Utilization Review Nurse Jobs in Anaheim, California

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127 Anaheim, CA Utilization Review Nurse jobs found on Monster.

Jobs 1 to 20 of 127
Tenet Healthcare Corporation Fountain Valley, CA
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 admis...
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 admissio...
Title/Unit: Director of Case Management Shift/Schedule: Full-time Days Seeking a director of case management in Los Angeles, CA. Description: The Director oversees all aspects of the Admitting and Utilization Management Departments for the hospital main campus and all satellite units. Collaborates with Patient Financial Services to ascertain financial responsibility, payment allowances and p...
Tenet Healthcare Corporation Fountain Valley, CA
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 admis...
Tenet Healthcare Corporation Fountain Valley, CA
Description : The LVN/LPN Case Manager is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based practice and regulatory requirements. This position complies with the scope of services defined by the Licensed Vocational /Pr...
Tenet Healthcare Corporation Fountain Valley, CA
Description : The LVN/LPN Case Manager is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based practice and regulatory requirements. This position complies with the scope of services defined by the Licensed Vocational /Pr...
Tenet Healthcare Corporation Fountain Valley, CA
Description : ASSISTANT - Case Manager Assistant 1. Communicates well with staff, physicians and ancillary services. 2. Receives and screens telephone calls. Takes accurate messages. 3. Delivers phone messages timely and copies charts accurately for the UM nurses. 4. Assists Case Manager with sorting and rooming of daily patient assignments. 5. Projects a professional attitude when working ...
Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work. (sm) Telecommuting opportunity but you must live in California M - F Business Hours In...
UnitedHealth Group Inc. Irvine, CA, 92606
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you will be responsi...
Prospect is looking for the ideal candidate to fill our Case Manager or Inpatient Concurrent Review Nursepositions: As Case Manager, you will perform care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care contin...
Kaiser Permanente Anaheim, CA
Description Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Function...
Kaiser Permanente Anaheim, CA
Description Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Function...
UnitedHealth Group Inc. Cypress, CA
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work. (sm) Telecommuting opportunity but you must live in California M - F Business Hours In this rewardin...
St. Joseph Health Orange, CA, 92868
St. Joseph Heritage Healthcare (SJHH) is one of California's most respected medical groups. With over 2,000 employees and 25 locations throughout California, including, Northern California, Orange County, High Desert and Los Angeles County, SJHH has been continually recognized as a leader in quality, customer service and information technology. This kind of success is the result of team work, a co...
Kaiser Permanente Irvine, CA, 92606
Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indir...
St. Joseph Health Orange, CA, 92868
St. Joseph Heritage Healthcare (SJHH) is one of California's most respected medical groups. With over 2,000 employees and 25 locations throughout California, including, Northern California, Orange County, High Desert and Los Angeles County, SJHH has been continually recognized as a leader in quality, customer service and information technology. This kind of success is the result of team work, a co...
Beacon Health Strategies, LLC Cypress, CA
Utilization Management, UM Coordinator, BH Clinician, BH RN, Case Manager, Utilization Review Coordinator, UR License Required: Valid State Clinical License required ( RN, LCSW, LMFT, LPCC, PhD or PsyD) Job Description Responsible for completing triage assessments to determine patient risk and appropriate level of care based on the medical necessity review as well as, performing ongoing utiliz...
Position Description: APS Healthcare, a subsidiary of Universal American, is a healthcare company with over two decades of pioneering innovative collaborations between patients, doctors and our company that produce healthy outcomes for all. Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies, we provide h...
Company Confidential Santa Ana, CA, 92702
A very reputable Home Health/Hospice facility in Orange County is searching for a CLINICAL Supervisor. The facility is part of a large, financially stable Health Care organization. Job Summary: Supervises and coordinates the home health interdisciplinary team to insure competent, accurate and safe delivery of care to all patients. Clinical supervision of perfect care strategies; facilitates and i...
Planning, developing, managing, delivering & evaluating/improving hospice nursing & other direct patient care / clinical services Ensure that quality, utilization, access, & patient care goals are achieve or exceed. Manage the day to day clinical operations of the agency, including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement. Responsible for the ov...

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Healthcare Career Tools

Nurse Manager

Salaries

$53,040.00 - $103,400.00
Typical Salary for Nurse Manager in Anaheim
(313 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
41.2%
Master's
30.6%
Associates
22.7%
(216 Respondents)
Source: Monster.com Careerbenchmarking Tool

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