Latest Utilization Review Nurse jobs in Riverside, CA

14 Utilization Review Nurse Jobs in Riverside, CA

Case Management Specialist RN-PD (Bilingual) 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 9 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 3 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 25 days ago
Internal Medicine Physician Needed| San Bernardino Clinic | Great Pay and Benefits 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 3 days ago
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Case Manager Utilization RN- Per Diem Day, Onsite Victorville Kaiser Permanente - Fontana, California principles, practices, techniques and methods of Utilization review/management, discharge planning or case management. Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare 7 days ago
Case Manager Utilization RN, 40/hr Day 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 7 days ago
Primary Care Physician Needed| Pomona, California| Great Base Pay, Production Incentive 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 3 days ago
Family Practice Physician Needed| Excellent Pay and Benefits| Pomona, CA 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 3 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 17 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 17 days ago

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