Latest Utilization Review Nurse jobs in Fontana, CA

15 Utilization Review Nurse Jobs in Fontana, CA

Case Management Specialist RN (Bilingual) Kaiser Permanente - Fontana, California of utilization review/management, care coordination, transfer coordination, discharge planning or case management. Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal 13 days ago
Family Practice Physician Needed| Excellent Pay and Benefits| FQHC| Fontana, CA 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 20 days ago
Coordinator - Integrated Transitional Care Inland Empire Health Plan - Rancho Cucamonga, California and orders into the medical management system for review by the ITC nurse 7. Review and approve service requests within the ITC Coordinator scope as indicated by the Utilization Management Guide approved 11 days ago
Clinical Pharmacist 24-00451 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 3 days ago
Forum: Start a Discussion Join
Health System Nurse Case Manager I/II - RUHS UR Case Management/Utilization Review Moreno Valley registered nurse experience in a managed care or acute care setting that includes a minimum of one year experience in Case Management and Utilization Review. OPTION II Education: Graduation from an accredited $100,713.60 - $166,316.80 Annually 27 days ago
Utilization Review RN 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 3 days ago
Integrated Transitional Care Nurse, LVN Inland Empire Health Plan - Rancho Cucamonga, California or Skilled nursing, with an emphasis on Concurrent Review and Utilization management. Possession of an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board 13 days ago
Case Management Utilization RN, 24/hr Night Kaiser Permanente - Riverside, 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 20 days ago
Coordinator - ITC Inland Empire Health Plan - Rancho Cucamonga, California and orders into the medical management system for review by the ITC nurse 7. Review and approve service requests within the ITC Coordinator scope as indicated by the Utilization Management Guide approved 21 days ago
Integrated Transitional Care Nurse, RN (Remote) Inland Empire Health Plan - Rancho Cucamonga, California in a health care delivery setting in Acute or Skilled nursing, with an emphasis on Concurrent Review and Utilization Management Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license 21 days ago

Top locations