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Review Nurse jobs in California

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PRESERVICE REVIEW NURSE RN - REMOTE

Generally work is self-directed and not prescribed. Works with less structured, more complex issues. Serves as a resource to others. Assesses and interprets customer needs and requirements. Identifies solutions to non-standard req...

CompanyUnitedhealth Group
AddressCypress, CA
CategoryEducation/Training
Job typeFull-Time
Date Posted 3 weeks ago See detail

Preservice Review Nurse RN - Remote

Unitedhealth Group

Cypress, CA

Generally work is self-directed and not prescribed. Works with less structured, more complex issues. Serves as a resource to others. Assesses and interprets customer needs and requirements. Identifies solutions to non-standard req...

3 weeks ago seen See more...

Concurrent Review Nurse (RN) Part-Time (.5)

Central California Alliance For Health

Merced, CA

Performing concurrent or post-service (retrospective) review of acute in-patient care services using established criteria. Participating in the Utilization Management (UM) Care Programs. Knowledge of:. Utilization Management, and/...

4 weeks ago seen See more...

LVN - Inpatient Utilization Review Nurse - SRS Copley - Days - FT

Sharp Healthcare

San Diego, CA

$74.8K - $94.7K a year

3 Years experience in the acute patient care, Home Health and/or SNF setting. 2 Years Utilization/Case Management experience, preferably in a Managed Care setting. California Licensed Vocational Nurse (LVN) - CA Board of Vocationa...

a month ago seen See more...

Utilization Review Nurse - Case Management

Kern Medical

Bakersfield, CA

$41.32 - $65.10 an hour

New Hire Bonus: $6,000.00. New Hire Premium: +6% of base rate of pay, matched up to 6% if contributed to Deferred Compensation Plan. Shift Differential Pay: 10% of base pay for hours worked from 7:00 PM to 7:30 AM, with two (2) ho...

a month ago seen See more...

Concurrent Review Nurse

San Joaquin County Health Commission

Modesto, CA

$90,825 - $130,805 a year

Confirms member care plan with provider. Identifies care issues and collaborates with provider to resolve; escalates as necessary. Makes timely and appropriate recommendations regarding transfers, determination of level of care an...

a month ago seen See more...

Utilization Management Denial Review Nurse - LVN

Ucla Health

Los Angeles, CA

$61,400 - $121,400 a year

DescriptionQualificationsWere seeking an exceptionally gifted, self-motivated leader with: * Current CA LVN licensure required * Two or more years of utilization review/Utilization Management experience in an HMO, MSO, IPA, or he...

a month ago seen See more...

UM Review Nurse

Astrana Health

Monterey Park, CA

Complete prior authorization/retrospective review of elective inpatient admissions, outpatient procedures, post-homecare services, and durable medical equipment. Refer cases to Medical Directors as needed/appropriate. Maintain kno...

2 months ago seen See more...

Denial Review Nurse - Utilization Management - Hybrid

Astrana Health

Monterey Park, CA

$30 - $45 an hour

Responsible for managing all deferrals and or denials by conducting a comprehensive review of clinical documentation, clinical criteria/guideline, policy, and or EOC/benefit policy Apply clinical knowledge when processing all defe...

2 months ago seen See more...

Nurse Reviewer I

Elevance Health

PALO ALTO, CA

California. Washington. Nevada. Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. Condu...

3 weeks ago seen See more...

LVN DSD Utilization Review, Skilled Nursing

Community Medical Centers Of Fresno, Ca

Fresno, CA

Join a Forbes Top 10 CA Employer! Direct impact on quality patient care. Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas). Free Continuing Education and certification including BLS, ACLS...

4 weeks ago seen See more...

Interim Nurse Manager, Utilization Review

Firstchoice

Fresno, CA

$4,300 a week

State of California Registered Nurse (RN) License. Current American Heart Association (AHA) BLS Certification. Minimum of 2 years of hospital URM supervisory/management experience. MCG or InterQual Certification, preferred. 401(k)...

a month ago seen See more...

Registred Nurse Utilization Review $54.75-$61.25/Hr

Atc Healthcare

Los Angeles, CA

$54.75 - $61.25 an hour

Los Angeles, CA: Relocate before starting work (Required)....

a month ago seen See more...

Nursing Consultant, Program Review- Ontario

State Of California

Bakersfield, CA

NURSING CONSULTANT, PROGRAM REVIEW. Job Application Package Checklist. Duty Statement. This advertisement is for a Nursing Consultant, Program Review position(s) located at CCHCS Region IV in Ontario, CA , located in San Bernardin...

2 months ago seen See more...

What should I search to find Review Nurse jobs in California?

People who searched for Review Nurse jobs in California also searched for Clinical Nurse Manager, Grad Registered Nurse, Nursing Assist, Registered Nurse Care Manager, Registered Nurse Weekends, Nursing Assistant Sign, Telemetry Registered Nurse, Lvn Staff Nurse, Staff Registered Nurse, Registered Nurse Arrmc, Community Registered Nurse, Senior Registered Nurse, Nursing Assistant Instructor, Registered Nurse / Labor, Registered Nurse Program, . If you're getting few results, try a more general search term. If you're getting irrelevant result, try a more narrow and specific term.

Top Jobs in California

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What companies are hiring for Review Nurse jobs in California?

The top companies hiring now for Review Nurse jobs are Health Plan of San Mateo - 3.4, Regal Medical Group, Serra Community Medical Clinic, Inc.,

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