- Ideal candidates will have a degree in Nursing from an accredited college, and possession of a current nursing licensure (i.e. LVN, LPT, RN).
- Qualified candidates will have 3-5 year of nursing experience preferably in Utilization Management, or hospital/acute care setting.
- May also be a licensed social worker and or Therapist.
- Qualified candidates will have 3-5 years clinical experience preferably with at least 1 year UR experience.
-
Sr. Utilization Review Mgt. Coordinator
2 weeks ago
MEDS, INC. , CA, United StatesPOSITION SUMMARY: · Our client hospital organization is in search of a Sr. Utilization Mgt. RN Coordinator. This Mgt. RN Coordinator will monitor adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services and monitor the app ...
-
CA Utilization Review Case Manager I
3 weeks ago
CorVel Corporation California, United States OTHERThe 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 and assigns an appropriate length of stay; supporting the goals of the Ca ...
-
Buyer/planner
1 week ago
Dexter Axle Albion, United StatesJob ID · **Overview**: · Dexter, the premier supplier and manufacturer of axles, doors, venting products and related components in the utility trailer, boat trailer, recreational vehicle, heavy duty and manufactured housing markets, has an opportunity for a **Buyer/Planner **at ...
-
Freight Classification Specialist Lead
2 weeks ago
XPO Golden, United States Full timeSolutions driven success. · XPO is a top ten global provider of transportation services, with a highly integrated network of people, technology and physical assets. At XPO, we look for employees who like a challenge and can communicate effectively in all situations. We want to le ...
-
Facilities Coordinator/ Front Desk
2 weeks ago
Adientone California, United StatesThe Workplace Experience Supervisor oversees employees and daily operations to increase individual well-being, personal productivity, and organizational effectiveness. · The Experience team members you would oversee are responsible for providing services for a building or campus, ...
-
Facility Manager/front Desk
2 weeks ago
Adientone California, United StatesJob Summary · The Workplace Experience Supervisor oversees employees and daily operations to increase individual well-being, personal productivity, and organizational effectiveness. · The Experience team members you would oversee are responsible for providing services for a build ...
-
Independent Logistics Assessments
2 weeks ago
Sierra Management and Technologies, Inc California, United States**The Organization: Sierra Management and Technologies, Inc.** · Sierra is a small, disadvantaged, minority-owned business that values its employees who provide superior services and solutions to our customers. Sierra has a proud history of hiring veterans and encourages those wh ...
-
Vascular Sonographer
16 hours ago
PSG , CA, United StatesThe Opportunity · Description · We're looking for a Vascular Sonographer - Permanent + Relocation Bonus, working in the Healthcare Systems & Services industry in California, United States. · Job Summary · This role is located in Greenville, South Carolina · Under the direction of ...
-
Cardiovascular Sonographer
16 hours ago
PSG , CA, United StatesThe Opportunity · Description · We're looking for a Cardiovascular Sonographer - Permanent + Relocation Bonus, working in the Healthcare Systems & Services industry in California, United States. · Job Summary · This role is located in Sumter, South Carolina · Under the direction ...
-
Nuclear Medicine Technologist
16 hours ago
PSG , CA, United StatesThe Opportunity · Description · We're looking for a Nuclear Medicine Technologist - Permanent + Relocation Bonus, working in the Healthcare Systems & Services industry in California, United States. · Job Summary · This role is located in Simpsonville and Seneca, South Carolina · ...
-
PET/CT Nuclear Medicine Technologist
16 hours ago
PSG , CA, United StatesThe Opportunity · Description · We're looking for a PET/CT Nuclear Medicine Technologist - Permanent + Relocation Bonus, working in the Healthcare Systems & Services industry in California, United States. · Job Summary · This role is located in Greenville, South Carolina · Under ...
-
Manager, Construction Services
2 weeks ago
San Mateo County Transit District California, United States Full time· GENERAL · This position is responsible for the overall management of the complex construction program associated with Peninsula Corridor Joint Powers Board Caltrain projects. The work schedule regularly requires weekend and night schedules so applicant must be able to work fle ...
-
Electrical Engineering Lead
2 weeks ago
Peyton Resource Group California, United StatesKEY DUTIES AND RESPONSIBILITIES: · Possess and maintain broad and in-depth knowledge of principles, practices, procedures, and standards related to utility power transmission, substation, distribution systems. · Process development related to utility power transmission, substatio ...
-
Project Manager
1 week ago
Ramos Consulting Services, Inc. (Ramos CS) California, United StatesAbout Us: · Ramos CS is a California-based Corporation, independently owned and operated. Ramos CS has developed into one of the fastest growing engineering and construction management companies in California. We focus primarily on reaching a niche market that requires focused ex ...
-
OSI Engineering California, United StatesDistribution Desktop Inspector for a Utility Company in California · Responsibilities · You will provide analysis and evaluations of drone and helicopter data from flights above and around our electric towers, poles and substations. · Reviewed drone photos and identified any non- ...
-
case manager utilization rn, 40/hr night
2 weeks ago
Kaiser Permanente , CA, United StatesSign On Bonus for Eligible External Hires · Job Summary: · Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the ...
-
clinical review nurse
3 weeks ago
Centene Corporation , CA, United StatesYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...
-
HV Electrical Engineer
2 weeks ago
King & Sykes California, United StatesKing & Sykes is a values driven staffing firm founded to partner with investment banks, private equity & alternative asset investors who are at the forefront of sustainable investing, and their portfolio of companies. · We are recruiting for a Project HV Electrical Engineer to jo ...
-
Remote Utilization Management
2 weeks ago
Alignment Healthcare , CA, United StatesOverview of the Role: · Alignment Health is seeking a collaborative and tech savvy LVN / LPN utilization management (UM) nurse (must have California license), for a long-term temporary engagement (with medical benefits) to join the remote, utilization management, pre-service team ...
-
Work methods and procedures specialis
2 weeks ago
OSI Engineering California, United StatesSeeking Standards and Work Procedure Specialist for Utility Company in Northern California · Responsibilities: · Responsible for documenting all standard process and procedure processes of QEWs in the field. · Review and evaluate current processes · Processes include controlling ...
utilization review - , CA, United States - Acadia Healthcare Inc.
Description
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.
At San Jose Behavioral Health, our counseling professionals provide treatment and support to assist clients in their recovery from behavioral problems and assist with modifying problem behaviors; may also provide counseling services to families of clients.
Summary:
San Jose Behavioral Health is currently seeking an experienced Utilization Review Specialist Per Diem to join our growing team. The Utilization Review Specialist coordinates and assesses the inpatient census for appropriate alternate health care service needs.
Responsibilities include performing on-site and/or telephonic concurrent review of acute and sub-acute services, as well as pre-certification review for all services following the plans authorization guidelines.
The Utilization Review Specialist will also coordinate with appropriate discharge planning processes, providing feedback on documentation processes; and functions as a resource to the clinical team regarding approved criteria, practice guidelines and alternative treatment options.
Requirements/Qualifications:
COMPENSATION
Compensation for roles at San Jose Behavioral Health varies depending on a wide array of factors including but not limited to the specific location, role, skill set, and level of experience.
As required by local law, San Jose Behavioral Health provides a reasonable hourly range of compensation for roles that may be hired in California as set forth below.
SJBH Range = $29.52/hour - $44.28/hour - DOEEqual Opportunity Employer/Protected Veterans/Individuals with Disabilities.