Utilization Review Nurse - Los Angeles

This role enables associates to work virtually full-time, except for required in-person training sessions. · Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medi ...

Experience: · Current unrestricted RN licensure in CA 3-5 years' experience in utilization management preferred. Self-directed assertive and creative in problem solving systems planning and patient care management in a high volume work environment. · ...

The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity and appropriateness of healthcare services provided to members under a managed care health plan. · ...

The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity and appropriateness of healthcare services provided to members under a managed care health plan. · This role involves assessing inpatient admissio ...

Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. · ...

Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist their Health Services Department. · ...

A Medical Center facility under the aegis of California Public Ivy university seeks an accomplished Utilization Review Nurse in Los Angeles CA % REMOTE). · The ideal candidate is a California licensed RN who can independently review clinical documentation, · apply evidence-based ...

This examination will remain open until the needs of the service are met and is subject to closure without prior notice. · About Los Angeles County Department Of Health Services · The Los Angeles County Department of Health Services (DHS) is the second largest municipal health sy ...

The Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality care at UCLA Health. · ...

The UM Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care at UCLA Health. · ...

We are seeking an experienced Utilization Management Review Nurse with a strong background in outpatient prior authorization within a health plan or managed care environment. · Reviews documentation and interprets data obtained from clinical records or systems and uses clinical d ...

At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. · ...

Lensa partners with DirectEmployers to promote this job for The County of Los Angeles. This Utilization Review Nurse Supervisor II role exercises administrative and technical supervision over nursing staff engaged in utilization review activities at Los Angeles General Medical Ce ...

The Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care at UCLA Health. This position is responsible for reviewing and evaluating clinical documentation related to prior authorization requests for medical servi ...

Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. · ...

Take on a high-impact role within a world-class health organization. · You will play a key part in promoting high-quality, cost-effective medical care by applying clinical acumen and applicable policies and guidelines in the issuance of adverse organization determinations. · ...

Take on a high-impact role within a world-class health organization. Help drive the continued delivery of exceptional patient care. · ...

Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. · ...

+ Job Summary The UM Review Nurse plays a vital role in ensuring the delivery of high-quality , evidence-based care . This position is responsible for reviewing and evaluating clinical documentation related to prior authorization requests for medical services . ...

+We are currently seeking a Registered Nurse with 2 to 3 years of clinical nursing background and 2 to 3 years of Utilization Review experience. · +Liaise with providers/staff · + ...