Utilization Review Nurse

Job Title: Utilization Review NurseJoin Actalent, a global leader in engineering and sciences services and talent solutions, as a Utilization Review Nurse. In this role, you will be responsible for coordinating continuing care and outside services for value-based risk members, collaborating with hospitals and primary care physicians, and monitoring patients...

Job SummaryThe Utilization Review Nurse is a key member of the Care Coordination team at Actalent. This role involves coordinating continuing care and outside services for value-based risk members, collaborating with hospitals and primary care physicians to ensure optimal patient outcomes.Responsibilities include:Repatriating stable members from non-member...

Job Title: Healthcare Utilization Review SpecialistCare Review Clinician, Prior Authorization (Registered Nurse, or LVN)Key Responsibilities:Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and its members.Refers appropriate prior authorization requests to Medical Directors.Collaborates with multidisciplinary...

About MarinHealth Medical CenterMarinHealth Medical Center is a leading healthcare provider in the North Bay area, offering a comprehensive range of services to meet the diverse needs of our community. We are seeking a highly skilled Utilization Review Nurse to join our team of dedicated healthcare professionals.Job Summary:The Utilization Review Nurse will...

Job Title: Utilization Review RNVivo HealthStaff is seeking a skilled Utilization Review RN to join our team in San Francisco. This hybrid position requires 1-2 days of on-site work per week.Job Summary:We are looking for a highly motivated and detail-oriented RN to collaborate with our healthcare team to ensure effective patient outcomes. The ideal...

Job Title: Utilization Review RNVivo HealthStaff is seeking a skilled Utilization Review RN to join our team in San Francisco. This hybrid position requires 1-2 days of on-site work per week.Job SummaryWe are looking for a highly motivated and detail-oriented RN to collaborate with our healthcare team to ensure effective patient outcomes. The ideal candidate...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at the County of Santa Clara CA. As a Utilization Review Coordinator, you will play a critical role in reviewing and monitoring the utilization of hospital services to ensure compliance with federal, state, and county regulations.Key ResponsibilitiesMonitor admissions...

Job Title: Utilization Review Registered NurseSupplemental Health Care is seeking a skilled Utilization Review Registered Nurse to join our team for a 13-week assignment at a partnering hospital in San Mateo, California.Job Summary:We are looking for a dedicated and experienced Registered Nurse to provide Utilization Review services in a fast-paced hospital...

Job Title: Travel Registered Nurse Utilization ReviewHealthcare Staffing Plus is seeking a skilled Travel Registered Nurse Utilization Review professional to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring the efficient use of healthcare resources and promoting high-quality patient care.Job Summary:This is a 13-week...

Job Summary:We are seeking a skilled Nurse Specialist to join our team at St. Elizabeth's Medical Center. As a key member of our Clinical Review team, you will be responsible for reviewing Client Development Evaluation Reports (CDER) of Diagnostic Elements and coding medical conditions. Your expertise will help us provide high-quality care to our...

Job Title: Travel Registered Nurse - Utilization ReviewWe are seeking a skilled Travel Registered Nurse to join our team in San Diego, California. As a Utilization Review Nurse, you will play a critical role in ensuring the efficient use of healthcare resources and promoting high-quality patient care.Job Summary:The Travel Registered Nurse - Utilization...

San Jose Behavioral Health is seeking an experienced Utilization Review Specialist to coordinate and assess the inpatient census for appropriate alternate health care service needs.The ideal candidate will have a degree in Nursing from an accredited college, and possession of a current nursing licensure (i.e. LVN, LPT, RN). Qualified candidates will have 3-5...

Job SummaryWe are seeking a skilled Utilization Management Review Nurse LVN to join our team at Santa Clara County Health Plan. As a key member of our Health Services department, you will play a critical role in ensuring the effective and appropriate utilization of benefits and services for our members.Key ResponsibilitiesConduct clinical reviews to ensure...

Job Title: Travel Nurse - Utilization Review SpecialistJob Summary: We are seeking a skilled Travel Nurse - Utilization Review Specialist to join our team at Healthcare Staffing Plus. As a key member of our healthcare team, you will be responsible for assisting in the development and maintenance of policies and procedures related to utilization management....

Job SummaryAurora San Diego is seeking a skilled Utilization Review Specialist to join our team. As a key member of our multi-disciplinary treatment team, you will play a critical role in reviewing patient care and treatment options for both inpatient and outpatient services.Key Responsibilities:Conduct admission reviews to ensure accurate and efficient...

Job SummaryAurora San Diego is seeking a skilled Utilization Review Specialist to join our team. As a key member of our multi-disciplinary treatment team, you will play a critical role in reviewing patient care and treatment options for both inpatient and outpatient services.Key Responsibilities:Conduct admission reviews to ensure accurate and efficient...

Job DescriptionMedRisk is seeking a skilled Clinical Reviewer to join our team in the utilization review program. As a Clinical Reviewer, you will play a critical role in promoting quality outcomes and enhancing the physical, psychosocial, and vocational health of individuals.Key Responsibilities:Evaluate medical data for utilization review requests and...

Job SummaryAurora San Diego seeks a skilled Utilization Review-Case Management professional to join our team. As a key member of our multi-disciplinary treatment team, you will play a critical role in reviewing patient care and treatment options for both inpatient and outpatient services.Key Responsibilities:Conduct admission reviews to ensure optimal...

Job DescriptionAurora San Diego seeks a skilled Utilization Review Specialist to join our team. In this role, you will work as a member of a multi-disciplinary treatment team, reviewing patient care and treatment options for both inpatient and outpatient services.Key Responsibilities:Conduct admission reviews to ensure patients receive appropriate...

Job Title: Travel Registered Nurse - Utilization Review SpecialistHealthcare Staffing Plus is seeking a skilled Travel Registered Nurse - Utilization Review Specialist to join our team. As a Utilization Review Nurse, you will play a critical role in developing and maintaining policies and procedures for utilization management.Key Responsibilities:Collaborate...