Utilization Review Nurse Jobs in Riverside, CA

Kaiser Permanente - Riverside, California

Registered Nurse License (California) Basic Life Support Additional Requirements: Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of utilization

from: HealtheCareers.com - 17 days ago

Alura Workforce Solutions - Rancho Cucamonga, California

therapy management and drug utilization review. Ensure regulatory reporting requirements and fraud and abuse reporting are met for all clinical and prior authorization operations. Participate in multi

from: resume-library.com - Yesterday

Provider Healthcare - Fontana, California, United States

in utilization and peer review programs which evaluates the quality of the medical staff and medical services being performed at the clinics Provide supervision and consultation to physician assistants and nurse

from: doccafe.com - 11 days ago

Kaiser Permanente - Fontana, California (+1 location)

principles, practices, techniques and methods of Utilization review/management, discharge planning or case management. Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare

from: HealtheCareers.com - 15 days ago

Provider Healthcare - San Bernardino, California, United States

Participate in the development of clinic protocols and procedures to ensure quality medical care Participate in utilization and peer review programs which evaluates the quality of the medical staff and medical

from: doccafe.com - 11 days ago

Kaiser Permanente - Ontario, California

/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management. Working knowledge of regulatory requirements

from: HealtheCareers.com - 15 days ago

Provider Healthcare - Pomona, California, United States

and procedures to ensure quality medical care Participate in utilization and peer review programs which evaluates the quality of the medical staff and medical services being performed at the clinics Provide

from: doccafe.com - 11 days ago

Provider Healthcare - Pomona, California, United States

Provide direct primary care to patients of all ages Participate in the development of clinic protocols and procedures to ensure quality medical care Participate in utilization and peer review programs which

from: doccafe.com - 11 days ago

Prime Healthcare Management Inc - Ontario, California

of nursing and a current state Registered Nurse license. Minimum 3 years RN Utilization Manager working for a Health Plan. At least 3 years of experience in utilization review, referrals, authorizations

from: resume-library.com - 25 days ago

Hoag Memorial Hospital Presbyterian - Irvine, CA, US

. License Required Registered Nurse (RN) license - for Care Manager II (RN) position Certifications Preferred Utilization Review, Care Management, Clinical Nursing Hoag is an Equal Opportunity Employer

from: Hoag Memorial Hospital Presbyterian - More than 30 days ago