Utilization Review Nurse jobs in Orange, CA

Filter results by:
Sort by: relevance - date
Salary Estimate
Job Type
Experience Level
Jobs 1 to 10 of 268
Upload your resume - Let employers find you
RN CASE MANAGER FT EVENING PLACENTIA-LINDA HOSPITAL
REGISTERED NURSE CASE MANAGER - FULL TIME - EVENING SHIFTS SUMMARY:. Required qualifications include an active Registered Nurse license with at least two years...
Sponsored by Tenet Healthcare
Utilization Management Supervisor, RN - Irvine, CA $5000 SIG...
Supervisor, Management, CCM, Inpatient, UM, Government, Nursing,Clinical, Registered Nurse, RN, Supervisor, Supervisor Case Management, case manager, case...
Sponsored
Clinical Documentation Improvement Specialist - $5K Sign on...
Provides expert level review of inpatient clinical records within 24-48 hours of admit; Ensures effective utilization of Midas or Optum ® CDI 3D Technology to...
Sponsored

Utilization Review Coordinator

Health 360 Labs - Westminster, CA
$80,000 a year
Utilization Review Coordinator*. Participates in Utilization Review Committee. Utilization Review in Chemical and Medical Dependency:....
Easily apply

Grievance and Appeals Nurse Specialist

CalOptima - 15 reviews - Orange, CA
The Grievance and Appeals Nurse Specialist participates in managing the organization’s State Hearing review for all lines of business;...

Medicare Medical Review Nurse

NCI Information Systems, Inc. - Anaheim, CA
As the Medicare Medical Review Nurse ( Medical Reviewer ), you will primarily responsible for conducting clinical reviews of medical records during the course...

Manager of Prior Auth Case Management

Regal Medical Group - Orange, CA  +1 location
The role of the Prior Authorization and Claims Review Nurse Manager is to manage the prior authorization nurse case managers and support staff (coordinators),...

Sr. Utilization Management Nurse (RN)

Alignment Healthcare - 4 reviews - Orange, CA
Review referral denials for appropriate guidelines and language. Assist with UM queue calls relating to UM review and pre-service status when needed....
Easily apply

Case Manager - Utilization Review Nurse - FT

Coast Healthcare - 2 reviews - Lakewood, CA
The Utilization Review Nurse oversees the authorization process to ensure that the member receives benefits in accordance with their coverage in a quality and...

Clinical Documentation Improvement Specialist - Long Beach,...

UnitedHealth Group - 4,043 reviews - Long Beach, CA
Provides expert level review of inpatient clinical records within 24-48 hours of admit; Ensures effective utilization of Midas or Optum® CDI 3D Technology to...

UR COORDINATOR

health 360 labs - Westminster, CA
$80,000 a year
Utilization Review Coordinator*. Participates in Utilization Review Committee. Utilization Review in Chemical and Medical Dependency:....
Easily apply

Care Review Clinician (4 openings)

Molina Healthcare - 246 reviews - Long Beach, CA 90802
Completion of an accredited Licensed Vocational Nurse (LVN), or Licensed Practical Nurse (LPN) Program, Associate's Degree in nursing, Bachelor's Degree in...

RN and LPN Care Manager - Chronic Care Management

CareVitality, Inc. - Irvine, CA
Registered Nurse (RN). Licensed Practical Nurse (LPN). Review patient’s current medication profile; Refers patients for Comprehensive Medication Review as...
Easily apply
Utilization Review RN or LVN (Bilingual-Spanish)
The Maxis Group - Long Beach, CA
Licensed Vocational Nurse. Preferably hospital nursing, utilization management, and/or case management. Well versed in Utilization Management at least 2-3 years...
Easily apply
Sponsored
RN - Case Manager (Los Angeles)
Thomson Alliance, Inc - Los Angeles, CA
Utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization review, case management, and/or discharge planning...
Easily apply
Sponsored

Never miss a job. Get new jobs emailed to you daily.

Get email updates for the latest Utilization Review Nurse jobs in Orange, CA
You can cancel email alerts at any time.