Utilization Review Nurse jobs in Orange, CA

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Utilization Review Specialist
BSRC - Irvine, CA
Utilization Review Specialist:. Experience in providing utilization review. Our Utilization Review Specialist is responsible for establishing and maintaining...
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Sponsored by BSRC
RN - Utilization Review (UR) Assessment PHP/IOP / Full Time...
Mission Hospital (SJH) - 25 reviews - Mission Viejo, CA
Experience with utilization review. Performs clinical utilization review on patients. Performs utilization review functions for continued program participation....
Sponsored by St. Joseph Health
Case Manager-Continuum of Care
Adventist Health Southern California Network - Los Angeles, CA
The Care Manager is responsible for utilization review and analysis, discharge planning, DRG Management and quality improvement activities for an assigned...
Sponsored by Adventist Health Southern California Network


Hoag Memorial Hospital Presbyterian - 35 reviews - Newport Beach, CA
Minimum one (1) year of utilization review in an acute healthcare system environment. The Utilization Review Nurse (UR RN) utilizes clinical expertise,...

RN, Care Manager

HealthCare Partners - 93 reviews - Costa Mesa, CA
Previous care management, utilization review or discharge planning experience. We are currently seeking a Registered Nurse, Care Manager:....

Utilization Management Coordinator - Irvine, CA

UnitedHealth Group - 2,187 reviews - Irvine, CA
Prepares files for UM Nurses for review. Reviews health plan web sites for benefit and eligibility information....

Sr. Comprehensive Care Nurse I - JHS

Orange County, CA - Orange County, CA
$39.31 - $47.45 an hour
COMPREHENSIVE CARE NURSE I. Review, revise and implement Standardized Procedures when necessary. Comprehensive Care Nurse I is responsible for the following:....

Case Manager

Alignment Healthcare - Orange, CA
Performs admission and concurrent stay reviews on hospitalized and skilled patients. Interfaces with Primary Care Physicians, Hospitalists, Nurse Practitioners...

Utilization Management RN

Heritage Healthcare (SJHH) - Orange, CA 92868
Utilization Management RN. Active California Registered Nurse license. Organizes, coordinates, provides, modifies or obtains appropriate authorizations,...

Orange Inpatient Concurrent Review Nurse (RN or LVN) – Manag...

CareNational Healthcare Services, LLC - Orange, CA
$65,000 - $75,000 a year
Perform Utilization Review pre-authorization, concurrent and retrospective review as needed for inpatient or outpatient services and predetermination reviews....
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Utilization Review Nurse (RN or LVN!)

Careers Spark - Brea, CA
$65,000 - $70,000 a year
Utilization Review Nurse. Utilization Review Nurse for an innovative, national care management company specializing in Oncology and Cardiology....

UR Nurse

New Century Health - Brea, CA
The Utilization Review Nurse (URN) is involved with every aspect of the utilization process to include:....

Director of Patient Care Services

Health Essentials LLC. - Santa Ana, CA
Performs utilization review of continuous care and inpatient levels of care for all patients on the team. Registered Nurse in the State of California....
Registered Nurse to Direct Health Services
Walnut Village - Anaheim, CA
Supervises documentation in resident health records and reviews scheduled audits. Participates in budget planning and monitoring of fee scheduling and charging...
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Sponsored by Walnut Village
Acute Hemodialysis Scheduling Coordinator
Southland Management Group, Inc. - Long Beach, CA
Schedules per diem nurses as required. The Acute Hemodialysis Scheduling Coordinator mainatins SMG nurse schedule with partner hospitals, reviews, verifies and...
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Sponsored by Southland Management Group, Inc.

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