utilization management denial review nurse - Los Angeles AFB, CA , USA, United States - UCLA Health

Nurse Reviewer I

3 weeks ago

Job Family: MED > Licensed Nurse · - Type: Full time · - Date Posted: Apr 17, 2024 · - Anticipated End Date: May 31, 2024 · - Reference: JR113706 · **Description**: · **Nurse Reviewer I** · **Location**:Within 50 miles of a pulse point in the following states: · - California · - ...

Utilization Management Denial Review Nurse

7 hours ago

· Take on a high-impact role within a world-class health organization. Help drive the continued delivery of exceptional patient care. Take your career to the next level. You can do all this and more at UCLA Health. · You will play a key part in promoting high-quality, cost-effec ...

Denial Review Nurse

3 weeks ago

Job Title: Denial Review Nurse · Department: Health Services - Denials · About the Role: · We are currently seeking a highly motivated Denial Review Nurse. This role will report to a Manager - Denials and enable us to continue to scale in the healthcare industry. · What You'l ...

Review Nurse

2 weeks ago

Job Description · Position Summary: · The role of the Nurse Reviewer is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests as well ...

Nurse Reviewer I

2 weeks ago

· Nurse Reviewer I · Location: Within 50 miles of a pulse point in the following states: · * California · * Colorado · * Nevada · * Tennessee · Shift : Tuesday - Saturday, 10:30 am - 7:00 pm C ST · The Nurse Reviewer I is responsible for conducting preauthorization, out of netwo ...

Director of Nursing

2 weeks ago

**DIRECTOR OF NURSING**: · *** · The purpose of your job position is to manage, develop, and direct the overall operation of the nursing department in accordance with current federal, state, and local standards that govern the facility, and as directed by the Administrator and Me ...

Customer Solution Center Appeals and Grievances

2 weeks ago

Customer Solution Center Appeals and Grievances Nurse Specialist RN II · **Job Category**:Clinical**Department**:CSC Appeals & Grievances**Location**:Los Angeles, CA, US, 90017**Position Type**:Full Time**Requisition ID**:10889**Salary Range**: $88, Min.) - $115, Mid.) - $142, Ma ...

Enrollment Rn Per Diem

2 weeks ago

**Enrollment RN** · The WelbeHealth PACE program helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. It's our mission to serve the most vulnerable seniors with better quality and compassion in a value-based model ...

Rn Supervisor

2 weeks ago

RN Supervisor (Registered Nurse) is a licensed professional nurse directly under the supervision of the Director of Nursing Services. The RN Supervisor (Registered Nurse) is to assist the planning, organizing, developing and directing of nursing service to assure that the highest ...

Remote Mds Coordinator Needed

2 weeks ago

: · Responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate · - Minimum ...

Lvn Ii

2 weeks ago

Are you passionate about patient care and interested in leadership opportunities? Cedars-Sinai Fertility and Reproductive Medicine Center, one of the nations premiere academic leaders in the field is looking for a nurse leader to join our expert team. Interested in using your exp ...

Utilization Management Specialist

3 weeks ago

The Utilization Management Specialist coordinates communication with admitting financial counselors, case management, patient financial services, and payers to ensure all inpatient services provided by the hospital are authorized by appropriate payer. The Utilization Management S ...

Patient Access Representative

2 weeks ago

**Description** · As the Patient Access Representative, you will be responsible for: - Pre-registers, pre-admits, and admits patients by telephone and/or in person - Collection of accurate demographic information, review and interpretation of insurance benefits - Obtaining prior ...

Registered Nurse

3 weeks ago

**SUMMARY** · Under the general supervision of the Director of Nursing, the Registered Nurse performs a variety of resident care functions and closely observes residents for changes in medical status. This position also uses independent judgment and discretion in maintaining the ...

New Grad Rn

3 weeks ago

The New Grad Registered Nurse collaborates with interdisciplinary teams to develop and implement a plan of care for a specific group of assigned patients, ensuring the coordination of care between other disciplines, physicians, and support staff. Performs professional nursing dut ...

Director of Health Services

3 weeks ago

Job Overview: · **Duties**: · - Manage day-to-day operations of the health services department · - Provide leadership and guidance to nursing staff · - Review and maintain accurate documentation in accordance with Medicare and HIPAA regulations · - Oversee medical records managem ...

Ambulatory Nursing Data Analytics Manager

2 weeks ago

**Description** · The Ambulatory Nursing Data Analytics Manager is responsible for coordinating and supporting Ambulatory Nursing operational and clinical improvements and providing statistical and analytical support for ongoing projects and analyses. Improvement and analytical i ...

Rn, Per Diem

2 weeks ago

**Description** · The staff RN is a professional caregiver who provides pre-operative evaluation and medical screening of patients having anesthesia for a surgery or procedure, by reviewing and evaluating internal and external medical and other relevant documents, and conducting ...

Nurse Practitioner

2 weeks ago

**Job Summary**: · **Duties**: · - Conduct patient assessments and develop individualized care plans · - Collaborate with physicians and healthcare professionals to ensure comprehensive patient care · - Utilize electronic health record systems for medical documentation · - Conduc ...

Infection Preventionist Lvn

2 weeks ago

Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, quick-thinker, and ready to be a part of an organization that supports your growth?_ · **WHAT WE'RE ABOUT** · We believe care goes bey ...