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Utilization Review Assistant Jobs in California

Utilization Review Jobs
By CodeMax Medical Billing At Los Angeles, CA, United States

The Utilization Review Specialist will perform utilization review of pre-certification and concurrent clinical utilization reviews with insurance companies in accordance with certification ...

Utilization Review Health Care Professional - Lvn/Lpn/Physical Therapist
By EK Health Services Inc At , Rocklin, 95677, Ca $30 - $31 an hour
Possesses and can demonstrate the professional and technical skills required
Experience in UR, Workers' Compensation experience highly preferred, but not required
Excellent Written and Oral Communication Skills
Responsibilities may include, but are not limited to:
Perform a complete evaluation of the medical data for the request
Collect additional relevant data as needed to decide on medical necessity
Utilization Review Specialist Jobs
By MJ Resource Management At Torrance, CA, United States
Experience with PHP/IOP and SUD.
Experience working with commercial health plans.
Experience w admission and concurrent reviews.
Perform all other duties as assigned Skills:
5 years of Utilization Review.
Ability to create a sense of urgency.
Utilization Review Specialist Jobs
By Fresno County At , , Ca $88,088 - $107,068 a year
Please click here to view Knowledge, Skills, and Abilities.
Applicants must meet the minimum qualifications and filing requirements for this position by the filing deadline.
TO PREVENT THE DISQUALIFICATION OF YOUR APPLICATION, PLEASE NOTE:
Resumes and attachments are not accepted in lieu of a completed application.
Fresno County Employment Application (must be current, complete, and accurate; amendments will not be allowed after the filing deadline).
Fresno County Department of Behavioral Health
Utilization Review Nurse Supervisor Ii
By Los Angeles County Department of Human Resources At , , Ca $107,591 - $161,050 a year
Plans, develops, and implements procedures to fulfill the Professional Standards Review organization requirements for an effective and timely utilization review system.
FALSIFICATION of any information may result in DISQUALIFICATION or RECISSION OF APPOINTMENT.
Directs the utilization review function through subordinate supervisors, conferring with supervisors on personnel, and technical and administrative problems.
Evaluates the performance of subordinate supervisors and reviews their evaluations of Utilization Review Nurses; counsels subordinates on their performance.
For this examination, supervision MUST include all the following: planning, assigning, reviewing work of staff and evaluating employee performance.
Bachelor of Science degree in Nursing (BSN) or higher from an accredited institution.
Rn Utilization Review Specialist
By Keck Medical Center of USC At , Los Angeles, 90015, Ca $47.31 - $88.00 an hour

The RN Utilization Management Specialist coordinates communication with admitting financial counselors, case management team, providers, patient financial services, and payers to ensure all services ...

Utilization Review Nurse Jobs
By UCLA Health At , Los Angeles, 90095, Ca

Description Become a key member of a world-class health organization. Contribute to the delivery of Magnet® designated nursing excellence. Take your career to the next level. Ucan do all this and ...

Continuing Care Utilization Review Coordinator Rn
By Kaiser Permanente At , San Leandro, 94577, Ca $71.25 - $92.17 an hour
Must be able to work in a Labor/Management Partnership environment.
Minimum one (1) year of utilization experience required.
Bachelors degree in nursing or health related field required, OR four (4) years of experience in a directly related field.
High School Diploma or General Education Development (GED) required.
Demonstrated knowledge of diagnostic codes.
Conducts utilization review for in-house patients and/or members who have been admitted to contracted facilities. Interviews patients/caregivers regarding care after hospitalization.
Utilization Review Technician Iii
By Prime Healthcare At Ontario, CA, United States
Bachelor’s degree or four years of relevant experience required.
Knowledge of HIPAA regulations preferred
Completion of a medical terminology course; preferred.