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You will also perform utilization review while assuring the delivery of concurrent and post-hospital care. Recent experience in case management, utilization management and discharge planning.
$81.81 an hourExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Participates in the Quality Assurance and Utilization Review Committees, ensuring that all client cases are reviewed in a timely manner and that all documentation meets Los Angeles County Department of Mental Health standards.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Active participation in the Quality Management Program, Utilization Review, Peer Review, AltaMed Medical Provider activities, and AltaMed’s On-call schedule. Reviews site performance monthly with all physicians and midlevel providers, including, quality issues, productivity, managed care utilization, and programmatic changes.
$208,000 - $280,800 a yearFull-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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We’re hiring a RN (Registered Nurse) specialized in Case Management (Utilization Review) for this incredible opportunity in Glendale, CA. We offer temporary RN travel jobs to healthcare professionals at top facilities nationwide, along with paid, pet friendly housing, day-one medical insurance, loyalty and referral bonuses, and tons of other great benefits and resources for travelers in a variety of RN specialties.
$2,273 a monthFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Knowledge of insurance, utilization review, scheduling requirements and support of front desk responsibilities. California Registered Nurse (RN) - CA Board of Registered Nursing; AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; ACLS Certification (Advanced Cardiac Life Support) - American Heart Association.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Knowledge in the functional operations of third party payers and utilization review agencies to expeditiously coordinate follow-up. Knowledge of ICD-10, CPT-4, and HCPCS codes as applied to the authorization submission and claims reimbursement.
$28.34 - $44.5 an hourExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Minimum 1 year of case management or utilization review experience required. Complete concurrent review in Meditech daily on insurance, non-funded & MediCal patients, every other day for Medicare patients.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Performs prior authorization, precertification, and retrospective reviews and prepares decision letters as needed in support of the utilization review contract Assists management with training new Nurse Reviewers to include daily monitoring, mentoring, feedback and education.
$49,200 - $70,300 a yearWork from homeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Performs utilization review as needed. Provides direct behavioral health services including mental health and substance abuse services (i.e., psycho/social assessments, consultation, individual/group/ family therapy, professional in-service training and community education services, etc.
$26 - $31 an hourExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Posted job title: Case Management (Utilization Review.
$2,470 a weekExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Follows policy and procedure for entering of OCM and utilization of IDX. Completes work within assigned hours. In partnership with physician, may review pre-printed teaching materials or written instructions from the provider with the patient.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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License, Certification, RegistrationRegistered Nurse License (California)Basic Life SupportAdditional Requirements:Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of utilization review/management, care coordination, transfer coordination, discharge planning or case management.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN. Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN.
$2,480ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Preparing for and providing meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions.
Full-timeExpandApply NowActive JobUpdated 3 days ago
utilization review jobs in Los Angeles, CA
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