Clinical Utilization Review - Mountain View, CA

The Clinical Utilization Review and Appeals Coordinator combines clinical business regulatory knowledge skill to reduce financial risk exposure caused by concurrent retrospective denial of payment for services provided.Reviews validates admission status surgical admissions verifi ...

The Utilization Review Specialist is responsible for assessing and reviewing the healthcare delivery system to promote cost-effective quality care and cost containment. · Review of healthcare delivery system · Promotion of cost-effective quality care · ...

The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal and/or state statutes, regulations and g ...

This is a Utilization Review position that requires experience as a house supervisor in PACU/OR. The job offers a competitive salary and benefits package. · CA RN License required · PACU/OR experience as a house supervisor necessary · ...

We are seeking a qualified and detail-oriented Registered Nurse (RN) for a PRN (1099 Contractor) Case Reviewer position. · ...

Immediate need for a talented RN – Case Manager/ Utilization Review. · ...

An immediate need for a talented Registered Nurse – RN Utilization Review / Discharge Planning in Santa Jose, California. · ...

Immediate need for a talented Registered Nurse – RN Utilization Review / Discharge Planning. · Utilization ManagementPerform daily pre-admission, admission, and concurrent utilization reviewsEducate care teams on utilization and care coordination processesCase Management & Discha ...

Immediate need for a talented Registered Nuse – Case Manager/ Utilization Review. · ...

We are currently seeking Board-Certified physicians in Urology to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1–2 hours per week—with no minimum commitment. · ...

Pyramid Consulting is seeking a contract nurse RN for utilization review in Santa Clara, California. · >>Acute Care Case Management · >Utilization Review & Care Coordination · >Discharge Planning & Patient Transitions · ...

Coordinates with physicians staff and non-client providers and facilities regarding patients transitions and discharge planning In conjunction with physicians develops plans of care and discharge plans and makes recommendations for alternative levels of care as required. · ...

We are seeking a contract nurse RN for utilization review in Santa Clara California. · Acute care case management · Utilization review & care coordination · Discharge planning & patient transitions · ...

We are seeking an experienced Utilization Review Nurse to join our team in Santa Clara. This contract position will involve reviewing patient cases for medical necessity and working closely with physicians and multidisciplinary teams. · ...

LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Fremont, California. · ...

LanceSoft is seeking travel nurses for various positions in Fremont California · RN Utilization Review · ...

Rheumatology utilization review opportunity for board-certified physicians to work remotely from anywhere in the US. · Flexible schedule requiring just 1–2 hours per week. · No minimum commitment required. · ...

Job Description & Requirements · Specialty: Utilization Review · Discipline: RN · Durations: 17-week contract · ...

LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Fremont. · ...

Job Description & Requirements · Specialty: Utilization Review · Discipline: RN · The position requires a house supervisor with PACU/OR experience. · ...