Utilization Review Nurse jobs in Orange, CA

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California Work-From-Home CONTRACT Utilization Review RN - M...
CareNational Healthcare Services (CNHS) - Mission Viejo, CA 92691
$37 an hour
The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review....
Easily apply
Registered Nurse - Neonatal Intensive Care Unit
Attends annual review and department in-services, as scheduled. Communicates appropriately and clearly to shift supervisor and/or relief charge nurse, co...
Registered Nurse (RN)
Arroyo Vista Family Health Center - Los Angeles, CA 90042
Nurse (RN) Summary:. Performs nursing electronic health record (EHR) documentation reviews to assure compliance with EHR documentation policy and procedures....

CONTRACT Prior Authorization Nurse (RN) – Health Plan

CareNational Healthcare Services (CNHS) - Orange, CA 92868
$52 an hour
Registered Nurse (RN). CONTRACT Prior Authorization Nurse (RN or LVN)*. Current, valid, and unrestricted state Registered Nurse (R.N.)....
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Utilization Review Nurse

MemorialCare - 63 reviews - Fountain Valley, CA
Licensed Vocational Nurse (LVN) with consideration made based on utilization management and related work experience....

Utilization Management RN

MedSearch, Inc. - 8 reviews - Irvine, CA 92614
$75,000 - $85,000 a year
Utilization Management RN*. Requires four (4) years’ utilization management experience. Knowledge of NCQA, CMS, HSAG, and health plan requirements related to...
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Utilization Mgmt Nurse

Concerto HealthCare - 11 reviews - Irvine, CA
Requires four (4) years’ utilization management experience. Knowledge of NCQA, CMS, HSAG, and health plan requirements related to utilization management....

Medical Review Nurse - Medicare/Medicaid

Quality Health Strategies - 9 reviews - Cerritos, CA
At least one year healthcare experience that demonstrates expertise in conducting utilization reviews, ICD-9 coding, CPT coding, and knowledge of Medicare and...
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Utilization Review Nurse - UR_RNphsi

PRIME HEALTHCARE SERVICES HQ - 3 reviews - Ontario, CA 91761
The Utilization Review Nurse is responsible for maximizing the quality and cost efficiency for the EPO Plan. Utilization Management experience required....

Utilization Review Nurse

Prime Healthcare Services HQ - 3 reviews - Ontario, CA 91761
The Utilization Review Nurse is responsible for maximizing the quality and cost efficiency for the EPO Plan. Utilization Management experience required....

Medical Review Nurse Auditor - Multiple Locations

Quality Health Strategies - 9 reviews - Cerritos, CA
Experience that demonstrates expertise in conducting utilization reviews, ICD-9/10 coding, CPT coding, and knowledge of Medicare and/or Medicaid regulations...
Easily apply

Registered Nurse - Women's Residential

Prototypes - 22 reviews - Pomona, CA
Charts meet quality management standards per monthly utilization review and/or chart review process, including completion of review tools within designated...

Intake Coordinator II

New Century Health - 18 reviews - Brea, CA
With your knowledge, skills and abilities as a Utilization Review Nurse, you will impact the delivery of care and directly contribute to our ability to...
RN Care Coordinator - Utilization Review (Full-Time/Day)
Current Registered Nurse (R.N.). The RN Care Coordinator consistently conducts the utilization review process and the discharge planning process as required by...
Registered Nurse - Neonatal Intensive Care Unit - Full
Attends annual review and department in-services, as scheduled. Communicates appropriately and clearly to shift supervisor and/or relief charge nurse, co...

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