Clinical Review Nurse

Job Summary:UCLA Health is seeking a highly skilled Clinical Utilization Review Nurse to join our team. As a key member of our utilization management team, you will play a critical role in promoting high-quality, cost-effective medical care by applying clinical acumen and applicable policies and guidelines in the issuance of adverse organization...

Unlock Your Potential in HealthcareAt UCLA Health, we're seeking a highly skilled Clinical Utilization Review Nurse to join our team. As a key member of our healthcare organization, you'll play a vital role in promoting high-quality, cost-effective medical care.Your Key Responsibilities:Apply clinical acumen and applicable policies and guidelines to ensure...

Unlock Your Potential at UCLA HealthTake your career to new heights as a Utilization Management Denial Review Nurse at UCLA Health, a world-renowned health system with a reputation for excellence.About the RoleWe're seeking a highly skilled and motivated nurse to join our team in promoting high-quality, cost-effective medical care. As a Utilization...

Job SummaryWe are seeking a highly skilled Clinical Consultant to join our team at UnitedHealth Group. As a Clinical Consultant, you will be responsible for conducting thorough clinical reviews and adjudications of appeals and grievances cases for our associated companies.Key Responsibilities:Collaborate with medical directors and other team members to...

Job SummaryClinical Management Consultants is seeking an exceptional Pediatric Clinical Nurse Specialist to join our team at a leading Children's Hospital in Southern California.The ideal candidate will possess advanced knowledge in pediatric cardiac critical care, demonstrating expertise in clinical practice, education, research, and leadership.Key...

Clinical Research Associate Role OverviewICON Clinical Research is seeking a highly skilled Clinical Research Associate to join our team. As a Clinical Research Associate, you will be responsible for identifying, selecting, initiating, and closing out investigational sites for clinical studies in phases II – IV.Key Responsibilities:Independent, proactive...

Job DescriptionWe are seeking a highly skilled and detail-oriented Research Coordinator to support our research projects. The successful candidate will play a critical role in managing daily operations, coordinating between stakeholders, and ensuring the smooth execution of our research studies.Key ResponsibilitiesProvide clinical research support to...

Job DescriptionMatrix Clinical Research is seeking a detail-oriented Research Coordinator to support our research projects. The ideal candidate will manage daily operations, coordinate between stakeholders, and ensure the smooth execution of our research studies.Responsibilities: Review study protocols, Case Report Forms, and electronic data capture systems...

Job OverviewClemente Clinical Research is seeking an experienced Clinical Research Coordinator to join our team. As a key member of our research team, you will work closely with renowned doctors and researchers to coordinate and manage clinical trials.Key Responsibilities:Coordinate and manage clinical trials, including patient recruitment, screening, and...

Job SummaryAcentra Health is seeking a skilled Clinical Evaluator to conduct face-to-face assessments and facilitate appropriate placement and next level of care for patients in Orange County, California.Key ResponsibilitiesConduct thorough evaluations to determine the level and scope of care required for each patientProvide essential evaluations to enhance...

Job Title: Utilization Review Nurse Supervisor IIJob Summary:The County of Los Angeles is seeking a highly skilled and experienced Utilization Review Nurse Supervisor II to join our team. As a key member of our healthcare team, you will be responsible for directing and supervising the activities of nursing staff engaged in utilization review activities.Key...

Job DetailsSutro Biopharma, Inc. is seeking a highly motivated and detail-oriented individual to join the Quality Control team in San Carlos, CA. as we pioneer innovative oncology therapies. The Contract QC Data Reviewer will report to the QC Lab Manager and be responsible for ensuring compliance with Sutro Quality systems, policies, and procedures, as well...

Clinical Nurse Specialist Job Description**Job Summary:**The Clinical Nurse Specialist role at Kaiser Permanente is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe and effective care. This role is built around the five role subcomponents as regulated by the California Board of Registered Nursing:...

Job Summary:As a skilled Clinical Nurse at Kaiser Permanente, you will provide high-quality patient care in accordance with established standards of care, policies, and procedures. Under the direct supervision of a Registered Nurse or physician, you will perform nursing care functions, considering age-related needs of the patient, following established...

Job SummaryThe Clinical Nurse Specialist role at Kaiser Permanente Southern California Region is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe and effective care.Key ResponsibilitiesDevelops area of specialty competency criteria for outcome monitoring of the staff.Assists in interviewing staff and...

Job Summary:The Clinical Nurse Specialist role at Kaiser Permanente Southern California Region is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe and effective care. The role is built around the five role subcomponents as regulated by the California Board of Registered Nursing: Leadership, Consultation,...

Job Title: Senior Director, Medical ReviewAt BioSpace, Inc., we are seeking a highly skilled Senior Director, Medical Review to join our team. As a key member of our organization, you will be responsible for leading the Medical Review group and establishing visions and objectives that align with our departmental short- and long-term goals.Key...

Job Summary:The Utilization Management Policy Initiatives Nurse II is responsible for managing, reviewing, updating, and creating Healthcare Services clinical policies, guidelines, protocols, and related documentation. This role ensures that the day-to-day functions of Utilization Management initiatives comply with regulatory and accreditation...

Job Summary:The Clinical Nurse Specialist role at Kaiser Permanente Southern California Region is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe and effective care.Key Responsibilities:Develops area of specialty competency criteria for outcome monitoring of the staff.Assists in interviewing staff and...

Job Summary:As a Clinical Nursing Supervisor with Kaiser Permanente, you will provide first-line supervision at one site for nursing and other professional staff providing direct patient care. This may include clinical/care services for hospice and/or home health patients. You will be responsible for supervising the delivery of clinical services of the...