- UpvoteDownvoteShare Job
- Suggest Revision
Participates in Departmental Quality Assurance activities and Utilization Review activities as requested. Notifies the patient’s attending MD, Podiatrist and other professional persons and responsible staff of significant changes in the patient’s condition in a timely manner.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Nurse Manager of Case Management will get the chance to pursue an exciting opportunity where they will be expected to lead all facets of the Case Management department including Utilization Review, Care Coordination, Compliance, and more.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Job - RN Case Manager (Strong Utilization Review exp REQUIRED) M-F, no weekends - Rate $100 - (8751-62500) - Osuorah, City: Greenbrae, State: California, Estimated Start , Shift:5 x 8 Hour Day Shift, 07:00:00-15:00:00, 8.00-5, Length of Contract (Days) : 91, Estimated Gross Pay: 0.00.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Ensure the accuracy and appropriateness of all prescriptions filled by completing Drug Utilization Review and Final Quality Assurance, applicable to state and federal Board of Pharmacy regulations.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Refer all x-rays and diagnostic services to PRIME for utilization review. Complete IMR (Independent Medical Review) and process in a timely and accurate manner. Review mail/bills daily - paperless system.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Works collaboratively with the Medicine teams on the inpatient services and the Clinical Command Center, participates in daily interdisciplinary team meetings, utilization management review process, MESS huddles, and may participate in rounds of the acute medicine inpatients.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Prior authorization, Cpht, Data entry, Customer service, Call center, health plan, utilization review, Utilization management, Pharmacy, Pharmd, pharmacy benefits management, pbm. Review of Prior Authorization request, make outbound calls when needed and no inbound.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Previous experience in case management and/or utilization review preferred. Responsible for coordinating continuum of care activities for assigned clients and ensuring optimum utilization of resources, service delivery, and compliance with external agencies and referral source requirements.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Preparing for and providing meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions.
$49 - $56 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Case Managers are licensed nursing professionals who are responsible for care coordination, care transitions, discharge planning, and utilization review. Ability to perform utilization management functions to ensure the appropriate level of care and ensure appropriate utilization of resources.
$81.08 - $105.91 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Recommend and facilitate the ordering of necessary durable medical equipment for patients to facilitate independence in mobility; i.e., braces, walkers, canes, elevated toilet seats and grab bars.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Researches criteria within utilization computer system in order to monitor inpatient level of care and to facilitate and assist doctor-to-doctor and peer-to-peer review between Hospital and health plan.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Palo Alto, California. Posted job title: Case Management (Utilization Review.
$3,283 a weekExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
San Jose Behavioral Health currently has an opportunity for a Utilization Review Specialist Per Diem, at our new 133 bed Acute Psychiatric Hospital, located in South San Jose, CA. The Utilization Review Specialist coordinates and assesses the inpatient census for appropriate alternate health care service needs.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Knowledge of the models of case management, including the principles and practices of discharge planning, utilization review, and quality assurance/improvement. Major responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services; and ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements.
ExpandApply NowActive JobUpdated 3 days ago
utilization review jobs in Sunnyvale, CA
FEATURED BLOG POSTS
How to Write an Address Correctly: Explained with Examples
It's hard to imagine a scenario where a text or phone call just won't do these days. With communication at our fingertips, you may think learning how to write an address is a superfluous skill. But it's a skill that will come in handy when you need to fill out healthcare forms, ship a package, order food delivery, or even apply for new jobs.
What is Employment Participation Rate
According to economists, there are four factors of production that go into creating higher quality goods at lower prices. These are
How to Get Pay Stubs (From Previous Employee Also!)
Pay stubs are an important piece of document which shows your earnings in a given period, as well as any deductions made towards your health insurance or pension contributions. They’re also excellent for finding out how much your recent salary raise has bumped up your monthly net income.
How to Write a Job Description?
It might be tempting to overlook the importance of a well-written job description. After all, if you’ve posted job ads before and ended up with tons of resumes in hand, it’s easy to assume that this will always be the case, regardless of how your job ad reads. But, in reality, you really can’t take getting an influx of resumes for granted.
How to Get a W2 From Previous Employers
When tax time rolls around, the last thing you want to worry about is having to track down a W-2 from your former employer. Many times you won’t have to because the IRS requires companies to send these forms to all current and former employees who have earned more than $600 in the last year. Unfortunately, there are employers who don’t do what they’re supposed to. There are even times where something else may happen that prevents the W-2 from getting where it’s supposed to go.
How to Ask Someone to be a Reference + Email Templates
One part of the job-hunting process that frequently gets overlooked is putting together a list of good references. Most of the time we focus on creating the perfect resume, writing an awesome cover letter, and getting our hands on letters of recommendation. We think about what outfit we’ll wear to the job interview, how we’ll answer those tricky questions, and what our career plan looks like. But, in fact, having multiple references lined up who will speak favorably about you to a potential employer is critical to landing a job. This aspect of job searching really can’t be ignored.
Job Rejection Email Response with Examples
Glassdoor estimates that, on average, there are about 250 applicants for every job vacancy out there. If you’ve ever applied for a job, the odds are that you’ve received the dreaded job rejection email.