Utilization Review Jobs in Orange
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Search Results - Utilization Review Jobs in Orange
eTeam Inc.-Orange
are properly documented and claims coding is correct.
May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
Maintains...
resume-library.com -
Cynet Health-Orange
Certifications:** Not specified**Must-Have:** Not specified**Job Description:**- Perform comprehensive utilization reviews.- Coordinate patient care with interdisciplinary teams.- Evaluate and ensure appropriate use of resources.- Deliver effective case...
Mindlance-Orange
include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned.
Supports...
resume-library.com -
talent4health-Orange
into the utilization management or care management system at the time of the telephone call or fax to include any authorization updates. Reviews and evaluates proposed services utilizing medical criteria, established policies and procedures, Title 22, Medicare...
Adecco-Orange
documented and claims coding is correct.
• May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains...
adecco.com -
Orange
and evaluates services provided. Performs the appropriate utilization review functions utilizing medical staff-approved decision support criteria (InterQual Intensity of Service, Severity of Illness criteria). Concurrently intervenes to enhance patient quality...
uci.edu -
Medical Solutions-Baldwin Park, 20 mi from Orange
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Baldwin Park, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 13 weeks
• 36 hours...
Lancesoft-Los Angeles, 27 mi from Orange
LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 03/10/2025
• Duration: 13...
Medical Solutions-Paramount, 21 mi from Orange
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Paramount, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 13 weeks
• 36 hours per...
Medical Solutions-Los Angeles, 27 mi from Orange
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 13 weeks
• 40 hours...
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