Utilization Management & Quality Review Nurse in Los Angeles, CA for UCLA

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Search Results: 208 Jobs

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Fin. Analyst II Regulatory Rep

Harris Health System

Houston, Texas

NEW!

Registered Nurse Float Med Surg Nights, 3 shifts a week $45/hr

AdventHealth

Ocala, Florida

NEW!

Claims Manager

UCLA

Los Angeles, California

NEW!

Registered Nurse Critical Care Pre-Surgery

AdventHealth

Ocala, Florida

NEW!

Registered Nurse ICU Cardiology Nights

AdventHealth

Ocala, Florida

NEW!

Prior Authorization Coordinator

UCLA

Los Angeles, California

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Prior Authorization Coordinator

UCLA

Los Angeles, California

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Prior Authorization Coordinator

UCLA

Los Angeles, California

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Supervisor Practice Administration - Specialty Cardiovascular Surgery

CHRISTUS Health

New Braunfels, Texas

NEW!

Registered Nurse RN - Medical Intermediate Care Unit MIMCU - PT Nights

Northeast Georgia Health System

Gainesville, Georgia

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Registered Nurse - Cardiac & IMCU Resource Pool - FT Nights

Northeast Georgia Health System

Gainesville, Georgia

NEW!

Registered Nurse Critical Care Labor and Delivery

AdventHealth

Ocala, Florida

NEW!

Registered Nurse RN - Medical Intermediate Care Unit MIMCU - PT Nights

Northeast Georgia Health System

Gainesville, Georgia

Principal Data Scientist - Healthcare Systems

Harris Health System

Houston, Texas

Clinical Pharmacy Specialist

University of Maryland Medical System

Towson, Maryland

NEW!

Physician (Psychiatry)

Veterans Affairs, Veterans Health Administration

Orlando, Florida

Registered Nurse MS Oncology Medical Unit Nights

AdventHealth

Ocala, Florida

Billing Collection Representative

Akron Children's

Akron, Ohio

Registered Nurse ED RN Float Nights, 2 years of ED exp required $45/hr

AdventHealth

Ocala, Florida

Registered Nurse Critical Care PCU Cardiovascular Nights

AdventHealth

Ocala, Florida

Director, Pharmacy Services

BJC HealthCare

Belleville, Illinois

Health Plan Representative - Denver Health Medical Plan (*Colorado State Applicants Only*)

Denver Health

Denver, Colorado

Registered Nurse Obstetrical Nights

AdventHealth

Ocala, Florida

Manager Managed Care-Managed Care

CHRISTUS Health

Irving, Texas

RN Clinical Trainer/Auditor - Denver Health Medical Plan (Must Be a Colorado Resident)

Denver Health

Denver, Colorado

Utilization Management & Quality Review Nurse

DescriptionAs the Utilization Management & Quality Review Nurse, you will be responsible for:Ensuring appropriate, cost-effective, and high-quality care for New Century Health Plan membersConducting utilization management (UM) activities in accordance with health plan policies and regulatory guidelinesIdentifying and reporting Potential Quality Issues (PQI) and supporting Provider Dispute Resolution (PDR) processes to ensure compliance and foster provider satisfactionCompleting other dutie

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