· SUMMARY · Under direction of the Utilization Review Technician Supervisor, the Utilization Review Technician coordinates with the Utilization Management Department while being responsible for coordinating phone calls, clinical requests, upkeeps data entry, organizes denials an ...

SUMMARY · The Utilization Review RN reviews client health records to ensure proper utilization of treatment resources. · Coordinates and reviews all medical records, as assigned to caseload. Actively participates in Case Management and Treatment Team meetings Serves as on-going e ...

Under direction of the Utilization Review Technician Supervisor, coordinates phone calls and data entry. Monitors patient charts and records to provide to responsible parties. · Reviews treatment plans and status of approvals from insurers. Collects and compiles data as required. ...

SUMMARY · The Utilization Review RN reviews client health records to ensure proper utilization of treatment resources. · RESPONSIBILITIES AND DUTIES: · Coordinates and reviews all medical records, as assigned to caseload. · Actively participates in Case Management and Treatment T ...

SUMMARY · Under direction of the Utilization Review Technician Supervisor, the Utilization Review Technician coordinates with the Utilization Management Department while being responsible for coordinating phone calls, clinical requests, upkeeps data entry, organizes denials and m ...

Utilization review · Candidate must have EPIC and InterQual experienceCertifications & Licensure CA RN license BLS by AHA · ...

Candidate must be highly proficient in EPIC and InterQual, with demonstrated experience using both systems for clinical review and medical necessity determination. · ...

This position requires a highly proficient RN with experience using EPIC and InterQual for clinical review and medical necessity determination. · ...

This position is a Per Diem RN Utilization Review role that can be worked remotely. The successful candidate will provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. · ...

This position is a Part-time RN Utilization Review role that will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. · ...

+ Provide prospective, retrospective and concurrent utilization reviews for our Southern CA ministries + Conduct clinical reviews and review medical records daily during admission for all payers as required by the health plans + This role requires a strong clinical background com ...

This position is Part-time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. · Conduct clinical reviews and review medical records daily during admission for all payers, · as required by ...

We are seeking a Utilization Review RN to provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management, medical ne ...

RN Utilization Review at Irvine, CA. This position is Full-time and will work Remote 8-hour, Day shifts. · ...

We're seeking a strong clinical background combined with well-developed knowledge and skills in Utilization Management for our Southern CA ministries. · This role requires excellent negotiation, communication, problem-solving, and decision-making skills. · ...

Provide prospective retrospective and concurrent utilization reviews for our Southern CA ministries conduct clinical reviews and review medical records daily during admission for all payers as required by the health plans. · ...

This position is for a Utilization Review RN who will work remotely and provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. · Conduct clinical reviews and review medical records daily during admission for all payers as required b ...

We are seeking a Utilization Review RN to provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management. · ...

This position is Full-time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. · Required Qualifications: Associate's Degree Nursing.Certified Registered Nurse License · 2 years experience ...

This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management, medical necessity, and patient status determination. · Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministrie ...

This position provides prospective, retrospective and concurrent utilization reviews for Southern California ministries. The successful candidate will have a strong clinical background combined with well-developed knowledge and skills in Utilization Management medical necessity a ...