Utilization Review - Fremont

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 · ...

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The Clinical Utilization Review and Appeals Coordinator combines clinical, business and regulatory knowledge and skill to reduce financial risk and exposure caused by concurrent and retrospective denial of payment for services provided. · ...

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 ...

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, California. · ...

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

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

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

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

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 ...

Manages 24-hour departments providing patient care services. Ensures staff provide high quality, accessible, cost effective care, and patient focused services to members across the continuum, which comply with local, state, and federal requirements. · ...

Manages 24-hour departments providing patient care services. Ensures staff provide high quality, accessible, cost effective care, and patient focused services to members across the continuum, which comply with local, state, and federal requirements. · ...

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

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. · ...

Access This Permanent Staff Utilization Review Registered Nurse Job in Mission Hills, CA. · Pay: $56.00 to $88.00 per hour. · ...

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. · ...

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. · ...