Utilization Review Nurse Jobs in Anaheim, California
Windstone Health Services, Inc. (WHS), manages Windstone Behavioral Health (WBH), a behavioral health professional medical corporation. WBH provides managed mental health and substance abuse treatment services through contracts with managed care organizations, HMOs, behavioral health carve-out companies, medical groups and public sector agencies Windstone Behavioral Health is one of the largest pr...
This is a position that focuses on utilization review including assessment of medical records for appropriateness, level of care provided. You will assess utilization of treatment, modalities, medications, services and application of treatment protocols. A team approach with other members of internal staff is important. Requirements: California Nurses license, Registered Nurse (RN) Utilization Rev...
CyberCoders Matching Great People with Great Companies Learn more about CyberCoders Utilization Management RN LVN La Habra, CA; Fullerton, CA Full-Time $70,000 - $95,000 Posted 12/6/2013 Frank Molina is recruiting for this position. Email your resume to Frank Apply Job Details RN LVN Oncology Utilization Management Nurse UM RN LVN M-F Dayshift Great opportunity for a truly gifted Registered Nurse...
Description The Case Manager will assess admission necessity utilizing the IQ SI/IS criteria. Review date will be assigned. If treatment plan does not meet criteria, the UR nurse will refer case to attending physician. If no determination, the UR nurse will refer the case to the Medical Director. The Case Manager will perform the initial IQ and clinical review, within one working day of admission...
CONTRACT TO HIRE Inpatient Concurrent Review Nurse (RN or LVN) – Managed Care Orange, CA * This is a full-time, benefits available, position open as either Contract-To-Hire or strictly as a Contract opportunity! * Job Summary: As a Concurrent Review Nurse you will utilize your clinical skills to review and monitor members’ utilization of health care services with the goal of maintaining high quali...
Nurse Case/Care Manager - Telephonic, Desk Job - 40 Hours per week About the Job: · Care Coordination · Reviews, verifies and processes requests for referrals/authorizations of services. · Strong problem solving and organizational skills in a fast paced environment. · Coordination of care and quality of care. Knowledgeable of: · Effective charting practices and guidelines. · Principles and practic...
Job Summary: A Licensed Nurse who is responsible for managing and coordinating care of patients in the acute setting. Job includes analysis of medical record to assist with determining legitimacy of admission, treatment, and length of stay in acute setting in accordance with patient needs, regulatory standards and insurance company guidelines. Assists with ensuring a safe discharge. Reports to Chi...
Job Details: Master's Degree Job Description Job Title: Neurosurgical Nurse Practitioner Department: Neurosurgery Date Reviewed: Dec 2013 Position Purpose: Under minimal supervision and in a professional and friendly manner, perform assigned job duties to the highest level of customer service and assistance to both internal and external customers. Customer Service Standards: It is the duty of all...
Hospital - Case Manager Registered Nurse (RN) Full Time, 40 Hours Per Week About the Job: Concurrent review and analysis of inpatient records to determine if the patient's admission and continued hospital stay triggers any pre-defined quality indicators. Coordinate chart reviews for quality reports and clinical procedures Manage cases smoothly and increase patient/physician satisfaction. Track out...
ALLIED PROFESSIONAL NURSING CARE, INC. JOB DESCRIPTION Home Health Care Registered Nurse A. POSITION SCOPE 1. To ensure quality and safe delivery of home health care services. 2. To assist in the provision of home health care services that reflect the Agency’s philosophy and standards of home health and nursing care of assigned clients. B. POSITION QUALIFICATIONS 1. Graduate of an accredited schoo...
RN Case Manager - Medical Center - 40 hours per week About the Job: Concurrent Review, Level of Care, Severity of Illness (SI), Intensity of Service (IS) and Discharge planning Process TARS, treatment authorizations requests as needed Coordinate chart reviews for quality reports and clinical procedures InterQual or Milliman Requirements Registered Nursing License (CA) About the Agency: Managed Car...
RN Medical Management Educator / Trainer – Managed Care Long Beach, CA Job Summary: The Nurse Educator/Trainer will train staff on federal, state, and organizational standards related to the managed care model of providing the full spectrum of health care support used in the medical management of members and patients. They oversee and implement the successful training of newly hired staff for Medi...
Description Clinic Manager-RN Location: Fountain Valley, CA Category: Clinical Summary: The Clinical Manager is responsible for the clinical aspects of the Advanced Wound Center (AWC). Collaborates with the Program Director and Medical Director to coordinate services in providing quality care to patients with chronic non-healing wounds through the use of hospital and nursing standards. Works withi...
Description The Peri-Anesthesia Registered Nurse will adhere to and support the Association of Peri-Anesthesia Room Nurses (ASPAN) Recommended Standards and Practices. By following these standards and practices the Registered Nurse will act as patient advocate, providing continuity of care designed to meet individual patient needs. The RN will collaborate with all other members of the health care...
Description: For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) This position supervises Inpatient Clinical Services Nurses in the Acute and/or Skilled Nursing Facility, and office setting....
Description: For those who want to invent the future of health care, here's your opportunity! We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. Responsible for providing leadership and administrative oversight, program development, implementation, and evaluation of UM Prog...
Description: For those who want to invent the future of health care, here's your opportunity! We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. Provide leadership and administrative oversight of Care Coordination and general case management. Develop strategies and programs...
Description Provide clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services. Includes facilitation of appropriate physician documentation of care to accurately reflect patient severity of illness and risk of mortality. Will play a significant role in obtaining accurate and compliant reimbursement for acu...
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What are the main job titles of people who work at the hospital? What is it like to work at a hospital? Thank you in advance.
What are some nursing jobs besides being a bedside nurse?
I am currently a 2nd semester nursing student and have been undergoing several different clinical rotation experiences. I've recently got to work on an oncology floor and now I am doing med-surg. I ...
Benefits of being a pharmacist?
Hey guys. So i am planning for my career to be a pharmacist. I was wondering what the benefits of being a pharmacist. For example the health insurance, company car, etc... Thank you so much for answe...
Should a 56 year old registered nurse switch and go into medical coding?
I am a 56 year old registered nurse considering of taking a medical coding course. Working is really tiring me physically and I want to save my back and shoulders from orthopedic surgery if I can. I...
Would it be possible to major in nursing and minor in social work?
Im interested in both and not sure which to pursue so i was wondering if i could do both or would it be to much work.
Healthcare Career Tools
$53,600.00 - $103,400.00
Typical Salary for Nurse Manager in Anaheim
Source: Monster.com Careerbenchmarking Tool
Education / Training
Source: Monster.com Careerbenchmarking Tool
Promotes and restores patients' health by developing day-to-day management and long-term planning of the patient care area; directing and developing staff; providing physical and psychological support for patients, friends, and families.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Resolves patient needs by utilizing multidisciplinary team strategies.
Maintains nursing staff by recruiting, selecting, orienting, and training nurses and auxiliary staff.
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