Utilization management jobs in Huntington Beach, California (CA) State

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of b...

Hematology and Oncology - MDstaffers is seeking a qualified Hematologist-Oncologist Senior Medical Director of Utilization Managementin Southern California. Hematologist-Oncologist Senior Medical Director of Utilization Management needed to join a practice in Southern California. Evaluate utiliza...

Inside the Care Management DepartmentOur Care Management team provides stream-lined coordination of patient care services to Hoag patients and families. Case Manager - RN (Utilization Review)Do you thrive on supporting the professional face of a hospital dedicated to serving the community? Do you...

Ability to build rapport with medical staff and management leadership to obtain necessary approvals of new strategies for utilization management. The Physician Advisor works with Senior Health Plan Medical Director and Utilization Management team to ensure medically necessary use of hospital serv...

Case Manager – RN (Utilization Review). Inside the Care Management Department. Our Care Management team provides stream-lined coordination of patient care services to Hoag patients and families. From admission to post-discharge, our Care Management team is there to assure care is appropriate, tim...

As an RN, Unitarization Management, you will be responsible for ensuring the integrity of the adverse determination processes and accuracy of clinical decision-making as it relates to the application of criteria and defined levels of hierarchy and composition of compliant denial notices . ...

The Utilization Management Nurse will report to the Utilization Management Nurse Manager. The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. Perform prospective, concurrent and retrospective ut...

For those who want to invent the future of health care, here's your opportunity.We're going beyond basic care to health programs integrated across the entire continuum of care.Optum’s Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenie...

Case Manager – RN (Utilization Review). Inside the Care Management Department  . Our Care Management team provides stream-lined coordination of patient care services to Hoag patients and families. From admission to post-discharge, our Care Management team is there to assure care is appropriate, t...

Assured Nursing is currently seeking a .The ideal candidate will possess a current state license as a ....

But the one thing nurse after nurse has said they want and don't have is someone in their corner. TravelNurseSource is working with Care Team Solutions to find a qualified Psych RN in Orange, California, 92868!. We've talked to thousands of travel nurses like you. You and every nurse with the gut...

Community Health System is seeking a Registered Nurse (RN) Labor and Delivery for a nursing job in Fresno County, California. As a Registered Nurse (RN) joining our Labor & Delivery department, you will be part of a dynamic and collaborative team that provides opportunities to challenge and inspi...

Community Health System is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Fresno County, California. ...

Job training, support and education by a Registered Nurse. ...

Community Health System is seeking a Registered Nurse (RN) Labor and Delivery for a nursing job in Fresno County, California. As a Registered Nurse (RN) joining our Labor & Delivery department, you will be part of a dynamic and collaborative team that provides opportunities to challenge and inspi...

Community Health System is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Fresno County, California. Opportunities for growth, learning and on-the-job training to grow in your specialty. We are looking for Emergency Department (ED) RN’s to join our growing team! Wh...

The professional registered nurse Inpatient Services RN CAP 1 is. Performs all essential functions under the direction of the Supervisor and with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. Assigned oversight of Patient Care Technicians/LVN/LPNs/RNs as...

The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality. Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting fed...

Nurs\_01*Primary Responsibilities/Accountabilities:** The RN Case Manager is responsible for carrying out effective case management functions for identified patients by planning, coordinating, negotiating, procuring and managing the care and needs of complex patients and their families throughout...

The RN Case Manager plans, organizes and directs home health and palliative care, and plans and directs services to meet the needs of patients and their families within their homes and communities. ...

RN, #Registerednurse, #Casemanager, #RNCaseManager, #NurseCaseManager, #CaseManagementRN, #CareManagement, #PatientCare. Registered Nurse (RN) Case Manager. Responsibilities of Registered Nurse (RN) Case Manager. Requirements for Registered Nurse (RN) Case Manager. ...

Must have 18 months of experience as a CRNA.Schedule: Monday - Friday, 7am - 5pm.Types of Cases: Anesthesia services including General, Bread and Butter, Orthopedics, and Neurology/Spine.Credentialing Timeframe: 45 - 60 days.Must have an active California license....

Medical Solutions Registered Nurse. Must be a Registered Professional Nurse with current licensure and a year of experience. ...

Current California Registered Nurse License with no restrictions to work in the State of California. Minimum one year of Surgical/Clinical Nurse experience. Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or ...