California Licensed Utilization Management RN

Company: VirtualVocations
Location: Moreno Valley
Posted on: October 30, 2024

Job Description:

A company is looking for an RN, Utilization Management - Remote.

Key Responsibilities

Perform all functions of a UM nurse reviewer and compose compliant denial letters
Ensure accurate clinical decision-making and documentation for adverse determinations
Collaborate with UM compliance for quality improvement and escalate non-compliance cases

Required Qualifications

Graduation from an accredited school of nursing
Active, unrestricted Registered Nurse license through the State of California
3+ years of care management, utilization review, or discharge planning experience
Bachelor of Science in Nursing (BSN) preferred
HMO experience preferred

Keywords: VirtualVocations, Lake Forest , California Licensed Utilization Management RN, Healthcare , Moreno Valley, California

Click here to apply!

Didn't find what you're looking for? Search again!

Let Moreno Valley recruiters find you. Post your resume for free!

Get Moreno Valley Healthcare jobs via email.

View more Lake Forest Healthcare jobs

Other Healthcare Jobs

Nurse Practitioner -
Description: A large Palliative Care company is currently seeking Nurse Practitioners to perform Health Assessments in the Skilled Nursing Settings. This position is Monday
Company:
Location: Los Angeles
Posted on: 10/31/2024

Hedis Case Mangers LVN/RN's -
Description: This Hedis Case Mangers LVN/RN's Position Features: br Great Pay to 36K br Monday - Friday
Company:
Location: Lakewood
Posted on: 10/31/2024

MEDICAL CLAIMS EXAMINER NEEDED!
Description: Well known Health Care Organization has immediate opening for a Medical Claims Examiner. You will be responsible for the accurate and timely processing of direct contract and delegated claims per regulatory (more...)
Company:
Location: Los Angeles
Posted on: 10/31/2024

Salary in Lake Forest, California Area | More details for Lake Forest, California Jobs |Salary

Healthcare Admin
Description: Adecco is currently assisting a local client recruiting to fill a Healthcare Administrator position in the San Fernando Valley. This is contract opportunity with a great company The Healthcare Administrator (more...)
Company:
Location: Chatsworth
Posted on: 10/31/2024

Hedis Case Mangers LVN/RN's -
Description: This Hedis Case Mangers LVN/RN's Position Features: br Great Pay to 36K br Monday - Friday
Company:
Location: Lakewood
Posted on: 10/31/2024

MEDICAL CLAIMS EXAMINER NEEDED!
Description: Well known Health Care Organization has immediate opening for a Medical Claims Examiner. You will be responsible for the accurate and timely processing of direct contract and delegated claims per regulatory (more...)
Company:
Location: Los Angeles
Posted on: 10/31/2024

Hedis Case Mangers LVN/RN's -
Description: This Hedis Case Mangers LVN/RN's Position Features: br Great Pay to 36K br Monday - Friday
Company:
Location: Lakewood
Posted on: 10/31/2024

Immediate Need For RN's In Multiple Specialties
Description: Pay between 38 - 45 br br - Clinical experience required br br Qualifications: br . Current California RN license CPR certified br . 2 years PICU, NICU,
Company:
Location: Culver City
Posted on: 10/31/2024

MEDICAL CLAIMS EXAMINER NEEDED!
Description: Well known Health Care Organization has immediate opening for a Medical Claims Examiner. You will be responsible for the accurate and timely processing of direct contract and delegated claims per regulatory (more...)
Company:
Location: Los Angeles
Posted on: 10/31/2024

Medical Administrative Assistant -
Description: A Well-known and Prestigious Hospital is seeking level 1 and 2 Medical Administrative Assistants. You will be
Company:
Location: Los Angeles
Posted on: 10/31/2024

Loading more jobs...

California Licensed Utilization Management RN

Didn't find what you're looking for? Search again!

Other Healthcare Jobs

Log In or Create An Account