California, United States Sutter Health Full timeJob Summary:We are seeking a skilled RN Case Manager to join our team at Sutter Health. As a key member of our care management team, you will play a critical role in coordinating the utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation for our patients. Responsibilities:• Coordinate the...
-
Nurse Specialist
12 hours ago
Goleta, California, United States Cottage Health Full timeUnlock Your Nursing PotentialCottage Health is seeking a dedicated and compassionate Registered Nurse to join our team at Goleta Valley Cottage Hospital. As a Nurse Specialist, you will have the opportunity to work in a dynamic and supportive environment, providing exceptional patient care and making a meaningful difference in the lives of our patients and...
-
Nursing Services Manager
4 weeks ago
Goleta, California, United States University of California Full timeJob SummaryWe are seeking a highly skilled LVN Supervisor to join our team at the University of California. As a key member of our Ambulatory & Community Practice, you will be responsible for overseeing all nursing and clinical services.Key ResponsibilitiesDirect nursing care and clinic administrationPatient flow coordination and supervision of clinic...
-
Nurse Opportunities in Home Healthcare
4 weeks ago
Goleta, California, United States Maxim Healthcare Service Full timeJob SummaryMaxim Healthcare Services is seeking a dedicated and compassionate RN or LPN to join our team of healthcare professionals in providing high-quality care to patients in the comfort of their own homes.ResponsibilitiesUtilize the nursing process to assess, plan, implement, and evaluate patient care.Assess signs and symptoms indicating physiologic and...
-
Clinical Case Manager
5 days ago
Goleta, California, United States Cottage Health Full timeJob Title: Utilization Management Case ManagerCottage Health is seeking a skilled Utilization Management Case Manager to join our team. As a key member of our healthcare team, you will be responsible for ensuring the highest quality patient care and optimal resource utilization.Key Responsibilities:Conduct thorough patient assessments to identify needs and...
-
Clinical Research Nurse Practitioner
2 weeks ago
Goleta, California, United States Sansum Diabetes Research Institute Full timeJob SummaryWe are seeking a highly skilled and experienced Nurse Practitioner to join our team as a Clinical Research Nurse Practitioner. The successful candidate will work closely with our Principal Investigator and Director of Clinical Research Operations to conduct clinical research studies, provide direct patient care, and ensure compliance with...
-
Customer Service Agent
2 months ago
Goleta, California, United States Enterprise Mobility Inc Full timePosition OverviewEnterprise Mobility Inc. is seeking a dedicated Customer Experience Representative (CXR) to enhance our operations at the airport. The CXR is responsible for delivering exceptional, friendly, and efficient service during the rental and return processes, utilizing company-approved sales and service techniques. This role involves verifying and...
-
Clinical Research Nurse
4 weeks ago
Goleta, California, United States Sansum Diabetes Research Institute Full timeJob SummaryWe are seeking a highly skilled Clinical Research Nurse to join our team at the Sansum Diabetes Research Institute. As a Clinical Research Nurse, you will play a critical role in the conduct of clinical research studies, working closely with the Principal Investigator and Director of Clinical Research Operations.Key ResponsibilitiesCollaborate...
-
Mobile Injury Response Technician
3 days ago
Goleta, California, United States IOSM inc Full timeJob Title: Mobile Injury Response Technician Certified Nursing AssistantAre you a Certified Nursing Assistant looking for a new challenge? Do you want to utilize your skills in a more dynamic and rewarding role? We have an exciting opportunity for a Full-Time Mobile Injury Response Technician Certified Nursing Assistant to join our team at On-Site Health &...
-
Infrared Semiconductor Product Engineer
5 days ago
Goleta, California, United States Raytheon Full timeAbout the RoleAt Raytheon, we are seeking a highly skilled Infrared Semiconductor Product Engineer to join our team. As a key contributor, you will utilize your expertise in semiconductor processing, metrology, and failure analysis to develop advanced Sensor Chip Assemblies (SCAs) utilizing single and dual color HgCdTe/HCT, III/V (InSb, InGaAs, SLS, nBn and...