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Concurrent Review Nurse jobs - Los Angeles, CA

Viewing 1 - 10 of 219 jobs

  • Travel Registered Nurse Job (Case Mgt) - minimum 2 to 4 yrs exp. (433008)

    Maxim Travel Nurses - Los Angeles, CA

    for providing case management services including concurrent review of medical records, admissions status ... to discharge. Duties also include performing utilization review ensuring admissions meet criteria for appropriateness...

    5 days ago from Maxim Travel Nurses

  • REGISTERED NURSE CASE MANAGER - Utilization Review (Per diem) (Posted 9/30/14)

    Tenet Health - Fountain Valley, CA

    continued stay IQ and document in eCARE a concurrent review every 3 days or sooner if change in LOC or clinical ... The Case Manager will review all Observation patients daily per P&P #8756-M 8.0 Prepares review sheets for all patients,...

    30+ days ago from Tenet Health

  • CASE MANAGER, RN - PER DIEM - VARIED SHIFTS

    Tenet Health - Lakewood, CA

    concurrent denials; f) coordinating weekly Complex Case Review; g) collecting clinical process and outcomes data, ... with case management, care coordination, and/or utilization review Demonstrate the ability in collaborating with...

    30+ days ago from Tenet Health

  • RN - Clinical Case Manager

    UCLA Health System - Los Angeles, CA

    patient care. Performs appropriate Utilization Review functions utilizing approved Intensity of Service, Severity of Illness criteria. Coordinates utilization management and evaluates services provided. Oversight responsibilities of the...

    30+ days ago from UCLA Health System

  • CONCURRENT REV NURSE

    Tenet Health - Encino, CA

    Review Nurse. Position Summary: The purpose of the Concurrent Review Nurse is to facilitate and coordinate ... Patient. The Concurrent Review Nurse conducts concurrent review, discharge planning and accepts the responsibility...

    1 day ago from nurse.com

  • UM Nurse Specialist Job

    Yoh - Los Angeles, CA

    - Registered Nurse What You'll Be Doing: - The UM Nurse Specialist will be responsible for the facilitation, ... concurrent post service and retrospective claims medical review - Monitors and oversees the collection and transfer...

    28 days ago from PharmaDiversityJobBoard.com

  • Care Review Clinician RN / UM

    Alls Well Health Care Services - Long Beach, CA

    of the team, core responsibilities include: Utilization review and management activities Provide concurrent review ... highly desirable Prior Authorization experience required Concurrent Review experience required Experience with NCQA...

    9 days ago from The Ladders

  • Director of Concurrent Review

    Healthsmart Mso - Cypress, CA

    concurrent review, discharge planning and overseeing the Concurrent Review Department in cost effective care using ... Skills/Competencies Extensive background and knowledge of concurrent review, discharge planning, insurance terminology...

    4 days ago from ZipRecruiter

  • RN - Clinical Case Manager - ER and Float - SMH

    UCLA Health System - Los Angeles, CA

    patient care. Performs appropriate Utilization Review functions utilizing approved Intensity of Service, Severity of Illness criteria. Coordinates utilization management and evaluates services provided. Oversight responsibilities of the...

    30+ days ago from UCLA Health System

  • RN CASE MANAGER

    St. Vincent Medical Center - Los Angeles, CA

    Organization before end of working day. 4. Performs daily concurrent reviews using InterQual® criteria and clinical ... CCM preferred One year case management or utilization review experience preferred. Los Angeles City Fire/Safety...

    4 days ago from nurse.com

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