Jobs for utilization review nurse at California

Overview:   Utilization Review Supervisor Pay: $27 - $30 per hour   The Utilization Review Supervisor will oversee a Utilization Review team to effectively implement and complete the authorization processes for Embark BH programs. The primary responsibilities for this role include building a cohesively effective UR team to ensure that they are successfully...

Work as member of multi-disciplinary treatment team reviewing patient care and treatment options for both inpatient and outpatient services. Proactively monitor and optimize reimbursement for external reviewers/third party payers. *Pay Range: $32/hr. to $60/hr. Responsibilities: Admissions: Conduct admission reviews Concurrent/Stay Reviews: Conduct...

Salary Range: $88, Min.) - $115, Mid.) - $142, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

Salary Range: $88, Min.) - $115, Mid.) - $142, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

We are looking for a *Care Review Clinician *to join our growing team. You will be offered a competitive hourly rate of $45.22*/ hour. **Responsibilities of the Care Review Clinician:** Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at...

Job Title: Director, Utilization Management Department: Health Services - UM About the Role: Leads and shapes the Utilization Management (UM) Strategy for Astrana Health while providing management oversight in implementing, directing, and monitoring the Utilization Management Department functions, including prior authorizations, concurrent review, medical...

Overview: NV5 is a provider of engineering and consulting services to public and private sector clients, delivering solutions through six business verticals: Testing, Inspection & Consulting; Infrastructure; Utility Services; Environmental Health Sciences; Buildings & Program Management; and Geospatial Technology. With offices nationwide and abroad,...

Salary Range: $88, Min.) - $115, Mid.) - $142, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

Job Description AECOM is seeking a Project Manager - Utilities to be based in Sacramento, California. JOB SUMMARY: Under the general direction of the Deputy Director of Third Parties and the Utilities – Senior Project Manager coordinates utility work between the client, Design Builder, PCM teams, and third-party utilities.  Develops, builds, and...

Salary Range: $88, Min.) - $115, Mid.) - $142, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

Overview:   Lead Utilization Review Representative Pay: $22.00 - 24.00 per hour   The primary responsibility for the Lead Utilization Review Rep is to oversee the basic daily functions of the Utilization Review Team. The Lead Utilization Review Rep is responsible to ensure all SLAs are met, KPIs are maintained, and to be a liaison between the UR Team and...

Overview of the Role:Alignment Health is seeking a collaborative and tech savvy LVN / LPN utilization management (UM) nurse (must have California license), for a long-term temporary engagement (with medical benefits) to join the remote, utilization management, pre-service team. As a UM nurse, you will review requests for pre-service for both inpatient and or...

Job Description AECOM is seeking a Utilities Assistant Project Manager to be based in Sacramento, CA. JOB SUMMARY: Under the general direction of the Utilities Project Manager and the Utilities – Senior Project Manager coordinates utility work between the client, Design Builder, PCM teams, and third-party utilities.  Develops, builds, and maintains a...

Salary Range: $55, Min.) - $69, Mid.) - $82, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

Job Description AECOM is seeking a Senior Project Manager – Utilities to be based in Sacramento, California.  JOB SUMMARY: The Senior Project Manager - Utilities is responsible for leading the successful delivery of assigned projects from inception to close-out, on schedule, within budget, in accordance with the approved scope, and meeting established...

Job Description AECOM is seeking a Railroad Utilities Assistant Project Manager to be based in Sacramento, CA. JOB SUMMARY: Under the general direction of the Utilities Project Manager and the Utilities – Senior Project Manager coordinates utility work between the client, Design Builder, PCM teams, and third-party utilities.  Participate in utility and...

Job Description AECOM is seeking a Project Manager - Utilities to be based in Sacramento, California. JOB SUMMARY: Under the general direction of the Deputy Director Third Parties and the Utilities – Project Manager City/County coordinates utility work between the client, Design Builder, PCM teams, and third-party utilities/railroads with an emphasis...

Job Description We are looking for a Part-Time Vocational Nursing Instructor to join our team. Make continuous efforts to improve quality of instruction by reviewing and utilizing different and innovative methodologies / techniques in teaching Demonstrate or willing to acquire skills for utilizing online activities as enhancers to course content/material...

Job Description We are looking for a Vocational Nursing Instructor to join our team.  Part Time Saturdays or Evening Clinicals Make continuous efforts to improve quality of instruction by reviewing and utilizing different and innovative methodologies / techniques in teaching Demonstrate or willing to acquire skills for utilizing online activities as...

The Utility Engineering team delivers a range of engineering, and analysis services across multiple disciplines. This team plays a crucial role in identifying, diagnosing, and resolving technical issues for various company departments. Additionally, they provide consultative support to internal teams, recommending equipment, materials, and methods that align...