Utilization Review Jobs in Riverside
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Search Results - Utilization Review Jobs in Riverside
Medical Solutions-Riverside
Job Description
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Riverside, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 13...
Medical Solutions-Riverside
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Riverside, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 13 weeks
• 36 hours per...
CorVel Healthcare Corporation-Rancho Cucamonga, 10 mi from Riverside
Job Description
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...
Medical Solutions-Riverside
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Riverside, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 13 weeks
• 36 hours per...
CorVel Healthcare Corporation-Rancho Cucamonga, 10 mi from Riverside
Job Description
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...
ScionHealth-Ontario, 8 mi from Riverside
continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.Essential FunctionsCare CoordinationCoordinates clinical and/or psycho-social activities...
mindmatch.ai -
KPC GLOBAL MEDICAL CENTERS INC.-Corona, 9 mi from Riverside
Job Description
Job Description
SUMMARY
The Utilization Review RN reviews client health records to ensure proper utilization of treatment resources.
REQUIREMENTS
RESPONSIBILITIES AND DUTIES:
• Coordinates and reviews all medical records...
eTeam Inc.-Orange, 20 mi from Riverside
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 -
Riverside Community Hospital SCA-Riverside
and collaboration with nursing, physician, departments within the facility, insurers and post-acute service providers to pace the care toward optimal outcomes within the appropriate level of care
• The Case Manager consistently conducts the utilization review...
HealthTrust Workforce Solutions HCA-Riverside
the care toward optimal outcomes within the appropriate level of care. The Case Manager consistently conducts the utilization review process on those patients who require it, and the discharge planning process as required by hospital policies, standards...
mindmatch.ai -
Enki Health Services, Inc.-West Covina, 24 mi from Riverside
health staff, clients and the general public.
• Assure that the clients admitted to clinics require the level of care in which the different programs offer.
• Serve on the Utilization Review Committee as requested.
• Consult as necessary with the Director...
appcast.io -
Riverside
and Utilization Review Committee. Interprets medical information used in the processing of payments and claims. Investigates denials by third party payers and crafts thorough appeals to justify medical necessity. Also ensures that appeals are managed within...
icims.com -
Enki Health Services, Inc.-West Covina, 24 mi from Riverside
health staff, clients and the general public.
• Assure that the clients admitted to clinics require the level of care in which the different programs offer.
• Serve on the Utilization Review Committee as requested.
• Consult as necessary with the Director...
appcast.io -
Riverside Community Hospital SCA-Riverside
with nursing, physician, departments within the facility, insurers and post-acute service providers to pace the care toward optimal outcomes within the appropriate level of care
• The Case Manager consistently conducts the utilization review process on those...
Gotham Enterprises Ltd-Chino, 7 mi from Riverside
in electronic health records (EHR) and clinical documentation
• Knowledge of mental health and substance abuse utilization review process preferred
• Comfortable working with various virtual communication tools and platforms
Benefits
• Competitive Compensation...
workable.com -
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