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CA Utilization Review Case Manager I
CorVel Healthcare Corporation
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Rancho Cucamonga, CA, 91730
Job Description The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate ... - May 07
Utilization Review Nurse
FirstHealth of the Carolinas, Inc.
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United States
... *Great benefits package *Free FirstHealth fitness center membership *PSLF Qualifying Employer Responsibilities Utilization Review Nurse (RN) Job Summary Reviews each new patient record using criteria guidelines per policy for medical necessity and ... - Apr 30
Travel RN Care Manager - Utilization Review - per week
Anders Group
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Louisville, KY
Anders Group is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Louisville, Kentucky. Job ... Posted job title: University - UofL - Travel: RN - Utilization Review - Mon - Friday - 3p -11:30p (921519) About Anders ... - May 08
Utilization Review Nurse LVN
Prime Healthcare Management Inc
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Ontario, CA, 91764
... Qualifications Required qualifications: Possess an active CA Licensed Vocational Nurse (LVN) license. Minimum two years of experience in acute hospital case management or equivalent. Utilization Management experience required. Excellent ... - May 04
Registered Nurse (RN) - Float Pool
Community Medical Center
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Missoula, MT, 59802
Nurse Float Pool Registered Nurse (RN) Status/FTE: FT / 0.8-1.0 FTE Shift length: 12 hours Start Time: 1900 Unit: Adult ... Hiring Manager and contact information: Nacole Mikes, For additional details, please visit mtnurses.org to review the ... - May 04
Utilization Review Assistant
MemorialCare
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Long Beach, CA
... Admitting Central Auth Unit/medical group experience in utilization review, insurance contracts, multi-payer inpatient authorization systems and/or business office operations is required, or 2+ years experience as a Licensed Vocational Nurse. ... - May 07
Utilization Review Coordinator
Neuropsychiatric Hospitals LLC
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South Bend, IN, 46506
... Doctors NeuroPsychiatric Hospitals is looking for a PRN Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with ... - Apr 21
Utilization Review-Case Management (Full-Time)
Aurora San Diego
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San Diego, CA
... Appeals: Prepare and submit appeals to third party payers Recordkeeping: Maintains appropriate records of the Utilization Review Department Training: Provide staff in-service training and education Maintains confidentiality of patients at all ... - May 08
Utilization Management Nurse, Senior
Blue Shield of California
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Rancho Cordova, CA, 95741
... The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical information provided by the facilities to determine medical necessity ... - May 03
Registered Nurse (RN) Intermediate Medical Care (IMC)
Meadowview Regional Medical Center
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Higginsport, OH, 45131
Registered Nurse (RN), Intermediate Care Job Type: Full-time Night shift 7pm-7am Sign-on bonus based on eligibility Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. ... - May 08